Professional Services Agreement - KIL Architecture and Planning - WWTP Admin Bldg Masonry Improvements

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Client#: 850949 KILARCHI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIY 6/01/2018 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 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 USi Ins Srvcs LLC Euclid -Prof CONTACT NAME: PHONE FAX arc, Nu, Ext : 630 625-5219 1C, No : 610 537-4939 2021 Spring Road, Suite 100 ADDRESS: laurie.cloninger@usi.com Oak Brook, IL 60523 312 442-7200 INSURER(S) AFFORDING COVERAGE NAIC q INSURER ARLI insurance Company 13056 ENSURED Kil Architecture & Planning 1126 Lincolnway East South Bend, IN 46601 INSURER B INSURER C INSURER n INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 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 TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMEER POLICY EFf_ MMIDDIYYYY POLICY EXIP_ MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS�MAOE � OCCUR PREMISES Ea occurrence $ -P MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO - POLICY JEGT LOC PRODUCTS -COMPIOPAGO $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident __ $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LlAB OCCUR m —. EACH OCCURRENCE $ H AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENT€ON $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOMPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? ❑ N I A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ IMandalory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional RDP0028351 3123/2017 03/2312019 $1,000,000 each claim I Liability $2,000,000 annual aggr. DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Professional Liability is written on a 'claims made' policy form. Board of Public Works, City of South Bend, IN 1316 County -City Building 227 W Jefferson Blvd South Bend, IN 46601.1830 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 ACORD 25 (2014/01) 1 of 1 #S23210107/M 20322419 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXCAA