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CERTIFICATE OF LIABILITY INSURANCE 5/2212010 Yy
<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 mmm^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 the certificate holder is an ADDITIONAL INSURED, the policy(Jes) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsenI
<br />PRODUCER NAME
<br />YouZoorn Insurance Services, Inc YIHONC FAX
<br />6900 College Blvd
<br />AJCNO, FAIT I 888 240 8803 (NC'No� 87'� 835-1833
<br />E MAIL
<br />Ste 1000 &ODBESS,
<br />Overland Park KS 66211 INSIJRER(3p AFFORIDING COVERAGE NAIC #
<br />INSURER A Zurich Arnerican Insw an(.,,e Cornpany 16535
<br />INSURED INSURER B: Aniei[ican GI.IaraNee and L..I abIlrty inswance 26247
<br />Korson Inc WSURER C I-echnoIDOY Insi.wanre CoInpany Inc 42376 1
<br />1906 S Olive St
<br />South Bend, IN 46613 INSURER D:
<br />MN'SURER E
<br />COVERAGES CERTIFICATE NUMBER: 310808361 REVISION NUMBER:
<br />THF POLICY PERIOD
<br />TI-JIS IS CO CI:::1RIIFY 1HAF THE I::'(.AJClES OF INSURANCE 1..ISrEr.:) BEI-OW HAVE BEEN ISSUED TO DIF INSURED NAMED ABOVE FOR
<br />INDICAfElD NC fWITHSFANDING ANY REOI.ARENIENT ff.:RM OR CONDITION OF ANY CONrI:,A(,,-r CY rH WIIH Fd-,EIILCF V01AIIIICII Pll"3
<br />CIERFIFK,'ATE MAY BI::: I£iSIJEID OR MAY PERTAIN, THE I1NSUP:AN(.,E AFFORDED BY IHE POL10ES In I m-011,, IQ, ;. f 1() Al I IL T' RIVIS
<br />EXC1,USIONS AND CON[fll"IONSOF SUCH P01-rCIES I..Hv?lUSSHO/VNMA)(hiAVEBEE�dPEDf JCEDBYF:^AIDC�../kIYO',,
<br />INSR ADOLSILMIR flotAry Err POG ICY C'xP LIMITS
<br />h.in TYPE OF INSURANCE If KIJ PAO F A t--I��axn
<br />DD'yyyyt . .....
<br />A X COMMERCIAL GENERAL LIABILITY rp�-'l'16401fil 02 12/2(119 1 0010 0100
<br />301) 0�10
<br />OCCOR
<br />5 000
<br />IlY,8,-)NA[ & ADIV IN I JIR 1 000 000
<br />(-� q,,,o, ,aoc', I Ii rv, r-- 2 000 �(W
<br />X� IF,, 'I I
<br />5 2 000 01M
<br />W11 +r'( Al"C"T OC
<br />2
<br />AWOMOWLELIARK ITY CI10164018" 02 2,11200 19 1'000'Wo
<br />ANY AIJ 0"',
<br />X OwNrX) YF,I ru ilLLr dX-)II 'I' IN JI 1;",( 0 J, 1,
<br />Ao TO$ CIN I,)'
<br />x
<br />'�rFl "� OM Y X A, '0� A IJ r ("S 0
<br />UMBRELLA LtAB I CC, 11N, I' CIL
<br />LIAB VK111111 r 4 rF
<br />1 4L
<br />x PER 0 7
<br />WORKE WS COIIOPE NSA rrmq
<br />j2 ,-9
<br />AND IEMPL.OYERS'LIABILITY N i- I , A1,H AIAJOi PIT "W; "100
<br />ANYPROPRIE
<br />CERiMFM8FRF)(G4NiA
<br />IMandatory In NH�
<br />Gl '11s'Jn k' . 1, 17 ir, .II''01F2f11r1-(12 0 1 fi 2 1 02 0
<br />... . ... . ..... ........ .. ..... . . — . . .....
<br />DEWUPTION OF OPERAflONS f LOCATIONS VElflCLES N,CORID iO%, AcGrui Ql@pfiaR410T4:brks Sch.dlflo, MlY b, morn Is r.quIrod)
<br />Garagekeepcns Includes On, -Hook Coverage
<br />Goveed t,4Icafions and GairaqaIII Lr�iiits at each Pulloy oca.lIon
<br />2010 S Olice St South Bend IN / I rnrr $ 20,000
<br />55303 Maynower Rd South Bend IN / [Jrnir $100,000
<br />. . ......... . ........ . . . . ...
<br />................ . .....
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of South Bend
<br />22,7 VV, Jefferson Blvd SUIte 1316
<br />Sol.Ah Bend IN 46601 7,
<br />ce" e'
<br />1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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