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• <br />ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />DATE IM..DIYYYY) <br />0311712025 <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 <br />John Scott Insurance <br />105 Commercial St. <br />DOWaglac, MI 49047 <br />CONTACT <br />NAME: Katie Furner <br />PANE 269.782-2123 FAX <br />N Sall A/C No: 2064394224 <br />EAIL <br />BB: katie 'ohnscottinsurance.com <br />INSURE 8 AFFORDING COVERAGE <br />NAIC0 <br />INSURER A: Franken nu h Insurance Company <br />13986 <br />_ <br />INSURER 8: MWilson <br />INSURED <br />Purple Porch CO-OP <br />- <br />Kristy Robinson <br />INSURERC: <br />123 N Hill St <br />INSURER O: <br />South Bend, IN 46617-2717 <br />INSURER E: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 00014185-0 REVISION NUMBER: 21 <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 CONTRACTOR 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 />IMSR, <br />LTR TYPE OF INSURANCE <br />ADOL <br />UBR <br />' POLICYEFF P0UCYEXP <br />POLICY NUMBER MMNO M O <br />L as <br />A X COMMERCIAL GENERAL UIBILRY <br />Y <br />6674956 02/1112025 02/11/2026 <br />EACH OCCURRENCE <br />s 1,000,000 <br />CLAIMS -MADE X OCCUR <br />PREMSE filtu n <br />$ 500000 <br />S 5000 <br />_ <br />MEG EXP (My we person) <br />$ 1000000 <br />PERSONAL $ADVINJURY <br />IS 2000000 <br />_GEN'L AGGREGATE LIMIT APPLI ES PER. <br />X POLICY EI PEA _ LOD <br />_GENERAL AGGREGATE <br />PRODUCTS-COMP/OP AM <br />$ 2,000,000 <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT <br />Ea accident <br />S <br />ANY AUTO <br />BODILY INJURY (Per Person) <br />$ <br />H <br />AU OS ONLY IED AUTOSULED <br />HIRED NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY (Per accident)I <br />PROP <br />PROP TY <br />ERTY <br />ERTY DAMAGE <br />S <br />5 <br />S <br />A <br />X <br />UMBRELLALMB X OCCUR 6674956 02111/2025 02/11/2026 <br />EACH OCCURRENCE <br />'S 1,000,000 <br />$ <br />EXCESS LIAR CLAIMS-MADEI <br />AGGREGATE <br />IS <br />DIED RETENTIONS 0 <br />A jWORK ER9 COMPENSATION 6674955 10211112025 02/11/2026 <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTVE <br />OFFICERIMEMBER EXCLUDED? NIA <br />.STATUTE ER <br />E.L. EACH ACCIDENT <br />1000000 <br />, , <br />It1,000,000 <br />$ 1,000,000 <br />(Myandatory, in NH) <br />If DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE - EA EMPLOYE <br />EL.DISEASE - POLICY LIMIT <br />5 1,000,000 <br />B DO EPP4918014 02/11/2025 02/1112026 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Sehedulo, may be adacbeci if more space Is required) <br />The certificate holder is listed as an additional insured <br />The City of South Bend <br />227 W. Jeffereson Blvd. <br />South Bend, IN 46601 <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 />J +- - <br />© 1988.2015 ACORD CORPORATION. All rights reserve; <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by KEF on 03/17/2025 at 09:27AM <br />