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

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OIR 05/2828CERTIFICATE OF LIABILITY INSURANCE DATE//2025 Y) 025 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). CONTACT PRODUCER NAME. PHONE 800-962-7132,H6 800-845-3666 Liberty Mutual Insurance HONEg �• F E-MAIL blLal.comPO BOX 188065 ADDRESS servcepu�Im INSURERIS) AFFORDING COVERAGE NAIC # Fairfield OH 45018 INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B Smart Park Inc lNsuRERc PO Box 44951 INSURER D INSURER E : Detroit MI 48244 INSURER F: :OVERAGES CERTIFICATE NUMBER: 0088185671 REVISION NUMBER: 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. R ADOL Vol BR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE rNSD W POLICY NUMBER MMIDDIYYI'Y MMiDD1YYYY X COMMERCIAL GENERAL ;;LIABILITY EACH OCCURRENCE S 1,000,000 M9ACLAIMS-MADE (� OCCUR PREMIGSEStEaoxwrer'p%yS 300'000 MED EXP(Any one Aw9on} I S 15,000 A X X BKS62567338 01/04/2025 01/04/2026 PERSONAL & ADV INJURY S 1,000-000 I GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 PRO- LOC X POLICY PRODUCTS - COMP/OP.AGG 5 2��U�00� JECT I5 [ S OTHER: COM IINECr SINGLE LINTS AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED NON -OWNED PROPE DAMAGE $ AUTOS ONLY AUTOS ONLY t S UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 I �i EXCESS LIAB r CLAIMS -MADE AGGREGATE S QED RETENTIONS S PER OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFiCER7AAEMBEREXCLUDED? NIA EL DISEASE - EA EMPLCYEI=; $ in NH) If de%mbe under E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS below _ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Location: 133 N Main St, South Bend, IN 46601 City of South Bend and Saigon Market are Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. CERTIFICATE HOLDER CANCELLATION 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. Saigon Market AUTHORIZED REPRESENTATIVE 227 W Jefferson Blvd Suite 1400s I South Bend IN 46601 3 Curtis Luken ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD