Sidewalk Cafe - Aloft South Bend - 111 N. Main Street

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Client#: 61560 AZULHOS DATE ACORD,. CERTIFICATE OF LIABILITY INSURANCE /22/2DD02 122/25 5 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 any rights to the certificate holder in lieu of such endorsement(s). CONTACT Jada Karst PRODUCER NAME EPIC Insurance Midwest PHONE Ex! 206 625-7215 IC N.. 260 625-7525 A!C Ho Tom McGovern ADDRESS; a lebrokers.com DDREss: 1ada.karst@p 1111 Chestnut Hills Parkway INSURER(S)AFFORDING COVERAGE NAIC # Fort Wayne, IN 46814 INSURER A. The Continental Insurance Company of NJ 42625 INSURED INSURER B : The Continental Insurance Company 35289 Azul Hospitality - Indianapolis, LLC INSURER c: Travelers Property Casualty Co of Amer 25674 Azul Hospitality, LLC INSURER D : Valley Forge Insurance Company 20508 111 N Main Street INSURER E : — South Bend, IN 46601 INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. SRADDLSUBR A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR POLICY NUMBER PMT7092771089 BUA7092771089 rVAD o r iHMlOD 9115/2024 9115/2024 MMID 09/1512025 09/15/202 LIMITS EACHOCCURRENCE $1 OOD Ot 9Emp AISES EaE,,NorT.uE ence $300DDD MED EXP (Any one person) $15 000 PERSONAL & ADV INJURY $1,00020C GEN'L AGGREGATE LIMIT APPLIES PER: PRO- j�j POLICY ❑ JECT I, —I LOC OTHER: _ _ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED x AUTOS ONLY X AUTOS ONLY GENERALAGGREGATE $2,000,0C PRODUCTS - COMPIOPAGG $2,000,0C E� avcdEerOitStNGLE LIMIT 1,000,Dfl p BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccldent $ $ B x UMBRELLA LIAB N EXCESS LIAB OCCUR CLAIMS -MADE CUE7092771447 9/15/2024 09/15/202 EACH OCCURRENCE $10 000 AGGREGATE $10000 CI DEO I RETENTION $1 D 000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YfN ANY PRO PRIETOWPARTNER/EXECUTIVEi OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS betow N / A P✓ R OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ C A CL Umbrella Liquor Liability EX7S24680024NF LIQ7092771092 9115/2024�09/11512025 9/15/2024 09/15/2025 $15,000,000 Aggregate $1,000,000 Occurrence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Sidewalk Cafe -111 N Main St. The City of South Bend is named as Additional Insured to the General Liability policy when required by signed written contract/agreement. Loc# 1 -111 N. Main Street; South Bend, IN Building # 1 Hotel City of South Bend 1316 County City Building 227 W Jefferson Blvd South Bend, IN 46601-1830 E LLATI O N 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S7234454/M6909841 CBART