Special Event - South Bend Riley Homecoming Parade - October 8

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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11f302020 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 policy(ies) 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 endomement(s). PRODUCER CONTACT Stephen SWihart NAME: Gibson Insurance Agency, Inc.PSIDNE (800) 814-2122 AN.No: (800) 836-2122 202 S Michigan S1, Suite 1400 ADDREss: sswihartQthegibsonedge.com INSURERS) AFFORDING COVERAGE NAIC0 South Bend IN 46601 INSURER A: Peerless Ins Co 24'98 INSURED INSURER B Indiana Ins CO 22659 South Bend Community School Corporation INSURER C Safety National Cas CO 15105 215 S Dr. Martin Luther King Jr Blvd INSURER 0 INSURER E: South Bend IN 46601 INSURER COVERAGES CERTIFICATE NUMBER: 20/21 Liab REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 RECUCED BY PAID CLAIMS. M LIR TYPE OF INSURANCE POUCYNUMBER POLIO MMIDDrYYYY Y EXP Y UMITS COMMERCMLGENERAL LIABILITY EACH OCCURRENCE S 1.000,000 N -11N PROMISES+p mm S � CLAWS-MADEI OCCUR MED EXP (M one person) $ 15,000 PERSONALSAOV INJURY 5 1,000,000 A CBPO493461 12/01/2020 12/01/2021 GENLAGGIEGATE LIMIT APPLIES PER: GENERALAGGREGATE 5 2.000.000 PRO. LOC F LOC POLICY ❑ PRODUCTS-COMPIOPAGG S 2.000,000 OTHER: Employee SenefRs S 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,000,000 Ea acotlenl ANY AUTO BODILY INJURY (Per person) f A OWNED SCHEDOSULED AUTOS ONLY AUT BA8493457 12/01/2020 12/01/2021 BODILY INJURY (Par ar dem) S HIRED NON -OWNED peOpEylyy ppt4pGE AUTOS ONLY AUTOS ONLY acpdata S GARAGEKEEPERS- S 30,000 UMBRELLA UAe OCCUR EACH OCCURRENCE $ 10,000,000 8 EXCESS LIAB CLAIMS -MADE CU8493453 12/012020 12/0V2021 AGGREGATE 5 10,000,0(10 DEO RETENTION S 10•� 5 WORKERS COMPENSATION I PER IO - ANDEMPLOYERS'LIABK Y YIN STAT' -TE IEF EL EACH ACCIDENT S 1.000.000 Q ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERRAEMBER EXCLUDED? NIA SP4059117 07/07/2020 071072021 EL DISEASE - EA EMPLOYEE S 1,000,D00 (Mandat"in NH) If res. dos , be antler EL DISEASE -POLICY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS bebw V biL KIFnoN OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Addltional Remarks Schaduk. may Be attacked if more space u required) City of South Bend Venues Parks 8 Arts 219 S. St. Louis BNd South Bend IN 46617 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. (D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD