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AC"REV CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />1/5/2024 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <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 />PRODUCER <br />Brown & Brown of MA LLC <br />r <br />500 Victory Rd. <br />Marina Bay <br />North Quincy MA 02171 <br />CONTACT NAME; Frank Griffin <br />ONE P <br />H(617)471-1220 FAX 61 j9 9-5147 <br />No Ext: AIC. Ho <br />ADDRESSi frank.griffin@bbrown.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Liberty Mutual Fire Insurance <br />23035 <br />INSURED <br />Laz Parking Midwest, LLC <br />33 West Monroe Street <br />Suite 2010 <br />Chicago IL 60603 <br />INSURER B : LM Insurance Corporation <br />'33600 <br />INSURER C:Berkley Insurance Company <br />32603 <br />INSURERD:HDI Specialty Insurance Company <br />16131 <br />INSURER E: Federal Insurance Company <br />0281 <br />INSURER F: Everest National Insurance Com an <br />0120 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LTRINSR <br />TYPE OF INSURANCE <br />AOOL <br />VD <br />POLICY NUMBER <br />MMIDDY EFF rr <br />ICY EXP <br />MWDrI"y <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGETO RENTED <br />PREMISES Ea rrence <br />S 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />S EXCLUDED <br />A <br />CLAIMS -MADE FOOCCUR <br />X <br />%B2611260451033 <br />7/31 /2023 <br />d/31 /2029 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />X Contractual Liability <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />FQIJCY X PRO- X LOC <br />AUTOMOBILE LIABILITY <br />eMEDSINGLE LIMIT acddgotl <br />5,000,000 <br />BODILY INJURY (Per person) <br />$ <br />AALL <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />S <br />OWNED SCHEDULED <br />X <br />1S2611260451013 <br />7/31/2023 <br />7/31/2024 <br />AUTOS AUTOS <br />NON -OWNED <br />Ix <br />PeCIPERTY OAMAGE <br />$ <br />HIREDAUTOS N AUTOS <br />X <br />UMBRELLA LAB <br />X <br />OCCUR <br />3EE ATTACHED LIST OF <br />EACH OCCURRENCE <br />$ 100,000,000 <br />X <br />AGGREGATE <br />$ 100, 000, 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />?OLICIES <br />7/31/2023 <br />7/31/2024 <br />DEL) I I RETENTION $ <br />$ <br />X <br />B <br />WORKERS COMPENSATION <br />X WC STATU- DTH- <br />AND EMPLOYERS' LIABILITY YfN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />?A561D260451053 <br />,7/31 /2023 <br />•7/31/2024 <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />IF yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A GARAGEKEEPERS LIABILITY <br />i32611260451013 <br />7/31/2023 <br />.7/31/2024 <br />$1,000,000 LIMIT <br />C CRIME/EMPLOYEE DISHONESTY <br />I <br />3CCR4500289226 <br />7/31/2023 <br />7/31/2024 <br />$6,000,000 LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />30 Days' Notice of Cancellation provided, 10 days for non-payment of premium. If agreed upon in a <br />written contract or agreement, City of South Bend is included as an additional insured for liability, but <br />only with respect to the operations of the named insured. Waiver of Subrogation applies in favor of City <br />of South Bend if agreed upon in a written contract or agreement. <br />Re: L22903 - Eddy Street Commons at Notre Dame <br />CERTIFICATE HOLDER CANCELLATION <br />City of South Bend <br />227 W. Jefferson Blvd. <br />Suite 1400 S. <br />South Bend, IN 46601 <br />ACORD 25 (2010105) <br />INS025 (201005) 01 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Fallon Carey/FACARE <br />u l5liRf-ZU1U AL.UKU L•UKYUKAI IU IV. All rlgltiS reSerVUU, <br />The ACORD name and logo are registered marks of ACORD <br />