Special Event - DTSB Tree Lighting Ceremony-Dec 6 2024

Home Browse Search

A`iR" CERTIFICATE OF LIABILITY INSURANCE DA 101SQ024�) 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 endorsements . PRODUCER Gibson Insurance Agency Inc 202 South Michigan St., Suite 1400 South Bend IN 46601 CONTACT Kim Parsons NAME: 269-743-6670 r N,; 5742368399 Rail, nDOREss: k arsons the ibsoned e.com INSURERS AFFORDING COVERAGE NAICS INSURER A: Cincinnati Insurance Co. 10677 IDOwntown South Bend, Inc. NSURED DOWNsou-oz INSURER B: Cincinnati Indemnity Company 23280 217 S Michigan St INSURER C: INSURER D South Bend IN 46601 INSURER E : INSURER F : wVrK AULU CERTIFICATE NUMBER: 1241506294 RFVISION NIIMRFR- 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. IILTIR NSR TYPE OF WSURANCE L Y UBR POLICY NUMBER POLICY F POLICY UP Wwyyyn LIMITS A X COMI4ERCWLGENERALLMIBILITY FV1 EPP 0031054 B/2f2024 802025 EACH OCCURRENCE Is1,000,000 -UAVkGE TO RENTED PREMISE Es ixmimmean $500.000 CLAIMS -MADE I OCCUR MED UP (My on person) $10.000 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 71 JpEnT LOC GENERALAGGREGATE $2.000,000 PRODUCTS -COMPIOP AGG $2,000,000 § OTHER. A AUTOMOBILELAINUTY ANY AUTO EPP 0031054 8/2/2024 B/2/202s COMBINED SINGLE LIMIT — (Ea en $1,000,000 BODILY INJURY (Per Damon) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acciEen) $ HIRED X NON-0WNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE Per acid cent $ S A X UMBRELLA UAB X OCCUR EPP 0031054 S/2/2024 OW025 EACHOCCURRENCE s4,000,000 EXCESS LL1B - CLAIMS -MADE AGGREGATE $4,000,000 LED I RETENTIONS Is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE Or RCERAIEMBEREXCLUDEO? NIA EWCp257774 BY1R024 Bl2/2025 XEN STATUTE ER E.L. EACH ACCIDENT $500.000 E.L. DISEASE - EA EMPLOYEE s S00,000 (Mandatory In NH) el II yes, describe untler - E.L. DISEASE -POLICY LIMIT SSGOGOO DESCRIPTION OF OPERATIONS EeIme DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be a0ached if more space is resulmd) The City of South Bend is additional insured with respect to General Liability coverage regarding events hosted by Downtown South Bend, Inc. The City of South Bend 227 W. Jefferson 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 L jihsan Znwrivice_-i -eni17 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD