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ACORa CERTIFICATE OF LIABILITY INSURANCE L� DATE(MMIDDIYYYY) 1 06/01/2018 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 policyjies) 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 endorsemen s). PRODUCER CONNAME CT Annette M Lacy ISU American Business Insurance 320 West Main Street PHONE (317) 888-7283 pIC No : (317) 888-3450 -MAtL service m ABl.com ADDRESS: G� y INSURER S AFFORDING COVERAGE NAIC @ INSURERA: Indiana Farmers Mutual Greenwood W 46142 INSURED INSURERS: INSURERC: Slone Revival Historical Preservation 129 Brunswick Dr. INSURER D ; INSURER E : INSURERF: Greenwood IN 46143 COVERAGES CERTIFICATE NUMRFR: RFVlclnM MI IMpr=R• 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. ILIRR TYPE OF INSURANCE ADDLISUBRI POLICYNUMBER P LICY EFF IMMIDU= POLICY EXP iMWDX)IYYYY)LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rx-1 OCCUR EACH OCCURRENCE $ 1,000,000 t A E _Td RENTED PREMISES fEa occurrence $ 2,000 MED EXP {An one parson) $ X Business Owners PERSONAL & ADV INJURY $ A BOP1OO5793 03/21/2018 03/21/2019 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY (Per i ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE {Per accident $ UMBRELLA LIAO OCCUR HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIEXECUTlVE OFFICERIMEMBER EXCLUDED? ❑ NIA PER I I OTH- STATUTE ER E.L. EACH ACCIDENT _. $ _.._. E.L. DISEASE - EA EMPLOYE $ (Mandatary in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Additfonal Remarks Schedule, may be attached If more space Is required) Coverage for operations within the State of Indiana. Coverage only applies for work as classified on policy. City of South Bend Department of Venues, Parks and Arts 227 W Jefferson Blvd. South Bend 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 IN 46601��— ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD