Water Main Extension Agreement - Pointe Development Proj No DP21-022 - Riverwalk LLC

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�—� CENTBUI-01 I �'QRJD DATE (MMIDDIYYYY) ��- CERTIFICATE OF LIABILITY INSURANCE 1012912024 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 pollcy(les) 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 Dan Berry Insurance Agency Inc. 54101 Ironwood Road South Bend, IN 46637 INSURED Century Builder Inc & Century Homes Inc Rlverwalk, LLC 230 West Catalpa Dr. Suite A Mishawaka, IN 46545 (AtC. No. Extl: (574) 255.6222 1 (NC. No):(574) 254-2630 INSURER A : INSURER B : INSURER C : INSURER F : COVERAG£5 CERTIFICATENUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE 4DOL BURR POLICY NUMBER POLICY EFF POLJCY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X . OCCUR 10444140 8/24/2024 8/24/2025 EACH OCCURRENCE 1,000,000 RENTED DAMAGE TOIF 300,000 VIED EXP Any one arson 10,0()0 PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Ejpe LOC OTHER: GENERAL AGGREGATE 2,000,000 ,000,000 PRODUCTS - COMP/OP AGG 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS pp AUTOS ONLY AUTOS OWY 13444140 8/24/2024 8/24/2025 COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY Per emon $ BODILY INJURY Per accident PROPERTY AMAGE er acrkdent A X S LIAB uMBRELLA LI1B CLAIMS -MADE 13444140 8/24/2024 8/24/2025 EACH OCCURRENCE 5.000,000 HOCCUR AGGREGATE s 5.000.000 TRETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LWBILRYYIN ANY PROPRIETORIPARTNER/EXECUTIVE 7 ❑❑ppFlCER/M9ffl)tEXCLUDED7 IAlandatory n FItI)) IFyes, d _ ;he under DESCRI ION OF OPERATIONS below NIA 0444141 8/24/2024 8/24/2025 X I PER OTH- E.L. EACH ACCIDENT 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 506,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES ``ACORD 101, AddFtIonal Remarks Schedule, may be attached If more space Is required) City of South Bend Board of Public Works is listed as Additional Insured. City of South Bend Board of Public Works 227 W. Washington St., Ste 1300N South Bend, IN 46601 L Mf.I L.CLLn 1 swil 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 REPRESWATIVE ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rlgnts reservea. The ACORD name and logo are registered marks of ACORD