Laserfiche WebLink
/ <br />AC� "® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDIYYYY) <br />08131/2022 <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />MARSH RISK & INSURANCE SERVICES <br />PHOFOUR <br />EMBARCADERO CENTER, SUITE 1100 <br />A/CNNo Ext : A/C No), <br />E-MAIL <br />CALIFORNIA LICENSE NO. 0437153 <br />SAN FRANCISCO, CA 94111 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A : Apollo Syndicate Management Ltd <br />CN1 20046401 --GAWU-22-23 <br />INSURED <br />Bird Rides, Inc. <br />INSURER B : Scottsdale Indemnity Ins Co <br />15580 <br />INSURER C : National Casualty Company <br />11991 <br />406 Broadway #369 <br />INSURER D : <br />Santa Monica, CA 90401-2314 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: SEA-003782181-09 REVISION NUMBER: 5 <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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X� OCCUR <br />SIR: $500,000 <br />BOWCN2250539 <br />06/01/2022 <br />06/01/2023 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />DAMAGE <br />PREM SES� RENTEa o_cur ence <br />$ 100,000 <br />X <br />MED EXP (Any one person) <br />$ N/A <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO- <br />P ❑ LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 5,000,000 <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 5,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />L <br />NG10000068 <br />09/01/2022 <br />09/01/2023 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />BOWCN2250534 <br />06/01/2022 <br />06/01/2023 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />DED RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY AND Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? IN <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />WCC600025A <br />09/01/2022 <br />09/01/2023 <br />XOTH- <br />ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of South Bend is additional insured where required by written contract regarding General Liability and Auto Liability. <br />CERTIFICATE HOLDER CANCELLATION <br />City of South Bend <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />227 West Jefferson Blvd. <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />South Bend, IN 46601 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />