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From: Ellen McDonald Fax: 15742347788 To: 5742359171@rcfax.com Fax: (574) 235.9171 Page: 3 of 3 04/15/2019 10:35 AM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) F 1 3/25/2019 THIS CERTIFICATE IS ISSUED ASA 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 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(iss) 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 Ellen McDonald Lee Insurance Group Prom Bxt, (574)234-7788 FPC No, `5741233-2522 No 331 S. Eddy StreetE-MAIL AODRESS: INSURERS AFFORDING COVERAGE NAIC 0 P.O. Box 1975 South Bend IN 46617-1975 INSURERA:Cincinnati Specialty Insurance INSURED INSURER B: Auto -Owners Insurance c2MgAny 18988 INSURERC: T-Lee LLC, DBA: The View INSURERD: Parkview Properties, Inc 515 P Jefferson Blvd INSURERE: INSURERF: South Bend IN 46617 I.UV GKAU tS GtKIIFIGAIt NUIVItSt K'ltf/mLy RFVISInN NIIMRFR• THIS ISTO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTRS TYPE OF INSURANCE PO LICX NUMBER APAl I1DQYlYEYNY MMIDDIYV�N LIMITS X COMMERCIAL GENERAL LIABILITY EAD l OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCURDAIIIAIc c r I pR,FMI F_. ;,)or,rilT'enre $ 100,000 MED EXP (Any one person) $ excluded CSU 0053345 10/30/2018 10/30/2019 PERSONAL & ADV IN,.II.YRY $ 1, 000, 000.. 'GENLACGREGWELIMIT APPLIES PER GENUIRAILAGGREGATE ....$ $... 2,000,000 X POLICY � PET El LOC PRODUCTS C;OIAIPIOPAGy 2,000,000 AUTOMOBILE LIABILITY I11R I a 'L nr a. s--F4 •'sz � $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SO E-:DtPIY!D AUTOS AUTOS BODILY INJURY (Per accident) $ NON OWNEE.:1 HIREDAUTOS ALPIDS PR OPE i mT 3r„�edtu'M A+ P $ $ UMBRELLA LIAB O _CUR Ilii!ACJ I occ,.MIRl NC:E: ''., $ AGGREGATE $ EXCESS LAB C;I...AIMS MADE: DE D RETENTION $ $ WORKERS COMPENSATION AND EMPLOY V UABILFTY Y 1 N X 0 - STAT(JTF FP E. L EACH ACCIDENT - EL.. DISEASE k AEMPLOYf E $ - $ 500,000 500 000 B ANY PROPRIETORIPARTNER/EXECUTIVE �� OFFICERIMEMBER EXCLUDED? II rt (MandatoryIn NH) 1 If yes, describe under NIA 09021126 10/6/2018 10/6/2019 E:I.. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of South Bend is additional insured with regards to general liability coverage C;t_KIIFICATE HOLDER (574)235-9928 5742359928@rcfax.com City of South Bend 227 W. Jefferson Blvd South Bend, IN 46601 CANCELLATION 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 Patrick Kennedy/EMM 1988-2014 ACII ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)