Laserfiche WebLink
A � CERTIFICATE OF LIABILITY INSURANCE <br />;, " <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFKATE HOLDER THIS <br />CERTIFICATE DOES NOT AFFIRM 174MY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT MNSTfTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AIITHORGED <br />REPRESENTAME OR PRODUCER AN D THE CERTI RCATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pnlicyges) must have ADDITIONAL INSURED provisions or be endorsed. <br />R SUBROGATION IS WANED, subject to the terms and comfitio1ns of the policy, certain policies may require an endorsement A stalemand on <br />this certificate does not confer rights to the car6ficate holder i n lieu of such endorsement(s). <br />PRODUCER <br />13�800 Jackson Rd LLC <br />Mishamoa IN 46544 <br />WE cr JessicaRcush <br />PM4XE 5742316514 Mew <br />E"MmN.Lss. IrausH@s InwR rcu <br />E6NE ARFpiNIG CLVERAGE sent <br />WSURERA: K A K Insurance Grou <br />ISUNNED srIOSFPa <br />St Joseph County 4-H Fair, Inc. <br />5117 Imnmod Road <br />wsuRERe:lntliare FamrrslnwRrca <br />22824 <br />MSURERc: <br />rsURERo: <br />South Bend IN 46614 <br />INSURERE: <br />WURERF: <br />COVERAGES CERTIFICATE NUMBE11:533293897 RMSION NUMBER: <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 WGH RESPECT TO WHICH THIS <br />CERTIFICATE MY BE ISSUED OR MY PERTAIN, THE NSURANCE AFFORDED BY THE P ES DESCRIBED HEREIN IS SUBUMT TO All THE TERMS <br />FXCLUSIONSAND CONDITIONSOF SUCHPOLIOES. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID OLuMS. <br />son <br />L <br />MEOFIMSIRNICE <br />WOOL <br />Man <br />1OHCYNIWER <br />PLAID EW <br />NMOM <br />UNNS <br />A <br />X <br />CON®IMLOENENALUOBEIry <br />WMSIMDE OCWR <br />Mywp05016TwN <br />WIW2026 <br />Vlaoao6 <br />EACH OCCURRENCE <br />f1.000000 <br />MINfF TIrRENIT-0 <br />f300000 <br />PD DP <br />loom <br />PERsowusawlwMm <br />10110000 <br />GENLAGGPEWIEppMpp1ppR.. <br />X <br />ARLESPER: <br />POLICY �,EOT �ILC <br />mNDi <br />GEdRN.AGGMkTE <br />55.000.000 <br />55000000 <br />f <br />R <br />I <br />mO EUMII <br />ANr AUTO <br />OWem XHEDUUD <br />AUTOS ONLY auras <br />HIRED X NY481 0Nr <br />AUTOS ONLY ALTOSONLY <br />CAP1012112 <br />311W025 <br />W1M026 <br />SMGIE Uvo <br />11,000A00 <br />X <br />PUILYmJURY(PeviN" <br />E <br />GODLYNMRr A'Mev:NmV <br />s <br />Z' <br />gppERtt MMpGE <br />f <br />f <br />A <br />X <br />UN LLALIM <br />IXQSAND <br />X <br />OCgq <br />CWMSJMDE <br />MK%Om05m6T51m <br />W1W2025 <br />3/1WOM <br />WOVOWJIRENCE <br />fSBm,Om <br />AGGREGATE <br />55,000,0110 <br />DEO <br />RETENTIMS <br />S <br />D <br />RONEeRSCOWFNWTIDN <br />Mm EN0.0YSINWLIAPIITV YIN <br />MIWRCPRETONPM3RET4EX9:m1VE <br />OFTICQ IVGERFXCL110Em <br />(MmEvbyln Im <br />3 ae9;beomm <br />CESWPICN CFd£MTCN. bWv <br />NIA <br />MP1002324 <br />WIW2025 <br />W1W2026FI <br />X RNIE <br />El EOLNAWOENT <br />f50%m0 <br />E1.DI3EARE-EAELPIDYE <br />fmDmO <br />ELDNEASE-POU Uaffr <br />f500.000 <br />A <br />MnENenw <br />wi'mm5m6T5m1 <br />311WO26 <br />31IW2026 <br />RenlemavxEryup <br />P:n UmN <br />Dewy° <br />300,m0 <br />'100,m0 <br />10 m <br />OESCRREpNOF OFERTIpIA/LOI1,1tlN3/YEHCLFi (AISROIBI.AJSIiontl Rnnvla See W.mryb¢v1M¢b¢J%ngn¢pv¢kvpW,¢JI <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WRHTHE POUCY PROVISIONS. <br />CI'0Ny of South Bend <br />2Y/ W. Jefferson Blvd, Suite 1400 S. <br />South Bend IN 46601 <br />AURORUEDIEMMWATME <br />f" <br />019M2015ACORDCORPORATION. Allrightsmoarved. <br />ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />