Public Parking Facility Renewal - Smart Parking 220 Colfax & 133 Main

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�C ® DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/28/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Liberty Mutual Insurance HIn E■:y 800-962-7132 FAX ,No}, 800-845-3666 PO BOX 188065 a nRess; servioeplUS@IibertymuWl.com INSUREgMAFFORDING COVERAGE I NAIC u Fairfield OH 45018 INSURERA- Ohio Security Insurance Company 24082 INSURED INSURERS: Smart Park Inc INSURER C: PO Box 44951 INSURER D INSURER E : Detroit MI 48244 1NSIIRER F : rnvronr_crc r'CGT[CI(`ATG IJIIMRFR- nn9d1�SGR,R RFVISInN N11MRFR: 2016-03 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR ADDLiSUBR POLICY EFF I POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 SES Ee occurrence 300,000 CLAIMS -MADE X OCCUR REAM S VIED EXP Anyane. a(SGn] S 15,000 A u X X BKS62567338 01/04/2025 01/04/2026 PERSONAL BADVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT AP��P—L�IIE�S PER: IyI GENERAL AGGREGATE i s 2,000,000 X POLICY _ PRO I � JECT LY I LOC PRODUCTS - COMP/OPAGG . S 2,000,000 I $ OTHER: AUTOMOBILE LIABILITYM9IN@DSINGLE. LIMITS ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS _ HIRED NON -OWNED PROPERTYDAMAGE S AUTOS ONLY AUTOS ONLY (Par accident) 5 UMBRELLA LIAB . OCCUR EACH OCCURRENCE S EXCESS LAB CLAIMS -MADE' AGGREGATE S DE❑ RETENTION S� WORKERS COMPENSATION A ER STATUTE AND EMPLAYER&' LIABILITY YIN i ANYPROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENTOFFICEMMS EXCLUDED? NIA (Mandatory inn NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Location: 220 W Colfax Ave. South Bend, [N 46601 City of South Bend and CPO LLC are Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional insured Provision, ^em] let^ATC U^1 nL"a rAhIr'11:1 I ATInAI City of South Bend SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CPO LLC AUTHORIZED REPRESENTATIVE 227 W Jefferson Blvd Suite 1400s South Bend IN 46601 - Curtis Luken © 19BB-2015 AGURU CURPURAI IUN. All rlgnts reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD