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a i q,- <br /> HOLD HARMLESS AND INDEMNIFICATION AGREEMENT <br /> Decatur Park District, hereafter referred to as the "sponsoring agency", for itself, and its <br /> successors and assigns, agrees to indemnify and save the city of Decatur, Illinois, its <br /> officers, agents, and employees harmless against any and all loss, damage, or expense <br /> that it or they may sustain as a result of any suits, actions, or claims of any character <br /> brought on account of property damage, injury to, or death of any person or persons, <br /> which may arise in connection with the use of City of Decatur property, see attached <br /> Exhibit A, for the 4t" of July Firecracker Road Run on the following date and time: <br /> Friday, July A 2014 8:00 a.m. — 10:30 a.m. <br /> by the sponsoring agency, its officers, agents, employees, and registrants. <br /> Furthermore, the sponsoring agency agrees to provide the City of Decatur evidence of <br /> third party, liability insurance coverage for the event in an amount not less than <br /> $1,000,000.00 per occurrence, and $2,000,000 aggregate, for property damage, and <br /> personal and bodily injury, including death. <br /> If a temporary liquor license is granted for this event, evidence of liquor liability <br /> insurance coverage in an amount not less than $1,000,000 per occurrence and <br /> aggregate must also be provided. The city of Decatur, Illinois, must be named as <br /> additional insured on both policies for the duration of the event. Sponsoring agency's <br /> insurance will be primary. <br /> City of Decatur, IL Sponsoring Agency <br /> L� J�k tz::�V <br /> Authorized Relafesentative Au epres e <br /> W 1 <br /> Date Date <br /> C1W OF DECATUR, @L <br /> F I L E9 <br /> 41 zll2o, <br /> g <br /> CITY CLERK <br />