Public Parking Facility - Beacon Health Systems

Home Browse Search

Accw?& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDAY" 1111%� 11/22/2017 THIS CERTIFICATE 1S 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 A CONTRACT BETWEEN THE ISSUING 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 certificate holder in lieu of such endorsements . PRODUCER The Horton Group 340 Columbia Place South Bend IN 46601 ACT NAOM15:Michael Turner PHONE 574-334-5500 FAX . 574-334-5600 EMAIL mlchael.turner@thehartongmup.com INSURERS AFFORDING COVERAGE NAIC !E INSURER A: Medical Protective 11843 INSURED BEACHEA-02 INSURERB:Amerisure Mutual Insurance Co. 23396 Beacon Health System, Inc, 615 N. Michigan Street South Bend IN 46601 INSURER C INSURER D : INSURER E : INSURER F : C OVFRAGFR rPIPTIPIr'.AT;:IJIIMRFR• 191173248 hilt"011=0. 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. LTR TYPE OF INSURANCE INSO UUBRINSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR H002223 12/1/2017 12/1/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RE PREMISES Ea occurrence $50,000 MED EXP_(Any one erson) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE X LIMIT APPLIES PER: POLICY ❑ jR 0 LOC GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGO $3.000,000 $ OTHER: B AUTOMOBILE LIABILITY CA13212592102 8/1312017 8/13/2018 COUEa 91NED MRCtE LIMIT $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY %� AUT08 ONLY BODILY INJURY Per accldont ( } $ X PROPERTY DAMAGE Per accident $ X $ Comp: $250 X Coll: $500 A X UMBRELLA LIAB OCCUR E002223 12/1/2017 12/1/2018 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000.000 EXCESS LIAR X CLAIMS -MADE DED X 1. RETENTION$25,000 $ WORKERS COMPENSATION ANY EMPLOYI=RS' LIABILITY Y 1 N ANY PROPRIETOWPARTNERIEXECUTIVE ❑ OFF€CERIMEMBER EXCLUOED7 (Mandatary In NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below NIA PERTUTE ER STA — E,L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ B Garagekeepers CA20983310102 8/13/2017 r1312018 Physical Damage 500,000 Coll o'd: 250 Comp Ded: 25011,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD iU1, Additional Remarks Scheduta, maybe attached it more space Is required) Annual Parking Garage License: CMS, Bartlett and Navarre Garages. FAX: 235-9021 Michelle Adams City of South Bend 227 W. Jefferson Blvd. Suite 1400 South 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 POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD