Procession - Dean Alvis - March for Science South Bend

Home Browse Search

A C14.. >R" , - CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 04/19/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: PH�N E ; (574) 287-8704 wC No): (888) 214-5881 McCartney Insurance, LLC 1402 Portage Ave. EDMDAIpSS:IL rnCCarfneylnsuranCe@comcast.net INSURERS AFFORDING COVERAGE NAIC # South Bend, IN 46616 INSURERA : Westchester Phone (574) 287-8704 Fax (888) 214-5881 INSURED INSURERS: INSURER C : Dean Alvis INSURER D : 1411 sunnymede ave South Bend IN 46615 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDILTRR NSR WVD POLICY NUMBER MM1pnYYY M€OVIIDDNYXI'PY LIMITS A COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE +/ OCCUR ❑ - SEV7534g2017 04/22/2017 04/24/2017 EACH OCCURRENCE $ 1000000 PREMISES (EaDAMAGE TO Eoccu RENTED $ 100000 MED EXP {Any one person $ 1000 ❑ PERSONAL & ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ JECOT- ❑ LOC ❑ OTHER GENERAL AGGREGATE $ 2000000 PRODUCTS - COMP/OP AGG $ 2000000 $ AUTOMOBILE LIABILITY ❑ ANY AUTO OWNED SCHEDULED ❑ AUTOS ONLY AUTOS ❑HIRED ❑ NON -OWNED AUTOS ONLY AUTOS ONLY ❑ ❑ CEO MBIINd DLSINGLE LIMITarci $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per. $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIA13 ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WYW WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUT[VE[ ] OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N!A ❑ PI=R TUTE OTH- I 1 E,L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of South Bend additionally insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Bend THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) QF The ACORD name and logo are rogistered marks of ACORD