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7r/ Y �. <br /> VIACK4 <br /> 1 13Z SPECIAL EVENT <br /> INDEMNIFICATION AGREEMENT <br /> The undersigned applicant, by signing below,certifies that the applicant is the authorized officer of the <br /> sponsoring organization and agrees as follows: <br /> Pursuant to Anacortes Municipal Code Title 7.04.090,the undersigned applicant agrees to defend, <br /> indemnify and hold the City of Anacortes, its agents,employees and officers, harmless from any and all <br /> claims, injuries, suits,damages, losses, demands and judgments including the attorneys'fees and other <br /> costs of their defense,arising out of in whole or in part,the activities,omissions or appliances of the <br /> applicant, his employees,agents,volunteers or otherwise,except any claims arising from the sole <br /> negligence of the City. The applicant further agrees to comply with all provisions of pertinent laws, rules <br /> and regulations,and agrees that any failure to so comply may lead to revocation of an applicant's <br /> permit. This Indemnification Agreement constitutes substantial adequate consideration in return for <br /> the City's issuance of a special event permit. <br /> Date: 1 /coot1 <br /> M 0 Inc --1 <br /> Name and Title—Printed Name and Title—Printed <br /> l C <br /> Signatu Signature <br /> LAC <br /> C:\Users\marciah\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\TX42D7PF\lndemnif <br /> ication Agreement.docx <br />