SPECIAL EVENTS PERMIT APPLICATION
HOLD HARMLESS AGREEMENT
The special event/parade applicant or president or designee of the sponsoring organization(s) (hereafter called
“applicant”) agrees to reimburse the City of Jordan (hereafter called “City”) for all loss incurred by it in repairing or
replacing damage to City property proximately caused by the applicant, its officers, employee, agents, monitors, or
any other persons attending or forming the special event or parade who were, or should have been, under the
applicant’s control. Persons who merely attend or join in a special event or parade are not considered by that
reason alone to be “under the control” of the applicant.
The applicant further agrees to defend without costs, indemnify, and hold harmless the City, its officers, agents,
and employees from any liability to any persons damages, losses, or injuries arising out of or alleged to arise out of
the permitted event, which was proximately caused by the action of the applicant, its officers, employees, agents,
including monitors, or any other persons attending or joining the event who were, or reasonably should have been
under the control of the applicant. Persons who merely attend or join in an event are not considered by that
reason alone to be “under the control” of the applicant. I certify that the information contained in the foregoing
application is true and correct to the best of my knowledge. I have agreed to abide by the rules and regulations
governing the proposed Special Event under the Jordan Municipal Code. I understand that this application is made
subject to the rules and regulations established by the City Council and/or the City Administrator or the City
Administrator’s designee. Applicant Agrees to comply with all other requirements of the City, County, State,
Federal Government, and any other applicable entity which may pertain to the use of the Event venue and the
conduct of the Event. I agree to abide by these rules and further certify that I on behalf of the Host Organization
am also authorized to commit that organization, and therefore agree to be financially responsible for any costs and
fees that may be incurred by or on behalf of the event to the City of Jordan. I understand and agree to comply with
all the terms of the above Hold Harmless Agreement/Affidavit if my application has been approved and all special
conditions and required advance payments have been met. I agree to abide by all applicable city ordinance
governing special events. I understand that special conditions may be required by the city in order to obtain the
permit and I agree to abide by those conditions. I understand that the City Administrator or their designee may
revoke a special event permit if the conditions set forth in the permit application are not being followed.
Signature of Applicant(s):__________________________Date:_____________________
__________________________Date:_____________________
Signature of Officer of Sponsoring Organization:_________________________________
Title:______________________________________Date:__________________________
I declare under penalty of perjury that the information provided in this application is true and correct.
Signature of Applicant:_____________________________Date:_______________________________
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