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Section 10 - Insurance Requirements –READ AND INITIAL ALL BOXES
Applicant must purchase and maintain General Liability Insurance in the minimum amount of
$1,000,000 for each occurrence/$2,000,000 aggregate. The policy must provide coverage for
bodily/personal injury, property damage, and broad form contractual liability. The policy must be
endorsed to include Lake Havasu City, Arizona, its departments, agencies, boards, commissions,
officers, officials, agents, volunteers, employees, and contractors as named additional insureds
with respect to liability arising out of or related to Applicant’s event and occupancy, use, and activity
in or about the lands described in this Event Application. The City must be notified within ten business
days of policy suspension, cancellation, and reduction in coverage or limits. Insurance coverage must
be provided by an insurance company admitted to do business in Arizona and rated A-VII or better.
Attach a copy of the General Liability Insurance Certificate to this application.
If the event is at Rotary Park, S.A.R.A. Park, or Site Six, the endorsement must include the United
States, Bureau of Land Management.
NOTE: Application will not be approved if the language above is not on your Certificate of
Insurance.
Section 11 – Indemnification –READ AND INITIAL ALL BOXES
Applicant agrees to indemnify, defend, save, and hold harmless Lake Havasu City, its departments,
agencies, boards, commissions, officers, officials, agents, volunteers, and employees from and against
any and all claims, actions, liabilities, damages, losses, or expenses (including court costs, attorneys’
fees, and costs of claim processing, investigation and litigation) (hereinafter referred to as “Claims”)
for bodily injury or personal injury (including death), or loss or damage to tangible or intangible
property caused, or alleged to be caused, in whole or in part, by the actions or omissions of Applicant
or any of its owners, officers, directors, agents, employees, volunteers or contractors, arising out of or
related to Applicant’s event and occupancy, use, and activity in or about the lands described in the
attached Event Application, regardless of whether or not the Claims are caused in whole or in part by
a party indemnified hereunder. It is the specific intention of the parties that Lake Havasu City, shall
in all instances, be indemnified by Applicant from and against any and all Claims. It is agreed that
Applicant will be responsible for primary loss investigation, defense and judgment costs where this
indemnification is applicable.
For Events in Rotary Park, S.A.R.A. Park, or Site Six:
Applicant also agrees to defend, indemnify, and hold harmless the United States, and its employees,
officers, agents, representatives, and assigns, from any and all claims, losses, damages, actions,
expenses, and liabilities resulting from, brought for, or on account of personal injury, real or personal
roperty loss or damage, and claims for personal injury or death arising out of Applicant’s activities on
these lands; including the disposal, placement or release of hazardous substances and for Rotary Park
and Site Six any loss or damage resulting from fluctuation of the water surface elevation of Lake
Havasu.
