Laserfiche WebLink
TE <br />A`�RO CERTIFICATE OF LIABILITY INSURANCE °A01/1aWzo SYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer Hants to the certificate holder in lieu of such endnrsementrsl. <br />PRODUCER <br />CNAME:ONTACT <br />Will Maddux <br />East Main Sheet Insurance Services, Inc. <br />PHONE <br />(530) 477-6521 (FAx <br />AM N.: <br />Will Maddux <br />ADDRESS: <br />into@theeventhelper.com <br />PO Box 1298 <br />INSURERS AFFORDING COVERAGE NAIC! <br />Grass Valley _ _ CA 95945 <br />INSURER A, <br />Evanston Insurance Company 35378 <br />INSURED <br />INSURER B: <br />March to the Memorial <br />INSURER C: <br />_ <br />Go Bob Lyons <br />INSURER D: <br />52160 Woodedge Dr <br />INSURERE: <br />Granger IN 46530 <br />INSURER F: <br />COVERAGES CERTIFICATF MIIWRFR• <br />eemmnu e <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDLSUOR <br />LTR TYPEOFINSURANCE POLICY NUMBER MMOiDOY" M UIO�YYY LIMITS <br />COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 <br />I CLAIMS -MADE X, OCCUR PREMISE (otter Nen fire) S 1,000,000 <br />X Host LIQUOr Liability I <br />MEO EXP(Any one person) $ 5,000 <br />A Retail Liquor Liability _ Y N 3DS5475-M3942413 09/11/2025 09/12/2025 PERSONAL B ADV INJURY S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. 12:01 AM 12:01 AM GENERALAGGREGATE $ 2,000,000 <br />X POLICY JPE86 LOC PRODUCTS - COMPIOP AGG $ 2,000.000 <br />OTHER. Deductible S 1,000 <br />AUTOMOBILELWBILRY DOMBINEDSINGLELIMIT S <br />ANYAL-- _ Ea amitlenl <br />OWNED O BODILY INJURY (Per person) S <br />OWNED SCHEDULED <br />AUTOS ONLY 'AUTOS BODILY INJURY (Per accident) S <br />HIRED '~ NON NPROPERTY DAMAGE <br />AUTOS ONLY AUTOSS ONLYLY 1Peracdtlant S <br />S <br />UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br />EXCESS LIAR CLAIMS -MADE AGGREGATE S_ <br />DED RETENTIONS S <br />WORKERSC I PEROTH- <br />ANDEMPLOYERS' LIABILITY YIN STATUTE _ER <br />ANYPROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ <br />OFFICE RIM EMBER EXCLUDED? N/A <br />(MantlsWry In NMI EI. DISEASE - EA EMPLOYEE S <br />If ye, da.,be untler <br />DESCRIPTION OF OPERATIONS bekm E.L. DISEASE -POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD101,AUCitlonal Remarks SphatluWmrybaa"chWIfmoreepees Iarequir I <br />Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19. Attendance: 40, Event Type: Walking Event. <br />City of South Bend, IN <br />Special Events committee <br />227 W Jefferson Blvd <br />South Bend <br />ACORD 25 (2016/03) <br />IN 46601 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE ///y/// <br />/1 /"r RMLa <br />91988-2015 AC <br />The ACORD name and logo are registered marks of ACORD <br />reserved. <br />