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AC[]RL7® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 11/22/2017 THIS CERTIFICATE IS 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 INSUPANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(€es) must have ADDITIONAL INSURED provisions or 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 certiflcate holder in lieu of such endorsements . PRODUCER The Horton Group 340 Columbia Place South Bend IN 46601 CONTACT Michael Turner PHONE 574 334-550D FAX 574-334 5600 EMAIL . michael.turner@thehortongroup.com INSURERS AFFORDING COVERAGE NA€C p INSURER A: Medical Protective 11843 INSURED BEACHEA-02 INSURER B ;Amer€sure Mutual Insurance Co. 23396 Beacon Health System, Inc. 615 N. Michigan Street South Bend IN 46601 INSURER c ; INsuRER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 191173248 REVISION NUMBER. - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD �� POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MIDD YY ' LIMITS A X COMMERCIAL GENERAL LIABILITY H002223 12/1/2017 12/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS•MADE ❑X OCCUR PREMISES QEa occu ence $50,000 MED EXP (Any one person) $5,000 PERSONAL&AOVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY ❑ PRO - POLICY 1-1LOG PRODUCTS -COMPIOPAGO- $3.000,000 .. $ OTHER: B AUTOMOBILE LIABILITY CA13212592102 811312017 81131201a Ea aBGde%l INGLIE LIMIT $1,000,000 BODILY INJURY (Per person) $ AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILYINJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 1xx PROPERTY DAMAGE Per acciden $ $ XIANY Comp: $250 Call: $500 A X UMBRELLA LIAR OCCUR E002223 1211/2017 12/1/2018 EACH OCCURRENCE $25,000,000 AGGREGATE - - $25,000,000 EXCESS LIAR X CLAIMS -MADE DED X I RETENTION$25,000. $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PER U E ER STAANY E.L. EACH ACCIDENT $ PROPRIPTORIPARTNERIEXI=CUTIVE OFFICERIMEMBER EXCLUDED? ❑ N 1 A E.L. DISEASE- EA EMPLOYEE $ (Mandatary In NH) Ir yyas, describe under DESCRIPTION OF OPERATIONS balow I I E.L. DISEASE- POLICY LIMIT $ B Garagekeepers CA20983310102 8/13/2017 8M312018 Physical Damage 500,000 Call Ded; 250 Camp Ded: 250/1,000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 1101, Additional Remarks Schedule, may be attached if more spaue Is required) Annual Parking Garage License: CMS, Bartlett and Navarro Garages, FAX: 235-9021 Michelle Adams CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Bend THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 227 W. Jefferson Blvd. ACCORDANCE WITH THE POLICY PROVISIONS. Suite 1400 South South Bend IN 46601 AUTHORIZED REPRESENTATIVE Oc 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD