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101 <br />INSURANCE COVERAGE DISCLOSURE <br />PNC Equipment Finance, LLC, LESSOR <br />City of South Bend LESSEE <br />RE: INSURANCE COVERAGE REQUIREMENTS <br />In accordance with the Lease Schedule dated July 21, 2016, to the Master Equipment Lease -Purchase Agreement <br />dated May 15, 2012 and identified in the Lease Schedule, Lessee certifies that it has instructed the insurance agent <br />named below (please fill in name, address and telephone number): <br />to issue: <br />a. All Risk Physical Damage Insurance on the leased Equipment evidenced by a Certificate of Insurance and Long Form <br />Loss Payable Clause naming PNC Equipment Finance, LLC and/or its assigns as Lender Loss Payee. <br />Coverage Required: Termination Value Specified <br />b. Public Liability Insurance evidenced by a Certificate of Insurance naming PNC Equipment Finance, LLC and/or its <br />assigns as an Additional Insured. <br />Minimum Coverage Required: <br />$1,000,000.00 per person <br />$2,000,000.00 aggregate bodily injury liability <br />$1,000,000.00 property damage liability <br />Proof of insurance coverage will be provided to PNC Equipment Finance, LLC, 995 Dalton Avenue, Cincinnati, OH 45203, <br />prior to the time that the property is delivered to Lessee. <br />OR <br />2. Pursuant to the Master Lease, Lessee represents and warrants, in addition to other matters under the Lease, <br />that it is lawfully self -insured as more fully described in the attached letter. <br />Lessee: City of South Bend <br />to <br />Name: Title: <br />