License - Public Parking Facility Renewal - 401 E Colfax Ave & 430 E. LaSalle Ave

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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/27/2025 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER McGriff Insurance Services LLC 150 S. Warner Road, Suite 460 King Of Prussia PA 19406 INSURED LAZ Parking Midwest, LLC 500 S. Front St., Suite 210 Columbus OH 43215 151LAZKAR Guarino ALC PHONA Mti 610-233 4846 (FAtc. Nas: e- L DORESS, susan, uarino m rifF.com INSURER(S) AFFORDING COVERAGE NAIC# National Union Fire Ins Co of Pitt. PA AIU Insurance Company Allianz Global Risks US Insurance Co COVERAGES CERTIFICATE NUMBER:1566186036 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 I�ADDL SUBR POLICY EFF PpLICYExP LTR TYPE OF INSURANCE I POLICY NUMBER MArIDOIYYYY MMIDD1YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 3609369 7/31/2024 7/31/2025 EACH OCCURRENCE $1.000.000 CLAIMS -MADE � OCCUR PREMISES Eeoccurren $ 1,000,000 MED EXP (Any one person) $ 10.000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERALAGGREGATE $2.000,000 POLICY JECT .' " ! LOC uI PRODUCTS -COMP/OPAGG $2.000,000 OTHER: L$ A AUTOMOBILE LIABILITY Y Y 3135689 7/31/2024 7/31/2025 COMBINED SINGLE UMIT Ea accdent $5,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PRO1'ERTYORMA4E $ $ C X UMBRELLA LIAB X OCCUR Y Y SEE SCHEDULE 7/31/2024 7/31/2025 EACH OCCURRENCE $100,000,000 X AGGREGATE $ 100,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE 1] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A Y WC014111735 7/31/2024 7/31/2025 .X TATU7 ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEEI s 1,o00,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A B Garagekeepers Liability Stop Gap Liability Y Y 3135689 WC014111735 7/31/2024 1 7/31/2025 1,000,000 7/31/2024 7/31/2025 Limits 1 M/1 M/1 M I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If agreed upon in a written contract or agreement, City of South Bend, Indiana is included as an additional insured for general liability, but only with respect to the operations of the named insured. L22102: Commerce Center Matthews 1 — 401 E Colfax Ave South Bend, IN 46617. Parking Spaces 300 CERTIFICATE HOLDER CANCELLATION City of South Bend, Indiana, Attn: Executive Director Venues 301 S. St. Louis Blvd South Bend IN 46617 USA 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 i2d-,C� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD