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l ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM)D➢NYYY) 12126f2017 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 INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR12ED 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 endorsement(s). PRODUCER MARSH USA, INC. 445 SOUTH STREET CONTACT NAME: AIC N Ext : AIC No : E-MAIL ADDRESS: MORRISTOWN, NJ 01960-6454 Attn: Morristown.CertRequest@marsh.com Fax: 212-948-0979 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Federal Insurance Company 20281 INDIAN INSURED NATIONAL MULTIPLE SCLEROSIS SOCIETY INSURER B : ACE Property and Casually Insurance Com an 20699 INDIANA STATE CHAPTER INSURER C : INSURER D : 3500 DEPAUW BLVD, SUITE 1040 INDIANAPOLIS, IN 4626E INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: NYC-009896976-16 REVISION NUMBER: 2 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 I TYPE OF INSURANCE POLICYNUMBER MMIDONYYY MMIDDfYYYY LIMITS A X COMM ERCIALGENERAL LIABILITY CLAIMS -MADE M OCCUR 358333-49 12131/2017 112012018 EACHOCCURRENCE S 1,000,000 PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT PRO � LOC OTHER: GENERAL AGGREGATE g 2,000,000 PRODUCTS-COMP/OPAGG S 1,000,➢00 S A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 7353-02-37 1213112011 12131/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident S Comp/Coll Deductible S 1,000 B X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE M00552835 007 1213112017 1213112018 EACH OCCURRENCE g 5,000,000 N AGGREGATE g 5,000,000 DED I X RETENTION $10 000 S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y l N ANYPROPRIETORIPARTNE1)!EXECUTIVE OFFICERWEMBEREXCLUDED? � {Mandatory in NH) Byes, describe under DESCRIPTION OF OPERATIONS below NIA 71763467 12/31/2017 12/3112018 X P PER STATUTE OTH- ER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF SOUTH BEND AND BOARD OF PARK COMMISSIONERS ARE ADDED AS ADDITIONAL INSURED EXCLUDING WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT BUT LIMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT, AND ALWAYS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS.