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02/12/2010 17:28 4252592328 <br /> EVERETT FAMILY YMCA PACS 03/06 <br /> 6 <br /> Acknowledgement of Conditions&Certification <br /> As a material consideration to the City granting this approval,and without which the City <br /> would not do so, Applicant agrees to and does hereby indemnify and hold the City, its <br /> officers, employees and agents harmless from and against any and all claims, actions, <br /> demands. suits, losses or liability resulting at any time from injury to or death of any <br /> person or persons, and or damage to any and ail property occurring or arising from this <br /> approval, or resulting from any non-compliance with any law, ordinance or regulation <br /> respecting the performance of approval granted herein, or otherwise arising or resulting <br /> from the approval granted. With limiting the generality of the foregoing, the within <br /> indemnification by Applicant of City, its officers, employees and agents shall include <br /> indemnification from any claim,action,demand,cause of action,suit,or proceeding,and <br /> said indemnification shall in all events include any and all attorney's fees,court costs and <br /> other legal expenses, and shalt include the obligation of Applicant to appear iand <br /> defend any and all such claims, actions, or other legal proceedings judicial, <br /> quasi-judicial, administrative or otherwise, against or affecting City, its officers, <br /> employees and agents arising out of or pertaining to the approval granted herein. <br /> This paragraph does not purport to indemnify the City,its officers,employees and agents <br /> against liability for damages arising out of bodily injury to persons or damages caused by <br /> or resulting from the sole negligence or willful misconduct of the City, its officers, <br /> employees or agents acting within their scope of employment. <br /> Also, as Applicant I certify that the information provided on this application is true and <br /> correct. <br /> 2400 <br /> Signature Date <br /> Caef art <br /> Printed Name <br /> ve,rr iQa Via 251"-q7, l I <br /> Organization Repradnting Phone No. <br /> List businesses/individuals impacted by the event that you have contacted and ask them to <br /> sign off if they concur with the closure. ature <br /> Businesses/Individuals(print) <br /> 1. Ylit leOAS <br /> 2. m.tg ���y. � <br /> 3. <br /> 4. <br /> 5. <br /> 6. . <br /> 7. <br /> 17 <br />