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Indemnification, Hold Harmless, and Certification 6 <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 /> . aused by the sole negligence or willfull misconduct of the City. <br /> o 't, I certify that 1) the information provided on this application is true and <br /> EL E <br /> Ey 2) I am duly authorized by the sponsoring organization to make this <br /> ,. E 0 . d enter into this agreement, on behalf of the sponsoring organization, to <br /> 0 ' °," @ <br /> y a n .- <br /> Q • OC0 <br /> QoL <br /> Fd Q c m <br /> I <br /> • <br /> a • fn E9 cn <br /> + ify and hold harmless the City. <br /> it -E ,,c°E9 <br /> 027 m NWd'Va14 '‘ <br /> / <br /> L 4(JJO6-) (eelIl <br /> Signature Date <br /> VI Q4c//Li C bsd`- <br /> Printed Name <br /> 0 '71L04-010/-ed I'D <br /> 1P2-5"--2-10/44.20Organization 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 -, Sign e of approval <br /> 1.Bobby s NcwJ O1 n k i ,._� , <br /> 2.150.40.,E...ue ic4.) - -te ctn.4- �!' / <br /> 3.Bo}^l1Rg}on '7c I- .^ --- ‘SLCOL ' i0 <br /> 4.BoL\(SLtJJ P1-kk-O -i i <br /> 5. Oki S " t►tic, f/d <br /> 6. - <br /> 7. 11)(--Ft)41-6,/ A . . 1 . .1LdI II r. .. -- i-t-t4ICr <br /> CO <br /> igCA+�9 �� 15 <br />