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r� Erie CERTIFICATE OF INSURANCE DATE ISSUED(MMIDDNY) <br />3/19/18 <br />[ nsurance® -- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY — <br />Home Office - 100 Erie Insurance Place - Erie, Pennsylvania 16530 • 814,870,2000 <br />Toll free 1.800.458.0811 • Fax 814.870.3126 - wwrw.erieinsurance,com <br />NAME AND ADDRESS OF AGENCY SALINAS INSURANCE AGENCY INC AGENT'S NO. COMPANY(IFS) AFFORDING COVERAGE <br />2938 S MAIN ST FF 1399 ERE P N <br />ELKHART, IN 46517-2707 Co.: E Erie Indemnity Co., A#tame -iR-Fact Not Ain NY <br />pplicable <br />(574)970-0312 This certificate Is issued for information purposes only and confers <br />NAME AND ADDRESS OF NAMED INSURED no rights on the certificate holder. It does not affirmatively or <br />negatively amend, extend, or otherwise alter the terms, exclusions <br />LIGHTS OF INDIA INC and conditions of insurance coverage contained In the policy(ies) <br />123 N MICHIGAN ST indicated below. The terms and conditions of the policy(les) govern <br />the insurance coverage as applied to any given situation. Limits <br />SOUTH BEND, IN 46601-1603 shown may have been reduced by claims, paid. This certificate of <br />insurance does not constitute a contract between the issuing <br />insurer(s), authorized representative or producer and the <br />UU <br />LTRI <br />TYPE OFJNSURANCE <br />POLICY NUMBER <br />rr r <br />"MUM <br />LIMITS <br />E <br />❑ <br />GENERAL LIABILITY <br />Q97 1694370 <br />10/20/17 <br />10/20/I8 <br />EACH OCCURRENCE..: <br />"Fir <br />1,000,000 <br />❑X COMMERCIAL GENERAL LIABILITY <br />FIREAAMAGE: An One Fire <br />1,000,000 <br />❑X CLAIMS MADE ❑ OCCUR <br />MED:EXP An Ons Person' <br />5,000 <br />❑ <br />PERSONAL&ADWINJURY <br />1,000,000 <br />❑ <br />GENERAL AGGREGATE <br />2,000,000 <br />GEN'LAGGREGATELIMIT APPLIES PER: <br />PRODUCTS, COMPIOP AGG <br />2,000,000 <br />0 POLICY ❑ PROJECT ❑ LOC <br />AUTOMOBILE LIABILITY <br />BODILYINJURY <br />❑ "ANYAUTO" (OWNE)HIRED, <br />NON-0>�INED) <br />(EACH PERSON) <br />$ <br />❑ OWNED <br />BODILY.INJURY <br />(EACH ACCIDENT) <br />$ <br />❑ HIRED <br />PROPERTYDAMAGE <br />$ <br />❑ NON -OWNED <br />BODILYINJURYAND <br />❑ GARAGE <br />PROPERTY DAMAGE <br />COMBINED <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />❑ OCCURRENCE <br />AGGREGATE <br />$ <br />❑ RETENTIONIRY <br />WORKERS COMPENSATION & <br />$ <br />EMPLOYERS LIABILITY <br />BODILY <br />ACCIDENT <br />EACH ACCIDENT <br />INJURY <br />DISEASE $ <br />POLICY LIMIT <br />BY <br />DISEASE $ <br />EACH EMPLOYEE <br />THE LISTED CERTIFICATE HOLDER HAS BEEN ADDED TO THE ABOVE POLICY. <br />CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIV- <br />ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer <br />rights to the certificate holder in lieu of such endorsement(s). , <br />NAME AND ADDRESS OF CERTIFICATE HOLDER <br />CITY OF SOUTH BEND AUTHORIZED REPRESENTATIVE <br />1316 COUNTY/CITY BUILDING <br />227 W JEFFERSON BLVD <br />SOUTH BEND, IN 46601 <br />EIGh6230 8I1i <br />r8UP I ❑T I <br />