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,decoRv® CERTIFICATE 4F LIABILITY INSURANCE
<br />.�
<br />DATE
<br />7/6/2018
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND 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:, If ttrr . certificate, holder is:an ADDITIONAL INSURED,'the, policy(ies)'musfhave. ADI])TIO.NAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVE% subject to, the terms!and conditions of the- policy,, certain policies: may require an endorsement, A statement on
<br />this certificate does not eonferrights to the certificate holder irr Lieu of such endorsement(s).
<br />PRODUCER
<br />Aor€.Risk'Services Central,;lnc- 'ADn,-Risl( Services Central,,lnc.
<br />Philadelphia PA Office 4 Overlook Point
<br />One Liberty Place, Suite 1000 Lincolnshire, IL 60069
<br />Philadelphia, PA 19103
<br />CONTACT
<br />E 215 255 2000 a No ;
<br />ADDRIESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Greenwich Insurance Company
<br />22322
<br />_
<br />4"SURED
<br />=1N8tJRER.B. XL Insurance America; Inc.
<br />24554
<br />Asplundh Br€.€sh Conlrel; LLC
<br />708 Blair Mill Road
<br />INSURER C-
<br />INSURER D:
<br />WAlow Grove, PA 18U9D
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER., 2145040132 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSION&AND.CONDITIONS.OFSUCH POLICIES_- LIMITS SHOWN.MAY HAVE_BEEN.REDUCED BY.PAIDCLAIMS.;
<br />..
<br />€NSR
<br />LTR
<br />TYPEOF INSURANCE
<br />POL€CYNUMBER
<br />MMIDONYYY
<br />mMimiyvYY
<br />LIMITS'
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE .a OCCUR
<br />RGD3001362
<br />8/1/2017
<br />8/1/2018
<br />EACHOCCURRENCE
<br />$ 6,000,000
<br />PREMf5GE8 a rrence
<br />C mmmm^^ 500,000
<br />MED EXP (Any one person)
<br />$ Excluded
<br />PERSONAL & AOV INJURY
<br />$ 6,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY JEC �LOC
<br />POTHER
<br />GENERAL AGGREGATE
<br />$ 6.000,000
<br />PRODUCTS -COMPIOPAGO
<br />$ 6,000,000
<br />A
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />_ AUTO&ONLY AUTOS>
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />- RAD9437837 (AOS)
<br />RAD9437868 (VI)
<br />��8 1<:2D1+-
<br />-8/112D18
<br />O L I
<br />dt3nl.
<br />;$ .6;000,;000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per ace dent)
<br />$.
<br />PROPERTYDAMAGE
<br />Per a dden
<br />$
<br />UMSRELLALIAB
<br />OCCUR
<br />GLAIMS•MADE
<br />EACHOCCURRENGE
<br />$
<br />4EXCESSLIAB
<br />AGGREGATE
<br />$
<br />QED RErEVTION
<br />B.
<br />WORKERS. COMPENSATION
<br />AND E-M 7LOVERS' LIABIL€TY yIN
<br />ANY PROPRIETORWARTNEWEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? [N]
<br />(Mam orjIW €!}
<br />II yes, dBscAbe under
<br />OESCRIPTION OF OPERATIONS below
<br />N 1 A
<br />RWD300135&(AOS)
<br />RWR3001359 (AK, AZ, OK, W€)
<br />8.11I=7
<br />81112A18
<br />X Sp UTE OER�
<br />E.L. EACH ACCIDENT
<br />$ 1,DDD,DOO
<br />'E;L.'DISFASE-'ENFMPLOYF
<br />,$ 1,000,000
<br />E.L. DISEASE- POLICY LIMIT
<br />1,DDD,DDD
<br />$
<br />DESCRIPTION.OE';DPERATIONSILOCAMONS]VEHICLES (ACORD1.fit,,Additional Remeft:Schedule, may basttached€fmarespace.isrequire4)
<br />Cily�of South Bend, Indiana and. the South Bend Buard,oi Public Works.are listed:as addilional insured,as required bywritten,agreamerll-butTmnty:aoogrding to policy terms,
<br />conditions and exclusions tar liability arising from operations performed by or on belTalt of the named insured.
<br />ChK i INGAI L HULUt_R GANUhLL,AI IUN
<br />City,of South Bend
<br />227 West Jefferson Blvd:, Suite 1300 N..
<br />South Bend, Indiana 46601
<br />SHOULD. A,NY OFTHEAf3OVEDeSCRIBF.D POLICIES.BF-CANCF-LLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />Aon Risk Services Central, Inc.
<br />O 1988-2016 ACORD CORPORATION. All rightsreserved.
<br />A001`10.25(2016103) . They[CORD namJe and logo arle°registered marks.ofACORD
<br />
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