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Apr 1018 04,49p <br />p.2 <br />DATE" (MMtDDrYYYY) <br />C� CERTIFICATE OF LIABILITY INSURANCE 0411_0f2018 <br />THIS CERT11FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ei4LDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTENT) OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE; DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE -HOLDER. <br />IMPORTANT lI the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may requirean endorsement. A statement on this certificate does not confer rights to the <br />certificate h older in lieu of such endarsemenl s . conrA <br />GA <br />ZODUCER NA SteveMcNeil <br />PHONE AUC Nn : 5742328232 <br />IdTldge Insurance E-MAIL <br />323 North Ironwood <br />NAICN <br />outh Bend <br />ISURED <br />Woochi,lapanese Fusion & Bar, Inc. <br />123 W Washington 51 <br />IN 46615 <br />;OVERAGES CERTIFICATE NUI4mBER. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR <br />INDICATED. NOT11WHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE <br />at-luc &tin nnMMITIONS OF SUCH POLICIES. LIMITS cwnwN ItMY HAVE BEEN REDUCED BY PAID CLAIMS <br />T R <br />R. <br />--- — - <br />7}'Pe OF INSURANCE <br />OL <br />B—R <br />X COMIAERCIAL GENERAL I" ILITY <br />CUUMS-WADE S] OCCUR <br />A <br />N <br />N <br />Q97-' <br />GEN'LAGGREGATE'MIT APPLIES PER: <br />POLICY ❑ ACT LoC <br />OTe1 ER: <br />AUTOMOBILE: LtA91LITY <br />ANY AUTO <br />ALLsCHEDULED <br />4ISNNED <br />ITAUTOS <br />NON -OWNED <br />NIREDAUTOS AUTOS <br />URABRELLA ! IAB <br />OCCUR <br />EXM$SLIA$ <br />CLAWSWADE <br />©ED RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOY ERSLIABILITY YIN <br />ANy TORIPARTNERYEX ECUTIVE <br />N A <br />OFFICER.,VEMBER EXCLUDED? ❑ <br />(Maodateryin MIA) <br />If yas, descnha under <br />DESCRIPTION OFOPERATIONsbetow <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACOR0 1 DI, Additional Remark s Sehedute, maybe attach ed It more spare k3 reQ <br />123 W Washington St South Bend. IN 46601 <br />119 N Michigan St, South Bend, IN 46601 <br />26271 <br />rV+iY1.1 A111��0=01 <br />°D NAMED ABOVE FOR THE POLICY PERIOD <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />0 HEREIN IS SUBJECT TO ALL THE TERMS, <br />LIMITS <br />EACH OCCURRENCE <br />10000DO <br />DAMAGEO <br />PR IS 5 EaorI <br />s 10000w <br />a 5002 <br />iAN) EKP V0Y0n9P0fWft) <br />PERSONAL &ADV INJURY <br />S 1000000 <br />GENERALAGGREGATE <br />i 2000001) <br />PRODUCTS -COMPIOP AGO <br />s 2000000 <br />3 <br />COAI.9INEO SINGLE LIMIT <br />g <br />a rdenk <br />OODILYINJURY Ferparson) <br />$ <br />BODELYc4ju;tY(Per atcident) <br />$ <br />PROPERTY DAMAGE <br />$ <br />arac dent <br />3 <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />SFA UTE CA <br />E-L. EACH ACCIDENT <br />S <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY UM IT <br />$ <br />irCd) <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SOUTH BENT) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />227 W JEFFERSON BLVD THE EXPIRATION DATE THEREOF, NOTICE; WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED RErPRESEKTATLVr. <br />South Bend <br />ACORI) 25 (2014101) <br />C) 1988-2014ACORDCORPORATION_ All rights re3serVed. <br />The ACORD name and IOgD are registered marks of ACORD <br />