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FUERLAN-01 LD131Y
<br />-- CERTIFICATE OF LIABILITY INSURANCE DATall., D1YYYYI
<br />08/1712017
<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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pallcy 05) must have ADDITIONAL INSURED provisions or he endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this Certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
<br />PRODUCER CT Linda Driver, AAI
<br />The Healy Group, Inc. -�
<br />17636 GBnoration9 Drive {n' $ No, Ext ; S7 2271-$000 , No :(574 243r321
<br />South Send, IN 46636 9:KAIL__ _
<br />INSURED
<br />Fuerbringor Landscaping & Design, Inc.
<br />22530 Brick Rd.
<br />South Bend, IN 46628
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS.
<br />EXCLUSIONS AND (r)NnlTlnnlc nF c11ru nor ir'1=0 a Mire c>,�,.,....., ....
<br />ILTR NSR
<br />- -
<br />TYPE OF INSURANCE
<br />DDL
<br />SUBR
<br />- i-i-ir
<br />POLICY NUMBER
<br />nr-:i..v+..cv aT
<br />PD ICY EFF
<br />03/0112017
<br />0310112017
<br />03101/2017
<br />03/01/2017
<br />03101/2017
<br />1"ri!V l.Wi1Ma7•
<br />POLICY EXP
<br />03/01/2018
<br />0310112018
<br />031011201$
<br />03/0112018
<br />03/0112018 11-eased/Rented
<br />V
<br />LIMITS
<br />FVACH
<br />A
<br />A
<br />A
<br />A
<br />A
<br />X COMMERCiA1. GENERAL LlAB1LITY
<br />CLAIMS•MAUE � OCCUR
<br />X
<br />NIA
<br />CPP6102833
<br />CV6102634
<br />ULCO102638
<br />(, 610263g
<br />CPP6102633
<br />OCCURRENCE
<br />1,000,040
<br />OAMA ETOR N D �'
<br />_MED EXP (Anv ono rg aonj
<br />100,000
<br />S 1fl,$0i)
<br />PERSONAL&ADVINJURY
<br />$ 1,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />— POLICY ❑X j LOG
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />X ANYAUTO
<br />AWNED 3CHEDULEO
<br />A�U��T��OppS ONLY AUaTNOSWnr
<br />x AUTOS ONLY AUTO ONY
<br />X UMBRELLALtA6 X OCCUR
<br />EXCESS LIAB CLAIMS -MADE
<br />GENERALAGQRZO E
<br />$ 2,000,000
<br />_
<br />PRQDUCT3-COMPlOPAGG
<br />S 2i000,000
<br />CQMBINED SINGLE LIMIT
<br />1,000,000
<br />BODILYINJURY(Per arson
<br />3
<br />BODILY I URY Pere�cldenl
<br />_
<br />eQaceR1AMAGE
<br />$
<br />EACW OCCURRENCE
<br />$ 6000sOQQ
<br />AGGREGATE
<br />$ 5,000,000
<br />DED X RETENTIQN$ 0
<br />WORKERSCOMPENSATIppN
<br />AND BMPLOYERV LIABILITY
<br />ANY PR�OPRIETO INCgTNER/EXECUTIVE YIN
<br />(Maridalalryn�CLUDEO7
<br />If yyes dsaaiboundaI
<br />DESLtRi TIQN OF OPERATIONS below
<br />Property
<br />X P Q
<br />E.L. EACH ACCIDENT
<br />—,-
<br />1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />1,000,000
<br />� +
<br />L. DISEASE -POLICY LIMIT
<br />Equip
<br />11000,000
<br />26,000
<br />v+.v • i,v..n iiwro venetii.x� 1Ativnu 1-1 PraA001110nal Remarks Schaduto, may be attached It more apace Is requtred) jeat Nam®: 2017 Tree Pianfings Project # 117-OgBt'3
<br />rho City of South Bend is named an additional insured with rospect to this project.
<br />City of South Bend
<br />125 S Lafayette Blvd. Suite 100
<br />South Bond, IN 46601
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />91938.2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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