Non Res Block Party - Kite Realty - ND Pep Rally

Home Browse Search

340478 ACORN 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYYYY) 2/27/2018 THIS CERTIFICATE fS 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 15 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 Commercial Lines - (404) 923-3700 CONTACT Tim Baumann NAME: TPHONE 470.875.0517 FAX 610-537-1929 _EMAIL°Kt): Arc No ; USI Insurance Services National, Inc. ADDRESS: tlm.baumann@us1.Com INSURER(S)AFFORDING COVERAGE NAICP 3475 Piedmont Road NE, Suite 800 INSURER A: Endurance Assurance Corporation 11551 Atlanta, GA 30305-2886 INSURED INSURER El: Allied World National Assurance Co. 10690 Kite Realty Group Trust tNSURER C : Sompo America Insurance Company 11126 30S. Meridian St., --- INSURERD: INSURER E Suite 1100 INSURERF: Indianapolis, IN 46204 COVERAGES CERTIFICATE NUMBER: 12774275 REVISION NUMBER: See below 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 WH$CH 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 ADDS INSD SUHR W D _ POLiCYNUMBER POLICY EFV MMIDDIYYYY POLICY EXP MMlDOIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1�1 OCCUR GGR10012604100 03/01/2018 03/01/2019 EACH OCCURRENCE s 1,000,000 DAMAGE D PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one Person) $ Excluded PERSON AL&ADVINJURY $ 1,000,000 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 PRO-X 1 LOC POLICY..mm� JECT u PRODUCTS -COMPIOPAGG $ 2,000,000 S OTHERr A AUTOMOBILE LIABILITY ACVS 100810 03101 /2018 03/01/2019 (Ea acB.clNdeD SINGLE LIMIT S 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accidenl) $ PROPERTYDAMAGE Per accident $ $ B X UMBRELLALIAB X OCCUR 3088008 03/01/2018 03/01/2019 EACH OCCURRENCE S 25,000.000 AGGREGATE $ 25,000,000 EXCESS LIAO CLAIMS -MADE DED X RETENTION$ 5,000 $ G WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y r N ANYPROPRIETORIPARTNERIEXECUTIVE � OFFICEPJMEMBEREXCLUDED? 1 ". (Mandatory in NH) NIA WGNS1015P0 03/01/2018 03/01/2019 X STATUTE ERH £.L.EACH ACCIDENT g 1,000,000 F.L. DISEASE -EA EMPLOYEE S 1,000,000 F L DISEASE - POLCY LIMIT $ 1.00000 If yes. describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORD 101, Addirional Remarks Schedule, may be attached it more space is required) Re: KRG Eddy Street Commons, LLC , Eddy Street Commons 1044-1234 Eddy Street, South Bend, IN 46601 City of South Bond SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Public Works, Engineering Division ACCORDANCE WITH THE POLICY PROVISIONS. 227 W Jefferson Blvd., Suite 1316 South Bend, IN 46601 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103)