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DATE /YYYY)
<br />A
<br />CRRLL!! CERTIFICATE OF LIABILITY INSURANCE 1T7/20m2o25
<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 policy(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 rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER CONTACT
<br />NAME: $llSl@ GuarinD _
<br />McGriff Insurance Services LLC PiioiuE — FAX
<br />150 S. Warner Road, Suite 460 .(A(,P,AQ, 610 233-4846 tr;c, Npj
<br />E-MAIL
<br />King Of Prussia PA 19406 ADDRE". sugar[. uarina m liff.com
<br />INRUREWSI AFFORDING COVERAGE NAIC #
<br />INSURER A: National Union Fire Ins Co of Pitt. PA 19445
<br />INSURED 151LAZKARP INSURERB: AIU Insurance Company 19399
<br />LAZ Parking Midwest, LLC
<br />500 S. Front St., Suite 210 INsulzERc: Allianz Global Risks US Insurance Co 35300
<br />Columbus OH 43215 INSURERD:
<br />INSURER E:
<br />INSURER F :
<br />rnucr,rrro 1%C0rIC1f Ar= Kit leenCo•nennsnee7 RFVISION NIIMRFR.
<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 ADDL U9R: 1 POLICY EFFPOLiCY E_XP
<br />LTR POLICYNUMBER MMIDDIYYYY MMID
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />3609369
<br />7/31/2024
<br />7/31/2025
<br />1 EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE XI OCCUR
<br />TED
<br />P EMI 0'"anwl
<br />S 1.000,000
<br />MED EXP (Any one person)
<br />$ 10.000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L.AGGREGATELIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />POLICY _ X _ PRO 7X] LOC
<br />JECT
<br />$
<br />OTHER:
<br />A AUTOMOBILE LIABILITY
<br />Y
<br />Y
<br />3135689
<br />7/31/2024
<br />7/3112025
<br />COMBVNEO&INGLE LIMIT
<br />C+1 denl
<br />$ 5,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />OWNED -� SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident)
<br />-
<br />$
<br />PROPER;� l AMAGE
<br />$
<br />C X
<br />UMBRELLA LIAB X OCCUR Y
<br />Y
<br />SEE SCHEDULE
<br />7/31/2024 7/31/2025
<br />EACH OCCURRENCE
<br />$ 100,000.000
<br />AGGREGATE
<br />$ 100,000,000
<br />X
<br />EXCESS LIAB ` CLAIMS -MADE,
<br />$
<br />DED TENTION S I
<br />B I WORKERS COMPENSATION I
<br />AND EMPLOYERS' LIABILITY YIN
<br />Y
<br />WC014111735
<br />7/31/2024 7/31/2025
<br />A STA7U E ER
<br />$ 1.000,000
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUE Fq, N / A
<br />(Mandatory in NH)
<br />E L. DISEASE - EA EMPLOYEE
<br />$ 1.000,000
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E L. DISEASE - POLICY LIMIT
<br />A Garagekeepers Liability Y Y 3135689 7131/2024 7/31/2025
<br />B Stop Gap Liability WC014111735 7/31/2024 { 7/31/2025
<br />1,000.000
<br />Limits 1M/1M/1M
<br />I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />If agreed upon in a written contract or agreement, City of South Bend, Indiana is included as an additional insured with a waiver of subrogation in their favor for
<br />general liability, but only with respect to the operations of the named insured. Re: M22126 - 126 N. Main St, South Bend, IN 46601
<br />r:FRTIFICATE HOLDER CANCELLATION
<br />City of South Bend, Indiana, Attn: Executive Director
<br />Venues
<br />301 S. St. Louis Blvd
<br />South Bend IN 46617
<br />USA
<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
<br />A201_4t
<br />©1988-2015 ACORD CORPORATION. All rights reservea.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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