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ncour� CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) �r 01125/2023 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 endorsement(s). PRODUCER ONTACT NAME: Katie Furrier John Scott Insurance PHONE 269-782-2123 FAX L g4,J at) (AIC, N 206-339-8224 105 Commercial St. E-MAIL ahrlaconlnsuranf:e.cam ,AgQRESB;._ Wa Dowagiac, MI 49047 INSURER(S) AFFORDING COVERAGE NAIL e INSURED Purple Porch CO-OP INSURERS: 8036 Moorsbridge Rd Kristy Robinson INSURER C 123 N Hill St INSURER D South Bend, IN 46617-2717 INSURER E INSURER F : (-0VFRA(,FS r'PRTIGIRATF 1dIIR11i rlirWdlrl S_9a74oa LIH"MCM. 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 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 INSR 7ypE OF INSURANCE iA�DL WF POLICY EFF POLICY EXP 7 POLICY NUMBER Ad/DD/YYYY MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y 6674956 02/11/2023 02/11/2024 EACH OCCURRENCE $ 1 OOO o PPRREA RENTED MfISrr $ 500,000 •(F MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JJ"ECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY MIN NEDSINGLE LiMI Ea sccidn)- $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED I NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE P r nt $ A X UMBRELLA LIAR OCCUR 6674956 02/11/2023 02/11/2024 EACH OCCURRENCE $ 1,000 000 AGGREGATE $ 1,000,000 EXCESS LIAB - CLAIMS -MADE DED I I RETENTION $ $ A WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MYIN (Mandatory in ER EXCLUDED? If (Mandatory in NH) yes, describe under D DESCRIPTION OF OPERATIONS below N / A 6674955 '02/11/2023 02/11/2024 PER TAT T-E T" 1,000 000 EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 00O 000 E. DISEASE - POLICY LIMIT $ 1,009, 000 B DO EPP4918014 02111/2023 02/11/2024 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is listed as an additional insured LiGR I IrIMMI C n%JL.VcR L..AIVI,kLLA I IUN The City of South Bend 227 W. Jeffereson Blvd. South Bend, IN 46601 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by KEF on 01/25/2023 at 08:42AM