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TTROOPE <br />ACORO CERTIFICATE OF PROPERTY INSURANCE DATE (MMIOO YYYY) <br />osnonozs <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 />PRODUCER <br />I at Source Insurance, Inc. <br />3909 Grape Road <br />Mishawaka. IN 46545 <br />INSURED <br />Tudor Inns, Inc. dba/Barnaby's <br />713 E Jefferson Blvd <br />South Bend, IN 46617 <br />271-5200 <br />PnVW0An=Q PFRTILIPATF NI IMRFR• RFVISInN NIIMRFR- <br />LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (AMch ACORD 101, AEEitbnal Remarks Schedule, d more space le ,".ired) <br />1 1 713 E. Jefferson Blvd, South Bend, IN, 46617 <br />2 1 116 S. St. Louis St., South Bend, IN, 46617 <br />2 2 116 S. St. Louis St., South Bend, IN, 46617 <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 TYPE OF INSURANCE <br />LTR <br />POLICY NUMaER <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE IMWOD/YYYY) DATE(MMRIOIYYYY) <br />COVERED PROPERTY <br />LIMITS <br />A X ' PROPERTY <br />CAUSES OF LOSS <br />BASIC <br />BROAD <br />X SPECIAL <br />EARTHQUAKE <br />WIND <br />FLOOD <br />DEDUCTIBLES <br />BOP1009649 <br />01/01/2025 01/01/2026 <br />X <br />X <br />BUILDING S 1,440.SS2 <br />PERSONAL PROPERTY $ 421.300 <br />BUSINESS INCOME S <br />EXTRA EXPENSE $ <br />RENTAL VALUE $ <br />BLANKET BUILDI NG $ <br />BLANKET PERS PROP $ <br />BLANKET BLOG S PP $ <br />Equipment Breakdown S 50,000 <br />$ <br />BUILDING 1,000 <br />CONTENTS <br />1,000 <br />X <br />INLAND MARINE <br />CAUSES OF LOSS <br />NAMED PERILS <br />TYPE OF POLICY <br />POLICY NUMBER <br />$ <br />'S <br />S <br />5 <br />CRIME <br />TYPE OF POLICY <br />S <br />$ <br />S <br />BOILER S MACHINERY / <br />— EQUIPMENT BREAKDOWN <br />$ <br />S <br />$ <br />SPECIAL CONDITIONS I OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be a0achad N more space is required) <br />City of South Bend <br />1250 S Lafayette Blvd <br />South Bend, IN 46601 <br />ACORD 24 (2016103) <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 />REPRESENTATIVE <br />1995-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />