Sidewalk Cafe - Fiddler's Hearth

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AC" " CERTIFICATE OF LIABILITY INSURANCE DATE( MMID PIYYYY) Onlo912018 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), 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 endorsement(s), PRODUCER CONTACT NAME: Susan Thompson LBYen Insurance Agency Inc. ACC N Ext : (574) 291-5510 FAX Na). (574) 291-8505 R O. Box 2379 EMAIL suet@laveninsurance.corn ADDRESS: INSURER4S) AFFORDING COVERAGE NAIL 11 SOUTH BEND IN 46680 INSURER A: Frankenmuth Mutual Ins. Co. 13986 INSURED INSURER B : INSURER C : Fiddler's Hearth, Inc, INSURER 0 : Ceol Mor, Inc. - INSURER E : 127 N. Main Street INSURER F : South Bend IN 46601 COVERAGES CERTIFICATE NUMBER: 17-18 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICY Err MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 rA CLAIMS -MADE x OCCUR DAMAGET RE EO PREMISES Ea occurrence $ 300,000 MFD EXP (Any one person) $ 5,000 PFRSONAL s ADv INJURY $ 1.000.000 Y CPP6371854 09/18/2017 09118/2018 N'LAGGREGATELIMIT APPLIES PER; GENERAL AGGREGATE S 2,000,000 POLICY ❑ PRO ❑ LOC JECT M PRODUCTS - COMPIOP AGG $ 2,000,000 v $ OTHER: AUTOMOBILE LIABILITY COMO NED SINGLE LIMIT (Ea accidenl} -� BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOSONLY AUTOS BA0371854 09/1812017 09118/2018 Ix BODILY INJURY (Per acc€dent} 5 PROPERTY DAMAGE Per accident $ HIRED IxNON-OWNED AUTOS ONLY AUTOS ONLY Non -owned s X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5 5,000,000 AGGREGATE 5 5,00 .000 A EXCESS LIAR CLAIMS -MADE CPP6371854 0911812017 09/18/2018 DED I XI RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICFRIMEMBER EXCLUDED? (Mandatory In NH) MIA WC6371854 0911812017 09l18l2018 X $TgTUTE [Ry E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A Liquor Liability CPP6371854 0911812017 09/18/2018 $1,000,000 $2,000,000 Occurrence Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 161, Additional Remarks Schedule, may be attached It more space is required) Location: 127 N, Main Street, South Bend, IN 46601 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. 125 S. Lafayette Blvd. AUTHORIZED REPRESENTATIVE Suite 100 South Bend IN 46601�� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD