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CERTIFICATE OF LIABILITY INSURANCE 170508Y2023 <br />TE4MMX)0NYYYI <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 fiofder is an ADDITIOUL INSURED, the pa cy es must be endorsed- . subject to <br />the !arms and conditions of the policy, certain policies may require an endorsement. A statement on this certlEcato doss not confer rights to the <br />certificate holder in Lieu of such andorsementts). <br />PROOICER IUAUE: Certffi to Department <br />Priority tisic hlan.tgnnsEnt PM <br />Nko Esl 574,2911-5510 t .�aa : 57k 25i 5C5 <br />2628 South Michigan Street A(1tNtESs: Susan iorit 'sk.com <br />_ DMRBt181 AFFOMNGCOVERAGE eruc / <br />SouthBertd IN 46614 WSURERA: West Bend Mutual Insurance 03- 15350 <br />imsufDEo elsumR a: SENTINEL INS" CO LTD 11000 <br />71~ Viliage:AComnwnityMusicalArtsAffiance,lnic INsURERc: <br />The M us is Vi llago a18i+MR B <br />PC) Box 11004 01SutER E <br />South Bond IN 46634 INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTEF Y THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />TO THE INSURED NAI,4ED ABOVF FOR tHE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENIT, 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 <br />POLICIES DESCRIBED HEREIN( IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONIDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSP Anal sueR: <br />LTR TYPEOFI1SURdNC€ WSO wVS7. POLKYNUMBER <br />POLICYEFF POLICY EXP <br />MMIDNYYY MMMWYYYn Irt#AICs <br />x COMMERCIAL GENERALLIAB1LfrY <br />EA0H0CCQ1RFMCE <br />1 1,000,0190000000 <br />• CLAWS-VADE X OCCUR <br />MEIAE Ses <br />300,000 <br />- <br />_tlCxl�IenYcsePaaail <br />S 10,000 <br />A <br />y 1767996 <br />06/0812023 0&08i2024 Y <br />1 1,000,000 <br />GEdui'L AGGREGATE i.IVIT APPOESPErt: <br />k ' PCxr-Y jECTPRO- = — L <br />GENERAL AGGREGATE <br />Pi4C7IDUCTS CCU S'OP :K'G <br />s 2,000.000 <br />�.S 2-000, 0 <br />tJT ll'EiZ. I <br />� <br />AUTOMOHIt€LIABLITY <br />-- <br />- <br />i acxdwlly _ <br />3 1,000,000 <br />ANYAUTCI <br />$Osi Y FLAW 4 <br />A <br />AUTOS"LL k�£� � OSCAEpllLFD 1767996 <br />061'0&2023 0&1)8l2024 <br />URY OLY NJyP&.ICddcsrii4 <br />a <br />x tt1R£OAU TOS X SOSOWNrD <br />(Rw W1,i13Al <br />3 - <br />S <br />U11WRELLALJAS $t.00CUR <br />r-AG,?0";lRR—FKCE <br />1 1.000,000 <br />A <br />EXcEss I" c,,ws-mADE <br />1767996 <br />06f0&2023 0&'0812024 AGOREGATE <br />1,004,000 <br />DE D 34 RETE4TIOd43 10,000 <br />f <br />_ <br />WORNERS COMPENSATION <br />AND E11tPLOYERS'LL461LiTY YIN <br />A{yYF�Jr�'AF£Tv??,"�a=A+'�T7JrS�i�E7(i :`,s�i'JC �� <br />OFFICEFV%IEWWR F—kC:.JC£s'I. ? N I NIA 36WECE4L�;j0 <br />111andateryinHHI L-_J <br />II YYes, 11dry�AhC urrdff <br />7ESCti1VTK)NOrOPERATIONS helrrw <br />x'= STATUTE r:R <br />E L EAC�si Ar-xCENT <br />06/0&2023 06/08i2024 <br />£.i CL� 5E - EAdPLOY <br />E.E.DiSEASE-P0LICYLNIT1$ <br />� 1,000,000 <br />- <br />3 1:00s0,io0 <br />1,000.000 <br />DESCROKHON OF OPERATIONS! LOCATIONS I VEHICLES 111COAD 14) 1, AddNkmal Remarta Schedule, maybe aitwcfrad if rrlwe Space is raquir0dp <br />Certificate holdar is nanvd as additional insumfd <br />CERTIFICATE HOLDER <br />CANCELLATION <br />S14OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Cityaf SaUth Send ACCORDANCE WITH THE POLICY PROVISIONS. <br />Runty City Building 4th float AUTHORLED REPRESENTATIVE <br />South Send 46601 T/!. r74—awr� <br />1-01988-2014ACORDCORPORATU)N All rinht% rncnmM <br />ACORD 25 (201"1) The ACORD name and logo are registered marks of ACORD <br />