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i <br /> ! <br /> HOLD HARMLESS and INDEM1vIFICATION AGREEMENT <br /> Autumn Shoreline Classic, 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 officers, <br /> agents, and employees harmless against any and all loss, damage, or expense that it or they may <br /> sustain as a result of any suits,actions,or claims of any character brought on account of property <br /> damage, injury to,or death of any person or persons,which may arise in connection with the use <br /> of City of Decatur property, for the Autumn Shoreline Classic on the following date and time: <br /> Sunday, September 18,2016 7:00 a.m.—9:30 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 third party <br /> liability insurance coverage for the event in an amount not less than $1,00�,0�0 per occurrenee, <br /> and $2,000,000 aggregate,for property damage,and personal and bodily injury,includin�death. <br /> If a tempoxary liquor license is granted for this event, evidence of liquor liability insurance <br /> coverage in an amount not less than $1,000,000 per occurrence and aggregate must also be <br /> provided. The City of Decatur, Illinois,must be named as additional insured on both policies for <br /> the duration of the Event. Sponsorin�agency's insurance will be primary. <br /> For City of Decatur,Illinais: For Sponsoring Agency: <br /> Autumn Shoreline Classic <br /> ��� �„— ' ��=�`�-� <br /> Authorize Representative uthorized Representative <br /> � <br /> (�6' �3 2a l —�.L._� �0 � � <br /> Dat ate <br />