Permit - Sidewalk Cafe - Aloft South Bend

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ACORD,,, CERTIFICATE OF LIABILITY INSURANCE oATsslzon5120DntirY) 22 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 tha caritflcale halder Is an ADDITIONAL INSURED, the pollcy(iosj must have ADDITIONAL INSURED provisions or be endorsed. II 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 any rights to the caTflfreate holder In Iiall of such endoraem'lantis). PRODUCER GoNtAC-F Jada )[east HAXIE: EPIC Insurance Midwest V 260 625-7215 t 260 025.7529 FY A Ci Tom McGovern _ _ E-rrNL ada.kRFs Ichrokeis mm ,SonRFs&_�_ �p 1111 Chestnut Hills Parkway .--_ .-.--_ Fort Wayne, IN 46814 INSURErUS AFFORDING COVERAGE _ NAIC9 INSURER A: The Travelers Indemnity Company 25658 INSURED Azul Hospitality - Indianapolis, LLC INSURER B: The Continental Insurance Company 35289 Hospitality, LLC INSURER C: Travelers Property Casually Co of Amer, 25 674 111 11 N Main Street INSURER : Navigators Specially Insurance Company 136056 South Bend, IN 46601 INSURER E: _ THIS TO CERTIFY THAT T}IE POLICIES ❑F INSURANCE LISTED BELOW HAVE, BEEN ISSUED TO THE INSURED NAMED NNOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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. _ TYPE OF INSURANCE POLI6 EAP POl_IDYN (At, _ .. LIMITS A COMMERCIAL GENERAL LIABILITY P6309SO89207TIA22 )911512022 09115/2023 EACH OCCTURRENCE s1,000,000 CLAIMS -MADE �X OCCUR PI S �ENn�e ,ED $300OOO MED EXP IAgy anepersanl $10.006 I. PERSONAL?. ADV IFLIURY $ GENL AGGREGATE LIMIT APPLIES PER: � GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ POLICY � —I LOG OTHER BA9SO898832243G $ A AUTOMOBILE LIABILITY 19/15/2022 091151202 ,NFO vez BODILY INJURY(P., person) s ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) s X HIRED kA NON -OWNED AUTOS ONLY u. gUT05 ONLY PROPETRY GATv1AG $ S B X _ UMBRELLALIAB _x_ OCCUR 6050530380 )9/15/2022 091h5Pt0E EACH OCCURRENCE $ EXCESS L11AB �.:�.� AGGREGATE s OED RETENTION $ 14 WORKERS AND COMPENSATION EMPLLyY W L�AWUTV v , u _ -1.11TE: OLFICF kIF1,y1FA}XCLUfJEOi Oyu ��u N/A :EL FSE e,CIbE 1Me11dabety.lra NHl EL DISEASE EMPLOYE S 5 II yes, describe under DESCRIPTION OF OPERATIONS below I7 --EA E L DISEASE C Excess Liability _ EX7S24680022NF _ /311512622 - POLICY LIMIT 09/15/2023 $15,000,000 Aggregate D Excess Liability CH22RXSZO33ZBIC I )9115/2022 0911512023 $25,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remark, Schedule, may be aUa,had If mare space Is required) RE: Sidewalk Cafe- 111 N Main St. The City of South Bend Is named as Additional Insured to the General Liability policy when required by signed written contractlagreement. Loc# 1 - 111 N. Main Street; South Bend, IN Building # 1 Hotel City of South Bend SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1316 County City Building ACCORDANCE WITH THE POLICY PROVISIONS. 227 W Jefferson Blvd South Bend, IN 46601-1830 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4283889/M4283740 CBART