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Page 2 of 4 <br />Revised: 12-28-17 <br />C. We agree to procure, keep in force, and pay for special event liability insurance <br />coverage, with a minimum per occurrence liability limit of $1,000,000, unless a <br />higher level of coverage is otherwise required by the City, which shall include the <br />City of Pequot Lakes as an additional insured, from an insurer acceptable to the <br />City for the duration of the above described activities. We agree to deliver to the <br />City Administrator certificates of all insurance required, signed by an authorized <br />representative of the insurance company and stating that all provisions of the <br />specified requirements are satisfied. We agree that the City may require a higher <br />level of insurance than stated herein above with limits not less than the maximum <br />liability limits for a municipality as provided in Minnesota Statutes, Section 466.04, <br />or greater, in the City's sole judgment and discretion and based on the City's risk <br />evaluation of the activities involved in the special event. We agree that the <br />undersigned shall require that all vendors or operators participating in the special <br />event, if any, are covered by general liability coverage. We agree that no vendor <br />or operator shall be allowed to set-up operations until the undersigned has verified <br />that the vendor or operator has the required general liability insurance coverage. <br />Special Events Holder Initials Here: i <br />D. By signing this WAIVER, RELEASE AND INDEMNIFICATION <br />AGREEMENT, WE FURTHER HEREBY assume and agree to pay for all loss or <br />damage to property whatsoever and injury to or death of any person or persons <br />whomsoever, including all costs and expenses incident thereto, however arising <br />from or in connection with the special event, and fully and forever WAIVE, <br />RELEASE, AND DISCHARGE THE City of Pequot Lakes, its officers, agents, <br />elected officials, and employees, from any and all claims, demands, and actions, <br />present or future, whether the same be known, anticipated or unanticipated, <br />including but not limited to for injury, loss, or damage to us or to any third party, <br />arising out of or in any way related to the above described activities. This waiver <br />and release does not waive liability for any injuries that are the result of willful, <br />wanton, or intentional misconduct by the City or any person acting on behalf of the <br />City. <br />X <br />Special Events Holder Initials Here: Z <br />E. We further agree to defend, indemnify and hold harmless the Cite of Pequot Lakes, <br />its officers, agents, elected officials, and employees from and against any and all <br />liability, claims, and demands, court costs and attorney's fees, including those <br />arising from any third party claim asserted against the City of Pequot Lakes, its <br />officers, agents, elected officials, and employees on account of injury, loss or <br />damage, including without limitation claims arising from bodily injury, personal <br />injury, sickness, disease, death, property damage or loss, or any other loss of any <br />kind whatsoever, which arise out of or are in any way related to the above described <br />activities. The indemnification provisions herein shall not apply to damages or <br />other losses proximately caused by or resulting from the negligence or willful <br />S:1AdministrationlLicenseslSpecial Event Permits\Release Indemnification Agreement 12-28- <br />17.docx <br />