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A(C R"� CERTIFICATE OF LIABILITY INSURANCE F DATE(MFAIDAIYYYY <br />_ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THfI 112.7/2016 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICEi <br />BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEI <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />""'vf ,"',, 11 LIIC 1it"iriti:dlrc' rlotaer Is an AUVIIIUNAL INSURED, the policy(les) must be endorsed, If SUBROGATION IS WAIVED, subject t <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to th <br />Certificate holder in lieu of such endorsements . <br />PRODUCER CQNTACT <br />'ouZ00m Insurance Services, IncPflONE <br />I <br />888 240-8803 FAX <br />i900 College Blvd ._ -.-- No), 877 833-1833 <br />;te 1000 ADpRess.AMServiceCenter@arrowheadgrp.Com <br />)verland Park KS 66211 -- r — <br />INSURED <br />KORSON INC. <br />DBA ASAP TOWING <br />2010 S. OLIVE STREET <br />SOUTH BEND IN 46613 <br />INSURER[§) AFFORDING COVERAGE _ -_- NAIL f! <br />�NsuRERA-Universal Underwriters Insurance CO 41181 <br />KORSINC-01 INSURER 8: <br />INSURER fl <br />e: <br />F: <br />.:UVLHAGES CERTIFICATE NUMBER; 1688980991 REVISION NUMBER; <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />--- <br />Y12 ( TYPE OF INSURANCE <br />INSDIWV{7PWCYNUtABER <br />;COMMRCIAL GENERAL LIABILITY i 327799 ' � 12/2016 I 11212017 LIMITS <br />fFAlODIYYYY MMr001YYY <br />X I , l 21 l 2 [ EACH OCCURRENCE $t,000,00D <br />cQ <br />CLAIMS -MADE I X_ j OCCUR I €DAMAGE TO REN"i-ED '-- <br />r <br />GENT. AGGRI-GATE LIMIT <br />APPLIES PER <br />` 1 PRO- <br />I <br />P <br />POLICY _' JECT <br />1 L OC <br />OTHER. <br />A AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED X <br />'SCHEDULED <br />I <br />AUTOS <br />AUTOS <br />j X <br />HIRED AUTOS X <br />AO 05 E0 <br />�� UMBRELLA LIAR j 1 OCCUR <br />i FXCESS LIAR I, <br />• f i ,_P,_,jt �N) ES Ea ocrurrencol_-... -� _...___.... .._..�. <br />( f <br />MEO EXP (Any ona Ve(son)_— <br />'- <br />'! PEIRSONAL&ADV,INJURY _ _ $ <br />GENERAL AGOREGA_T`L�� $ <br />i PRODUCTS COMPIOPP AGG I S <br />' $ <br />327799 211212016 20212017 f COMFIIN _0 §iNGI-E LIMIT <br />$1,000,0 <br />0 <br />0 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) Is <br />: PROPERTY DAMAGE'-"- <br />�tPef accident} _ - <br />S <br />EACH OCCURRENCE I $ <br />AGGREGAIF <br />'WORKERS COMPENSATION t <br />€ANO EMPLOYERS' LIABILITY <br />OTH. <br />YIN; <br />}ANY PROPRIE70RlPARTNER!%XECUTIVE - <br />;....__..-STATli7E E4 <br />I <br />OI'FICERIMEMBErq EXCLUDED? E �� N ! A I <br />: E.L. EACH ACCIDENT <br />(Manria(ory in NH) Ji <br />1E yos, describe under I <br />I i I E, i:_C115a=ASF. - EA EMPLQ_YLE_i <br />f DESCRIPTION OF OPERATIONS balovr <br />I - <br />F.L. DISEASE - POLICY LIMIT <br />g <br />A Garage Lability` <br />iEacEaCh <br />_ <br />1327799 <br />Customer Auto - Legal Liability <br />2112r2016 E 211212017 Ace " <br />1,UU0,0o0 <br />t2D,DOp <br />DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (ACORO 101, Additional Ralnarks SchodUle, may be attached if more Space 1s required) <br />Products -- Completed Operations Aggregate of $3,000,000 applies to the Garage Liability. <br />- Customer Auto includes On -Hook Coverage, <br />H <br />CITY OF SOUTH BEND <br />227 W.JEFFERSON BLVD, <br />SOUTH BEND IN 46601 <br />ACORD 25 (2014101) <br />CANCEL <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI <br />THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED It <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />I bt,�,7- 00 b i.' '4 rQ 'iaf se:rvioft Inc <br />01988.2014 ACORD CORPORATION. All rights reserve <br />The ACORD name and logo are registered marks of ACORD <br />