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' 14 t ` ,-"e <br /> 11 <br /> Indemnification, Hold Harmless, and Certification <br /> As a material inducement and consideration for the City granting this approval, the <br /> Applic nt,)on behalf of the sponsoring organization, hereby agrees to defend, indemnify <br /> << j d fold 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 willfull 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 hold harmless the City. <br /> Signature Date <br /> girt.Cci-) <br /> Printed Name <br /> - e j_viciApieo <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.Y1��� A-5-5[36'4z.c�Y7j ��- _ I Wtcn.s <br /> 2.lQ ,nrt� S iP(o'C2- rz,,,iir y/�t� �2C <br /> 3. vi-t' YA-T-Gfee �I <br /> 4.S� r, 4-4A �r97 {� <br /> 5.fir 57--2ic� � s 77 / <br /> 7. <br /> 121 <br />