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FROM : DRUID HOFFMAN <br />FAX NO. : 574 277-3727 May. 05 2003 04:11PM P2 <br />'ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDtYY) <br />05/05/2003 <br />PKnOUCER (574)282-2748 T FAX (574)288-4501 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Cohn -Golden Agency div Hoffman Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Po Box 268 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />210 South Michigan St Ste-130 -w- <br />INSURERS AFFORDING COVERAGE <br />South Bend, IN 46624 <br />INSURED PotawatOMi Zoological Society INSURERA Travelers <br />P.O. Box 1764 iNSURFRa. <br />South Bend, IN 46634 INSLIPER C: <br />iNFURFR F <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE HFI:N ISSUFI7 TO THE INSIJRI-I] NAMFO ABOVE FOR THE POLICY PFRIOD INDICATFO NOTWITHSTANOINO <br />ANY REQUIREMENT, I rKM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PER I AIN, I HL• INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI IE TERMS, EXCLUSIONS AND CONDITIONS OF . 'H <br />POLVAI.a. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />T 1 YPF OF INSURANCE POLICY NUMBER DATE M ONY DATE DD1YY <br />cENERA,.1.1^81I.lrY-660-125C778A-TCT-OZ 10/15/Z002 10/15/2003 i-AGHuri:IIKNI-Wh s 1 000 0001 <br />X MM[Rr.IAL GCNERAL LIAMLITY I Min UAMAU6 (Any one IV8) S 50,00( <br />���r.O(:I AIMS MAOF- l "" 1 c7(-:UK MCD CXP (Airy gnu pnri ao) S 5 1,00E <br />A I'IwIiS0NA1_& AUV INJURY _ S _ 11()00,00( <br />- UENEHAL ACGREGA"IE S 2,000,00( <br />41. AGGREGATE LIMIT APPOES PER. HRL11)Ul:I S - CUMrrUI' ACG s 2 , 000 , 00( <br />TOLiCY j lj,": 7� 1LOC <br />AUTOMOBILE LIABILITY <br />ANY AUY0 <br />ALL OWNED AU I OS <br />SCHF-r0.11 Fri Aifro,, <br />HIRED AUTOS <br />NON OWNCD AUTOS <br />A <br />G_'iARAGIi wARFLITY <br />I ANY AUTO <br />EXCESS LIABILITY <br />X.1 Fu'Guk L.,-1 CrwvsMADE <br />DEDUCTIBLE <br />RCTCNTION i <br />WORKERS COMPENSATION AND <br />I:MPI,OYERS' 1-IASILITY <br />MIN <br />-CUP-125078A-IND-02 1 10/1S/Z002 <br />COMBINED 91NCLE LIMIT <br />, <br />([S dCClddnll <br />NAUILY INJURY <br />S <br />(PH jinr_nnI <br />UOUILY INJURY <br />(I'm 6[Cid6[lll <br />PROPENIY DAMAGE <br />Irc[ acddenll <br />AUTO O NI Y- EA ACC1111-NI <br />—FAA[,(_ <br />; <br />UIHtN THAN.._... <br />$ <br />AU I U ONLY. AGG <br />EACH ULCUHHE_NCk <br />1,000, <br />10/1S/2003 <br />AGGREGATE <br />s 110001 <br />S <br />DESCRIPTION OF OPERA TIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSE MENTISPECIAL PROVISIONS <br />IdditionaT Named Insured: Board of Public Works regarding Chimp exhibit. <br />CERTWICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: <br />Board of Public Works <br />227 W. Jefferson <br />South Send, IN 46601 <br />E.L. EACH ACCIDENT S <br />C.L. DISLA;L D C ,PLOYEf? S <br />F I • KII 11'Y I IMI I S <br />CANCELLATION <br />SHOULD ANY OF THE A)OVF DF6CRIRF.D POI•ICiF6 BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMI'ANY MLL ENDEAVOR TO MAIL <br />30„ DAYS wRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NO FILE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESCNTAYIVE <br />Ray flarson <br />ACORA 25-S (7/97) VACORD CORPORATION 1988 <br />