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L <br />ACORO' <br />KINGPAR-01 <br />CERTIFICATE OF LIABILITY INSURANCE <br />SHIELLIEBRAGG <br />DATE (MMIDD/VYri) <br />8/2212025 <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 endorsements . <br />PRODUCER _NAMTRCT <br />NFP Property & Casualty Services, Inc. PHONE FAX <br />(aC, No. Eat: 317 808.7272 AK:, NI 972-7142 <br />8900 Keystone Crossing <br />Suite 900 nb"b�tl <br />Indianapolis, IN 46240 <br />INSURERS AFFORDING COVERAGE NAICa <br />INSURER A: Cincinnati Insurance Company 10677 <br />INSURED INTEND INDIANA/ AFFORDABLE HOMEMATTERS INDIANA INSURER 8: <br />LLC INSURER C : <br />BUILD FUND LLCIEDGE FUND LLC INSURER O: <br />1704 BELLEFONTAINE ST <br />Indianapolis, IN 46202 INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 <br />TYPE OF INSURANCE <br />ADOL <br />sUSR <br />POLICY NUMBER POLICY EFF <br />POLICY E%P <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />)( <br />ENP 0004967 1DI8/2D24 10/BI2025 <br />EACH OCCURRENCE <br />PREMISES E( RENTED <br />MED EXP (Any one erim <br />PERSONALaADVINJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMPIOP AGG <br />$ 1,000,000 <br />100,000 <br />$ <br />' $ $1000 <br />I il 11000,000 <br />S 2,000,000 <br />S 2,000,000 <br />S <br />EN'L AGGREGATE LIMIT APPLIES PER: <br />' POLICY jE� LOC <br />OTHER: <br />A AUTOMOBILE LIABILITY <br />_ ANY AUTO <br />_ AUgT�O�S ONLY ALoITFFIIOSWyULryryEEED <br />X AUTOS ONLY X AUTO ONLDV <br />J( <br />IENP 0004967 1018/2024 101812025 <br />COMBINED SINGLE LIMIT <br />BODILY INJURY Per arson <br />BODILY INJURY Per acchlenl <br />PerOamdryent MAGE <br />S 1,000,000 <br />S 1,000,000 <br />S 1,000,000 <br />S 1,000,000 <br />A X UMBRELLA LAB x OCCUR <br />EXCESS LAB CLAIMS -MADE X ENP 0004967 1018/2024 10/812025 <br />DIED : RETENTIONS <br />EACH OCCURRENCE <br />AGGREGATE <br />S 2,000,000 <br />S 2,000,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETgOERPARTNERIEXECUTIVE YIN <br />WOF1daRryEn NNR EXCLUDED' J' NIA <br />NN <br />If yes describe under <br />DESC R14TION OF OPERATIONS below <br />PER OTH- <br />E.L. EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYE <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />S <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD fat, Additional Remarks Schedule, may be aKached Kmore space Is required) <br />City of South Bend is named as additional insured where their interest may appear. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CI of South Bend <br />City <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />,�I`o/I <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />