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! ►� CERTIFICATE OF LIABILITY INSURANCE
<br />YYY
<br />DATE IMMMDIYI
<br />1210812W7
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hb1.Dtmm THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NC04TIVELY AMSND; EXTEND OR AMR THE, COVERAGE AFFORDED BY THE POLICIES
<br />BELOW' THIS CERTIF1.OATs OF tN8URANOR DOES NOT CONSTITRT A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZOD
<br />RSPRESENTATiVE OR PRODUCER, AND THE CERTFICATE HOLDER,
<br />IMPORTANT: It the 0e111111oate holder 1%an ADDIT167NAL INSURED,1110 polloylles) muat have AAAITIONAL. INSURED prov slots or bo endorsed,
<br />If SUBROGATION 18 WAIVED, aub)ect totho tern$ and conditions of il►o'polley, cortaln pollcloa May requtre an ondoreement. A statement on
<br />this cerlllloste does not Donfer rights to the carilflcato itotder In 11GU Of such endO60MOnt(s),
<br />PRopuCBR
<br />Shepherd Ineprance, I.I.C.(1
<br />111 Congrosalonal Eouleyard
<br />Sulte 100
<br />Carmel IN 40D32
<br />MU I Pa1ga Sexton
<br />1.
<br />317 e98-0854 a"No: (317)046•8944
<br />&,So. coTloashopherdlnbxom
<br />INSURER li AFFORDINCiCOVfIPAGE
<br />NAI09
<br />INSURER A t AMCO Ina Co
<br />19100
<br />INSURED
<br />Pelson ]no,, DPA:17ansChlcagC Truck Group
<br />880 N York Road
<br />Elmhurst IL 60128
<br />INSURER B t
<br />INSURER C t
<br />INSURER D t
<br />INSURER ti 1
<br />INaU E t
<br />00VERAGES CERTIFC TENUt91I3N [+L If47VV IV>fo "MVIa71V14 /YVlylv>:R:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE~ LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVI= FO1i THE POLICY PSRIOD
<br />INDICATED. NOTWITHSTANDlNOANY REOUIREMENT, TERM ORCONDiTONOFANYCONTRACTOROTHER DODUMENTW ITHRESpEOTTOYMICHTHIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERYA(N, THE 1N$URANOE A.rP.ORDED BY THE POLICIES pESCRIBRD HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSION$ AND bbN9ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED I1Y PAID CLAIMS,
<br />TVPrfvPINSURANCE
<br />B
<br />170MOYNUMBER
<br />�IMlon
<br />M n
<br />LIMITS
<br />X COMMERGIALORNERALMA131LITY
<br />EACH OCCURRENCE
<br />& 1,000,000
<br />rZ
<br />CLAIMS -MADE LT..I OCCUR
<br />PREM Eon t a'a0
<br />$ 100,000
<br />MEDEXP An Q"S6bfADny
<br />s 6,000
<br />A AOPGPA3008409408 09101120i7 0910112018
<br />PERSONALGADVINJURY,
<br />1100000
<br />GEhrLAOGREOATELIMITAPPYESPER:
<br />GENERAL AGGREGATE
<br />I' 31000,000
<br />P O•
<br />�C POLIGY ❑ ❑ Loc
<br />OPRODUOT-COMPIOPAGO
<br />$ 3,000,000
<br />JOT
<br />i
<br />OTHER:
<br />6 E
<br />I, 1,000,000
<br />AUTGMOSILELiAGILITY
<br />E a and
<br />ANY AUTO
<br />BoDILYINJVRY(P4rpoftanj
<br />S
<br />A OWNED SOHEDULEO ACPGPA3000409400 0910112D17 OD101120t8
<br />00DILYINJURY (Per noddegl)
<br />$
<br />AUT08 ONLY AUTOS
<br />HU'O NON•OWNEO
<br />l MAC
<br />I
<br />A TOO ONLY AUTOS ONLY
<br />Lfrtiil
<br />I i,000,000
<br />X O@rage Uob
<br />X (1MaRELLA UAB OCCUR
<br />EACH OCCURRENCE
<br />110,000,000
<br />A EXCESSt.rAB CLAIMS•MAOE A00AA3008469406 0910112017 091011201E
<br />AbanEOATe
<br />110,000,000
<br />DED X RETENTION 8 O
<br />I
<br />WORKERS COMPENSATION
<br />RUT,
<br />AND EMPLOYER&' LIABILITY
<br />ANY PROPRIET0ffARTNEn/4XECUTNE YIN. H1A
<br />E.t..F'ACHACCIOENT
<br />f
<br />OFFICERRA MBEREXGLUDEO?
<br />impn'datory n NH)
<br />E.L.OIEEASE?-EAEMPLOYEE
<br />S
<br />[if ppos dostdoo under
<br />DE8CRIPTION OF OPERA`f1QNS belaw
<br />L, 41B SE- PQLIOY LIMIT
<br />ComplOoll Dad; 2,600
<br />$
<br />Blk; 3,500,000
<br />Phyateal Damage (Inven(ory) ACPOPAGO004OD400 08101/2017 00101120is
<br />ComplColl Ded:6,000
<br />Wk: 6,400.000
<br />DESCRIPTIQNOFQPERA'rIOH$ILODptiOHS1VEHICLFS(ACORDioi,AddlRondRnmgtkeSaliedutD, may l)apltdahodlfmoreapace jotequtradj
<br />Re: Bid Bond
<br />For: SpBoAF Tandem MI6 Dump Truck wlAll Required Equlpmont
<br />Amount: Tod/oofCorlVSOAMOunk0f$17S,000,00
<br />City of South Bond Pubilo Works
<br />lath Floor, County-chy Bldg
<br />Room 1316, 227 WAt Jof(6t$on
<br />South Bend
<br />ACORD 26 (2016/03)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANOgmao BIEPORB
<br />THIJ EXPIRATION DATE THEREOF, NOTICE WILL BE DBLiVERRD IN
<br />ACOORbANCg WITH THE POLICY PROVISIQNS.
<br />AUTHORIZED REPRESENTATIVE
<br />IN 46601 .&
<br />01088.2046 ACORD CORPORATION. All rights reserved.
<br />Tho ACORI) name and logo aro raglaterod vilarks o(ACORD
<br />
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