Laserfiche WebLink
2018-03-23 22:49 ICOLPH SCHOOL 4253497048 >> P 4/6 <br /> 1 <br /> 11 <br /> . 1 <br /> Indemnification,Hold Harmless, and Certification <br /> r <br /> i <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 livent that is the subject of this <br /> approvaL - <br /> I <br /> i <br /> "City"shall mean the City of Everett,its officers,en ployees and agents, i <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. i <br /> Provided, however, this agreement to defend, indemnify and hold lianaless 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 /> 1 <br /> As Applicant, I certify that 1) th.e Information provided on this application is true and correct; <br /> and 2) 1- 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 l <br /> harmless the City. <br /> F <br /> I <br /> • <br /> __ ,1 1/ 31a691 t e „ <br /> Signature Date t <br /> , i4:—t Vki arct fie.. f <br /> l <br /> anted Name <br /> \161 ni ati-t Cbre C-OACe,Pt101/ CCARX Lay f-Pupeht6 i <br /> Organization fteprescnfin Phone No. <br /> i <br /> i;ist businesses/residences impacted by this event. You must also obtain an approval signature G <br /> from each.business/resident indicating they concur-with the closure. <br /> Business/Residence Signature of approval <br /> I. JJe.Sint Pres by-Fagan iotii ph u ric.; <br /> ie <br /> 3, 1 <br /> 4, <br /> 5. <br /> 6. <br /> — <br /> ?' -- - ... <br /> i <br /> I <br /> I <br /> i <br /> 46 <br />