Laserfiche WebLink
' + ` CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNM) <br />�W 3/10/2020 <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 />to <br />the terms and If <br />of the policy, certain Dpoliic ADDITIONAL <br />Lmay require an endorsement must <br />A statement on this certificcate does not conferrights o <br />IMPORTANT: If the certificate holder is an AD <br />rl hts to the <br />certificate holder in lieu of such endorsement(s), <br />PRoouclaa Ellen McDonald <br />Lqa 'Lnauna=a 6caimg, PHONE L57&1234-778a FAX r$14 7439 u2z <br />331 S. Eddy Street ADD'L <br />LId ..-,, <br />E 'S• <br />-- � OVERAGE _ 0 <br />P.O. Box 1975 RAID � <br />„�. INSURERIS) AFP(�RDIRc�.� <br />South Bend IN 46617-1975 INSURER A: Cincinnati SpecialtyInsurzance <br />INSURED INSURER B:A a to-Ownors Insurance Comp. -in 18988 <br />T-Lee LLC, DBA: The View ter, <br />Parkview Properties, Inc INSURE RD: <br />515 E Jefferson Blvd INSURERE: <br />South Bend IN 46617 INSURERF: <br />COVERAGES CERTIFICATE NUMBER:1/20 REVISION NRJMBER: <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. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO .ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS„ <br />R TYPE OF INSURANCE P CY P XP <br />INSDPOLICYNUMB R ( LIMITS <br />X COMMERCIAL GENERAL LIABILITY EACH OCCIJRRE,ILgE $ <br />A CLAIMS -MADE FX OCCUR ranra�d,c acw t. <br />LAGGREGATE LIMIT APPLIES PER: <br />POLICY 0JECOT- LOC <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS I IAUTOS <br />WIRED AUTOS NON -OWNED <br />AUTOS <br />UMBRELLA LIAR OCCUR <br />EXCESS LIAR CLAIMS -MADE <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY dnNIA <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />(Mandatory in NH) <br />CSD 0053345 <br />09021126 <br />10/30/2019 110/3012020 1 MED EXP <br />10/6/2019 1 10/6/2020 <br />INJURY <br />GENERAL <br />PRODUCTS • COIMNIOPAGG $ <br />$ <br />_COMS9 94�&6dEa r,.� - $ <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMS 9 E $ <br />$ <br />EACH OCCURRENCE $ <br />AGGREGATE <br />E.L. <br />$ <br />1'000,01 <br />100,01 <br />exclude <br />1,000,0( <br />2,000,0( <br />2,000,oc <br />E.L. DISEASE - EFL EMPLOYEE 1 $ 500 01 <br />E.L. DISEASE - PIOLICY LIMIT S A'00 _ n, <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEWICLES (ACORD 101, Addllonal Remarks Schedule, may be attached H more apace Is required) <br />City of South Bend is additional insured with regards to general liability coverage <br />CERTIFICATE HOLDER CANCELLATION <br />5742359171@rcfax.com <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of South Bend THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />227 W. Jefferson Blvd ACCORDANCE WTH THE FOLOCY PAIOWSMS. <br />South Bend, IN 46601 <br />AUTHORIZED REPRESENTATIVE <br />Patrick Kennedy/EMM <br />1988-2014 ACORD CORPORATION. All ri hts reserve) <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS026 (201401) <br />