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Permit - Sidewalk Cafe - The Music Village
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Permit - Sidewalk Cafe - The Music Village
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Last modified
4/14/2025 2:22:15 PM
Creation date
7/11/2023 1:48:36 PM
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Board of Public Works
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Recommendations
Document Date
7/11/2023
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N � C!OZ111 <br />mma-ey" <br />CERTIFICATE 4F LIABILITY INSURANCE <br />8!2023 <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: 9 the cent to hotdorls an ADDITIONAL INSURED, the pa NCy es mus a en areIISUBRLIGATIONISWXMEU,—Bu-qoctto <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />Prio rity Risk Managame nt <br />2628 South Michigan Street <br />South Bead IN 46614 <br />INSURED <br />Ttw iilagerACorrmnunrtyMu-sicaiArtsAlliance, Inc. <br />Tt* Music ViHap <br />PO Box 11004 <br />South Bond IN 46634 <br />Certificate Npartnlerlt <br />o 5i4-291-5510 IA�c.Nc: 574-20.1-8505 <br />ADDRESS: Suss PriorfE 's OOM <br />INSURER43I AFFOROINOCOVERAGE <br />NAIC N <br />KSURERA: West Bend Mutual Insuranw Go- <br />15360 <br />IIsUIER e : Tim HARTFORD <br />00914 <br />sUR€Rc <br />INSURER D : <br />UISURERE : <br />IISURERF- <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />1 IHIS Lti I U f.;hK I NF Y THAT THE PIOLICiES OF INSURANCE LISTEN} BELOW ItAVE BEI-N ISSUED TO THE INSLSRED NAME OV FOR THE POLICY <br />P QD <br />INDICATED: NOTWITHSTANDING ANY RGOUIREMENT, 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 <br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS. <br />INSR ADDL 9UtIR• <br />LTR TYPEOF �•ISrJRA.NC€ rH riVa POLICY NRiMBER <br />POLICY £FF POLICY EKP <br />AImmoyYYYI . !< MAMYY LIMITS <br />- <br />x fCOMIKERCIALGENERAL LABILITY <br />FACHOMURRENCE <br />1,000,000 <br />CLApu�s•ArJ4TSE X• O'.:i:llii <br />Pri£7liiSES{Eaterxte;�o <br />i 300,040 <br />VUE€ EXP jAnyond vemml <br />f 3 10,000 <br />A <br />_ v 176799I; <br />0610812022 Oi ON312G23 P--R.SONAi & ADV KJUPN <br />13 1,000,000 <br />GEN'L AGGRLG4TE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />1 2.000,000 <br />ii POLICY ,SECT �� <br />PRO0LK TS -c'.s. UP.OP AGG <br />.y 2,OOO:e G <br />rx11ER: <br />3 <br />AUTOMOI9ILELIABILITY <br />;raven:ela�aj __ <br />S 1.00G,OOG <br />ANYAUTO <br />B'ODLYINJURYAAUTOS <br />zli? y� AUTOSS oL&� <br />1767996 <br />06/08/2022 0&0812023 <br />L' <br />' WF Y @VJi342.Y {P& Au1d,1s'!9 <br />3 <br />Itirt€DAtrTO; X AUTOS <br />ki <br />I aCVdanl} — — <br />1g <br />>K IlUrSRELLA L Ae _ a:.G„R <br />I DKOK}G <br />A <br />EXCESS UAB CLANS -MAN <br />1767998 <br />0610&2022 0610812023 AG41REGNTE <br />3 1.000,000 <br />K iDED T RETEINTIONs <br />�.Y - <br />3 - - <br />WORKERS ODMPERSADON <br />AND EMPLOYERS'LAMLITY Y) N <br />STATUTE CR <br />.... <br />ANY Vq' PR11101iP.ARgNr?2i CiT7dL <br />8 OFr1tiER�iEIlsisilx u i3 F N)A <br />36WEC81.9930 <br />E L. EACH ACYC OENT <br />06/08/2022 Ofd0812023 • <br />1 1,000.00.3 <br />Wandabrya,NDII <br />EL;36rAS€-EAEMKOYEE <br />1 1,000,000 <br />14yyea.der:k@ rider <br />- <br />r C5CRPTION Or C11 EsRATIONS r6km, <br />E-L DISEASE- POLDCYLAAIT <br />3 1,000.000 <br />A Directors and Officers Liability <br />1767812 <br />06/08/2022 0610812023 S1, 00.0 NOLund <br />DESCRIPTION OF OPERATIONS) LOCATIONS) VEHICLES ACORD 101, Addaional Rem elm ScINdute. maY ba atlhc]wd if atom space is m"wadl <br />Cod ficate holder is nafned as additional insured <br />I <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Cityof South BendACCORDANCE WITH THE POLICY PROVISIONS. <br />County City Building 4th floor <br />AUTHOR ZED REP RESENTATIIJE <br />South Beef 46601 r•T*44'W da� <br />01988.2014 ACORD CORPORATION. All rights fesefva <br />AE;0K0 25 (2014101) The ACORD name and Ingo are registered marks of ACORD <br />
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