Opening of Quotes - Charles Black Center Exercise Equipment - Direct Fitness Solutions - Quote 2

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DIREFIT-01 PVC HATE (MMIDOIYYYY) '4 CERTIFICATE OF LIABILITY INSURANCE ��,✓ 0511512D1$ 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(ies) 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 GIS Cornerstone, LLC 22333 Classic Court Lake Barrington, IL 60010 INSURED Direct Fitness Solutions LLC & Tag Fitness LLC 600 Tower Road Mundelein, IL 60060 Paul Voss 655-2494 315 ne.com COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 241-3000 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. IN5R ADDL SUBR POLICY EFF POLICY ExP TYPE OF INSURANCE IN D WVO POLICY NUMBER p MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCUR_ RENCe__ - 3_ 1,0Q0'000 ---- _.-.._...... CLAIMS -MADE X OCCUR 630-6G27679A 01/16/2018 01/1612019 DAMAGE TO RENTED PREMIsES__(eaaccarrence), ; I 100,000 $ IVIED EXP (Any onapersonn) $ 5,000 � — --- -- 1,000 000 PERSONAL & ADV INJURY �GENERAt 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER. AGGREGATE $ I PRO J POLICY LOC PROD 2,000 000 € $__ ' - ---- - i OTHER: I A AUTOMOBILE LIABILITY f COMBINED SINGLE LIMIT I aocEden[)_- 1,000,000 $.,.._ _(Ea � X ANY AUTO I 810-6G27679A Q111612018 10111612019 80DILY €NJURY (Perpigsw - .... __- ---- OWNED _-- SCHEDULED AUTOS ONLY AUTOS E 4 I II BODILY INJURY (Par Widen€) _ - $-_-_ _ ..... ,, y p .OWN p X AUTWS ONLY X_. AUTOS ONLY I I PROPERTY DAMAGE ..(Per aWdeng A X UMBRELLA X- OCCUR E EACH OCCURRENCE g.......... 2,000,000 EXCESS LIABAB MADE r i CUP-9J181679 011161201810111612019 AGGREGATE 2,000,000 __---I _ _ DED X .RETENTION$ DE i $ A WORKERS COMPENSATION [ X j STATUTE AND EMPLOYERS' LIABILITY AND VY UB9J762180-18-14-G 01116/2018 01116/2019 FACHACCIOEN7,-__ _ --- 1,000,000 $ ANY PROPRIETORIPARTNERIEXECUTIVE L_ ENlA _E_L E_ .L DISEASE - EA EMPLOYEE i 1,000,000 $-„ OFFiCERIM M ER EXCLUDED? E 6 (Mandatory In NH) I Ifyes desaibe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L- D€SEASE -POLICY LIMIT $ I I � i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) RE: Charles Black Exercise Equipment, Project #1056-2018 The City of South Bend Indiana is named as an Additional Insured on the General Liability per written contract on a primary and noncontributory basis for work performed by the Named Insured. llCoTILil-A-M 1ini nro r'-A?JrFl I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Band ry THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3419 W Washington St South Bend, IN 46619 AUUTTHHORIZErDlREPRESENTATIVE r V� ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD