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In order to be placed on a Board of Works meeting agenda, Individuals, Businesses, or Organizations
are required to complete and submit this Agenda Request Form including any supporting
documents. The person submitting this request should attend the BOW meeting wherein the request appears on the BOW Agenda. Failure to attend the BOW meeting, may result in the dismissal of the request.
A Certificate of Insurance (COI) showing a liability policy in full force and with limits of
$2,000,000.00 aggregate and naming the City of Michigan City as an additional insured for this
event must be attached to your application before being placed on the meeting agenda. In addition, the (COI) must comply with any rules, regulations, and policies adopted by Board of Works.
4.) I understand in consideration for approval by the Board for the use of sidewalks/streets and/or use of City's real or personal property for my
event, the undersigned agrees and undertakes to hold the Civil City of Michigan City, Indiana, free
and harmless from any liability loss, damages and expenses including attorney fees, which the Civil
City of Michigan City may suffer or incur as a result of any claims or actions which may be made by
any person, including a participant in said activity, arising out of the approval to use the
sidewalks/streets and/or City's real or personal property indicated in Michigan City. I also understand that the closure of streets/sidewalks and/or use of City real or personal property does not exempt me or any participant from any federal, state or local City ordinances.
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