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`% "" CERTIFICATE OF LIABILITY INSURANCE DAT7/251DD/YYYY) 7I25l2017 THIS CERTIFICATE !S 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 OF A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND T14E CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must 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 endorsements . PRODUCER CONTACT " Aon Risk Services Central, Inc. Chicago IL Office Ra�N°„„ e q ; (866) 203-7i 22 xo.: (800) 385 -0105 E-MAIL ADDRESS: 200 East Randolph Chicago, IL 60601 USA PRODUCER $700D0001890 CUSTOMERIDN; INSUREAS AFFORDING COVERAGE NAIL # INSURED INSURERA, Notre Dome 0aneralUablllyTrust NIA INSURER e: United Edacatora Ins, a Roolprocel RRG 10020 University of Notre Dame Risk Management & Safety 036 Grace Hall Notre Dame; IN 46556,5612 INSURER C:. .... INSURER D: INSURER C: INSURER F, rnVOF2Ancs r:FRTmeATA NHMRER' REVISION NUMBER: THIS is TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED RAMED -ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THL INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limns shown are as requested wan LIR - - TYPE OF INSURANCE AOD'L Blinn Mn MD POLICY NUMBER PouaYl" YYhoFYY PODCY657 LIMITSuWon A OENERALLIAINUTY IiI COMMERCIAL GENERAL LIABILITY 13 CLAIMS MADE M OCCUR W LIDUOR LIAD CITY 10 CONTRACr€rAEL1ADILITV GEN'L AGGREGATE LIMITAPPLIES PEP: POLICY 13 PRO- 13 LOC JECT 0210117-30 711I2017 7/112018 ERE 000 PSOEAREMIS (FA DWRae) $1,600,000 MED W(P An am man) NIA PERSONAL ADV INJURY 100 000 OENERALAGGREGATE 110001000 PRODUCT. -COMA OP AGO 1 OOO 000 AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL, OWNED AUTOS ❑ SCHEDULED AUTOS © HIRED AUTOS ❑ NON-OWNEDAUTO ❑ COMBINED SINGLE LIMIT (Eaaccidanl) BODILY INJURY (Par Penton) BODILY INJURY (Pat eeddanq PROPERTY DAMAGE (Peraarrdenl) B UMBRELLA LIAO 11OCCUR ® EXCESS LIAR ❑ CLAIMS MADE H22.78Y 71112017 7/112018 EACH OCCURRENCE $10,1)00,000 AGGREGATE $10,000 000 DEDUCTIBLE ❑ RETENTION WORKERS COMPENSATION AND EMPLOYERW LIABILITY YIN NiYPRdPRmTdPA,ARm RAmcui Ne ElE,L. OFFICFRMF1re1RL11CW0W? (Mandatory In Nil) 11 YYes dearfihe undor DESCRIPTION OFOPEAATIONS I.). ❑ WCBTATU• TORYLR€ITS ❑ OTH -ER , EACH ACCIDENT 151. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLES I (Attach ACORD 101, Addlltomit Remarks Schedule, It more space to required) The City of South Bend is Included as additional Insured for the use of facllilies On August 25 to August 26,201 T. Board of Public Works City of South Band 227 West Jefferson 1316 County -City Building South Bend, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE AUTHORIZED REPRESENTATIVE AOL&I T�CServices