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• 6 <br /> Indemnification, Hold Harmless, and Certification <br /> As a material inducement and consideration for the City granting this approval,the Applicant,on <br /> behalf of the sponsoring organization,hereby agrees to defend,indemnify and hold harmless the <br /> City from and against any and all Claims for personal injury, death, property damage or <br /> destruction, arising from, relating to, or resulting from the Event that is the subject of this <br /> • <br /> 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 damages, <br /> fees, and costs,including,but not limited to, attorney's fees, expert witness fees, court costs and <br /> other legal expenses. <br /> Provided, however, this agreement to defend, indemnify and hold harmless the City shall not <br /> apply to Claims arising out of bodily injury or death or property damage or destruction caused by <br /> 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 correct; - <br /> and 2) I am duly authorized by the sponsoring organization to make this application and enter <br /> • into this agreement,•on behalf of the sponsoring organization, to defend, indemnify and hold. <br /> harmless the City. <br /> , -7 / 7 ' <br /> Signature Date <br /> t ?1u k <br /> Pr4ted Name <br /> oe -e-4 a S . 4?ST"— = Ltq <br /> Organization Representing Phone No. <br /> List businesses/residences impacted by this event. You must also obtain an approval signature <br /> from each business/resident indicating they concur with the closure. <br /> Business/Resi nce Signature of approval <br /> 1. � I1 <br /> 2. 1 <br /> 3. ��� . <br /> 4. ILMINIINIMA <br /> 5. 111111111111/11ffrie <br /> 6. 11111111111111111 <br /> '1111-2 <br /> 19160' on (6)101 (2.Litr% 4 2.,53(' i\it no vIS (6Se,$ <br /> cg2t ter eVc 11+113 5ch & I — Wsm es s43- <br /> ( Ael [ t i„o iry-,oar- (A, <br />