Laserfiche WebLink
Indianapolis IN 46204 INSURER A: Mount Vernon Fire Ins Co <br />INSURED — - — INSURER 13: Founders Ins. Co <br />C J s Pub, Inc. <br />1409 Oakdale Or <br />South Bend IN 46614 } INSURER F: I J <br />COVFRAGES CFRTIFICATF NUMB<7R- CL2412371489 RFVISfrIN NI IMRFR• <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 VVHICH THIS <br />CERTIHCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALLTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TE OF INSURANCE <br />YP <br />POLICY NUMBER <br />ADAI POLICYF <br />MM <br />LIMITS <br />COMNIFRCIALGENERALLIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE ® OCCUR <br />..aoe <br />S 1�'� <br />$ 5.000 <br />UEOEXPaaaneMnml <br />PFRsO ALaADVINIURY <br />s 1,0D0,000 <br />A <br />CP2640194D <br />102512024 <br />10/25/2025 <br />AGGR [GATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />S 2,000,000 <br />GE IYL <br />POLICY ❑ PRO- <br />JECT LOC <br />PRODUCTS -COMPIOP AGG <br />S 2.000.0130 <br />$ <br />OWER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIWT <br />6 <br />BODILY INJURY (Per Pelson) <br />S <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per acddent) <br />S <br />PROPERTY DAMAGE <br />er ocdc l <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMSMADE <br />DED I I RETENTION S <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />PER Oil+ <br />STATUTE ER <br />EL EACHACCIDENT <br />S <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEM13ER EXCLUDED? <br />NIA <br />F1 DISEASE -EA EMPLOYEE <br />S <br />[Mandatory in NN) <br />If yes, dawbe under <br />DESCRIPTION OF OPERATIONS below <br />EL OSEASE-POLICY LIMIT <br />S <br />B <br />Liquor Liability <br />2024012970 <br />10/252024 <br />1025/2025 <br />Aggregate <br />Occurrence <br />$2,000.000 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additroml Remarlm BoheduK may he attached if more space is required) <br />C Eli l I I LAIIn HU LIJER GANUI=LLAHUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of South Bend <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />227 W. Jefferson Blvd <br />AUTHORIZED REPRESENTATIVE <br />South Bend IN 46601 <br />ry� s ) <br />A// "f/I, <br />091988-2015 AGORAS CORPORATION. All riahts reserved <br />ACORD 25 (2010103) The ACORD name and Ingo are registered marks of ACORD <br />