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12/08/00 07.58 '$219 236 6399 <br />ACORDGtK I IrRoA I G Vr L <br />PROI.0 ER (E00)614-2122 FAX (219)236-6399 <br />GIBSON INSURANCE GROUP <br />P O sox 610, Plymouth YN 4GS93 <br />or P 0 Box 11177 <br />South Hand, IN 46614-0177 <br />INSURED <br />General Sheet Metal Works, Inc. <br />I90Z S Main Street <br />South Bcnd, IN 46613 <br />GIBSON INSURANCE 4MUUt <br />LITY INSURANCE DATE(M200 <br />12/OB/2000 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INgLIARAA Indiana Insurance Co. <br />INSURER D: <br />INSURER C: <br />INSURER D: <br />I INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMkU ApuVC ran I i� �+� OR <br />CONDITION OP ANY CONTRACT OR OTIICR pOCUME!!T VUITFI RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br />AND CONp1T1oN5 OF SUCH <br />ANY RHQUIREZAENT, PERM OR <br />MAY PERTAIN, THE 1NSllRANCE AFFORDED 8Y THE POLICIES DESCRI6E6 HEREIN I$ SUBJECT TO Atl THE TERMS, <br />EXCLUSION$ <br />POLICIES, l+GGREG/YE L1MIT$ SHpVVN MAY HAVE SEEN REDUCED Sv FAID GlAIMS. <br />fR <br />TYPEOFiN$URANCic <br />p017CYNU�OER <br />pATE1h1M10DlW <br />DATE h1hS1001YY <br />u�lTs <br />rxxI;H000UEtItENL't <br />s 1,000, 00 <br />OENERALLU9IUTY <br />BP9379O37 <br />01/01/2D00 <br />U1/U1/z001 <br />FIRE DR1.iAGE (Arty aid fad) <br />S so .00 <br />X COMM`RCIAL GENERAL LIABILHY <br />MEI) may, IAny om pg,a,I <br />$ 15 , DO <br />CL.AUS MADE D OCCUR <br />PER 3O NAL 8 ADV INJURY <br />S 1 , 000 , 00 <br />A <br />GENERAL AGGREGATE <br />b z , 444 , 44 <br />PROAUCTS- CCLIPIOPAGG <br />S 2 .000 100 <br />GENI AGGREGATE UMITAPPUE3 PER: <br />POLICY JlCT X LOC <br />01/O1/2000 <br />01/01/2001 <br />CO"INED SINGLE LIMIT <br />S <br />A937$637 <br />amrr <br />ALROfI6eu�uu <br />(EBeaKMftI) <br />1.000.00 <br />X <br />ANY AUTO <br />BODILY IKJUliY <br />ALL OWNED AUTOS <br />(Per pereui) <br />SCHEDULED AUTOS <br />BODILY INJURY <br />S <br />A <br />X <br />HIRED AUTOS <br />(Par B=Mr1I) <br />X <br />NON -OWNED AUTOS <br />PROP DAMAGC s <br />P{Par A6Cldboq <br />AUTO ONLY - EA ACCIDENT S <br />A <br />BILfiY EA ACC S <br />OTHER THAN <br />TO AUTO ONLY; AC38 S <br />eIIJTY U9376537 01/01/2000 01/01/2001 EACH OCCURRENCE s s.aoo,D <br />AGGREGATL S 5, 000 , 0 <br />❑ CLAIMS WADE <br />9 <br />S <br />TIBLE 6 <br />TION 6OMPENSATIONAN� C937&337 O1/O1/2000O1/01/ZOD1 X TOR L1M S ER <br />C LIADILITY EL EACH ACCIDENT S(-L DISEASC. EA GIAPLOYE S <br />E.L. olsensE - roucr uN,rr >' sac. o <br />OTHCR <br />-Ir_i FR]FYrlU3JONS ADDED BY EH DORSEMENTISPECML PRDV1910N9 <br />, 6r CINAL INSURED; {NSURER LETTER <br />City of South Bend <br />205 W. Jefferson Blvd. <br />South Band, IN 46601 <br />SHOULD ANY OF THE ABOVE DESCRIBED POUC1a5 ut- <br />EXPIRATION DATE 11iEREOF, THE MDING CoMpAMY WILL ENDEAVORTU MPIL <br />�T DAYS VIRITTEN NOTICfi TO THE CERTIFICATS HOLDER NA!!EO T7 T1-IE. LEFT. <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ODUCIA'10N Ck L MEILITY <br />OK AW KIND UPON THE COMPANY, ITS AGENTS OR REPREVDVAI' IVC5, - r <br />ZEPRESENTATIVE <br />Ins A9GMCY/CHRIS5 <br />