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A ® DATE (MYYY) <br />���IlllllllLJJ CERTIFICATE OF LIABILITY INSURANCE 1/7/2025/2025 <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 pollcy(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: Susie Guarino <br />McGriff Insurance Services LLC PHONE 610-233 4846 FAC.NnI: <br />150 S. Warner Road, Suite 460 E'L <br />King Of Prussia PA 19406 AeDxtss: susamguarinD.lMmcgriffcom <br />INSURER A: National Union Fire Ins Co of Pitt. PA 19445 <br />INSURED 151LAZKARP WSURERB: AIU Insurance Company 19399 <br />LAZ Parking Midwest, LLC <br />ua <br />500 S. Front St., Suite 210 suRER c : Allianz Global Risks US Insurance Co 35300 <br />Columbus OH 43215 INSURER6: f <br />INSURER E: ` <br />r MIICMAnce t'=0711=1f`ATC kil IIIAM=D- 01aa0caz7 RFVISI()N 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 AODL SUBR POLICY EFF PpL1CYEXP <br />L7 WV POLICY NUMBER MID M LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />3609369 7/31/2024 <br />7/31/2025 EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE F - - OCCUR <br />DAMAGE TO RENTI='D---7 <br />PREMIAE-StEa omuffencel S 1,000,000 <br />MED EXP (Any oneperson) $ 10.000 <br />PERSONAL & ADV INJURY $ 1,000.000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />. GENERAL AGGREGATE $2,000.000 <br />- <br />POLICY PECOTFX LOC <br />PRODUCTS -COMP/OP AGG S 2.000,000 <br />.. OTHER: <br />$ <br />A AUTOMOBILE LIABILITY <br />Y <br />Y <br />3135689 <br />7/31/2024 <br />7/31/2025 COMBINEDSiNGLELIMIT $5,000,000 <br />[Ea accidanl] <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />BODILY INJURY (Per person) S <br />BODILY INJURY (Per accident) $ <br />FIR EfiTY DAMAGE $ <br />AUTOS ONLY AUTOS ONLY <br />c t <br />)$ <br />C X UMBRELLA LIAB X OCCUR <br />Y <br />Y <br />SEE SCHEDULE <br />7/31/2024 <br />7/31/2025 EACH OCCURRENCE <br />$ 100,000,000 <br />$ 100,000,000 <br />X EXCESS LIAB CLAIMS -MADE <br />I <br />,AGGREGATE <br />$ <br />. QED T TJLlAf5 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y <br />N <br />Y <br />WC014111735 <br />7/31/2024 <br />I <br />7/31/2025 <br />CTH- <br />IX STATUTE ER <br />EL EACH ACCIDENT <br />$ 1,000,o00 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000.000 <br />OFFICER/M EMBER EXCLUDED? ] <br />(Mandatory in NH) <br />NIA <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />I <br />EL. DISEASE - POLICY LIMIT S 1,000,000 <br />A Garagekeepers Liability <br />B Stop Gap Liability <br />I <br />Y <br />Y <br />3135689 <br />, WC014111735 <br />1 <br />024 <br />024 <br />772 <br />1.000,000 <br />7I31I7/31/2025 2025 I I Limits 1M/1MI1M <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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: M22125: 121 E Wayne St, South Bend, IN 46601 <br />CERTIFICATE HOLDER CANCELLATION <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, Indiana, Attn: Executive Director ACCORDANCE WITH THE POLICY PROVISIONS. <br />Venues <br />301 S. St. Louis Blvd AUTHORIZED REPRESENTATIVE <br />South Bend IN 46617 <br />USA <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />