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" AC� DATE (MMIDDJYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 2/23/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER CONTACT Mary Stockdale <br />City Securities Insurance, LLC <br />PHONE (317) 844-0273 FAX I3L7) 972-7192 <br />-LAIC, No, Ext]t- --...... A!C No : _ <br />8900 Keystone Crossing E-MAILSS:mstockdale@citysecurities.com <br />—-- --- — - <br />Suite 300 INSURER(S) AFFORDING COVERAGE _ _ NAIC #_ <br />Indianapolis IN 46240 INSURERa Secura Insurance Co 22543 <br />- ._ ... <br />INSURED INSURER B SECURA Insurance COmpanle5_ — <br />ESG Security Inc INSURER C : - - <br />1060 N Capitol Avenue Ste E210 INSURER D : <br />INSURER E : <br />Indianapolis IN 46204--1007 INSURERF <br />COVERAGES CERTIFICATE NUMRER.17-18 Master RFVIAInN Nl IMRFR <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />;A�DL'SUBR <br />POLICY NUMBER <br />MMLDIpY EFF <br />MOL©CDY EXP <br />j -LIMITS - <br />A <br />XCOMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X .00CUR <br />EACH OCCURRENCE <br />$ 1, 000 , 000 <br />DAMAGE TO RENTED <br />:PREMISES„{fs occorrence) <br />- <br />300 000 <br />$ , <br />E ... ......... - - <br />CP3201974 <br />2/15/2017 <br />2/15/2018 <br />F MED EXP (Any one person) <br />$ -.... - <br />PERSONAL &AOV INJURY <br />$ 1, 000 o00 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />$ POLICY PRO LOC <br />- - JECT <br />GENERAL AGGREGATE <br />I $ 2,000,000 <br />- -- <br />PRODUCTS - COMPIOP AGG <br />2,000,000 <br />Employee Benefits <br />_$ <br />_ _............. <br />$ 1,000,000 <br />OTHER: <br />AUTOMOBILE <br />-_ <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />{Ea accident] <br />Is 1,000,000 <br />A <br />X <br />ANY AUTO <br />ALL OWNED i SCHEDULED <br />AUTOS AUTOS <br />HiRED AUTOS ]I: I NON -OWNED <br />_I AUTOS <br />A3201975 <br />2/15/2017 <br />2/15/2018 <br />BODILY INJURY (Per person) <br />I $ <br />BODILY INJURY (Per accident) <br />--- ---................................ <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />Underinsured motorist <br />$ 1,000,000 <br />X <br />UMBRELLA LIAR x OCCUROCCURRENCE <br />1$_ 10,000,000 <br />�EEACH_ GGREGATE <br />$ 10,000 000 <br />�_.....1.. <br />, <br />EXCESS LIAR I CLAIMS MADE <br />---r. F. <br />DED rX IRETENTION 10,000 <br />CU3201976 <br />2/15/2017 <br />2/15/2018 <br />E <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUI <br />OFFICEWMEMBER EXCLUDED? N <br />(mandatory lnNH} <br />If es, describe under <br />p>YSCRtPTtON OF OPERATIONS below <br />NIA <br />�WC3218017 <br />! <br />2/15/2017 <br />2/15/2018 <br />i X PER OTH- <br />$TAT4TE , _� ER <br />E.L. EACH ACCIDENT <br />..._ <br />$ 1 000 000 <br />—� .e___..___.. <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000,000 <br />I <br />I <br />' <br />I <br />I <br />I <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />R CT FEB 27 2017 <br />rFPTIFIrATF Wnl 1111179 C'AMC IFl I ❑TInhI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Morris Performing Arts Center <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />211 N Michigan St <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />South Bend, IN 46601 <br />AUTHORIZED REPRESENTATIVE <br />Fregory McCall/MAR <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />