Laserfiche WebLink
UY/ <br /> J.41 Lull 11.JU YLJ JYU UY JU J I PMI\I 1.11-1,1,1-11-1-11 I 1"IVL VJ/WI <br /> 1 <br /> Xndemnification J .aid Harmless and Certification <br /> 15 <br /> As a material inducement and consideration for the City granting this approval, the <br /> Applicant, on behalf of the sponsoring organization, hereby agrees to defend, indemnify <br /> and hold harmless the City from and against any and all Claims for personal injury, death, <br /> property damage or destruction, arising from, relating to,or resulting from the Event that <br /> is the subject of this approval <br /> "City" shall mean the City of Everett,its officers, employees and agents. <br /> "Claims" shall mean any actions, demands, suits, obligation or liability for payment of <br /> damages, fees, and costs, including, but not limited to, attorney's fees, expert witness <br /> fees, court costs and other legal expenses. <br /> Provided, however, this agreement to defend, indemnify and hold harmless the City shall <br /> not apply to Claims arising out of bodily injury or death or property damage or <br /> destruction caused by the sole negligence or willful].misconduct of the City. <br /> As Applicant, I certify that 1) the information provided on this application is true and <br /> correct; and 2) I am duly authorized by the sponsoring organization to make this <br /> application and enter into this agreement, on behalf of the sponsoring organization, to <br /> defend, indemnify and holdharmless the City. <br /> V Date <br /> Signature <br /> Printed Name <br /> v R045)-i 1215-4c3—/z/' <br /> Organization Representing Phone No. <br /> List businesses impacted by the event and ask them to sign off if they concur with the <br /> closure. <br /> Businesses Signature of approval <br /> 1. lV`d �jufrti s <br /> 2. OP 1We Rat/7 <br /> 3. <br /> 4. <br /> 5. <br /> G. <br /> 7. <br /> 141 <br />