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INSURANCE BINDER <br />DATE <br />AGENCY <br />COMPANY <br />-- --- __ <br />Gibson Insurance Agency, Inc. <br />Federal Ins Co <br />..N) s <br />130 S Main St, Ste 400 <br />DEDUCTIBLE <br />81422150777 <br />AMOUNT <br />DATE EFFECTIVE TIME <br />EXPIRATION <br />PO Box 11177 <br />X AM <br />X 12:01 AM <br />South Send IN 46601 -0177 <br />3/2/2014 12:01 PM <br />61212014 NOON <br />AIC NO (800)814 -2122 FAX 800)836 <br />Ext: .( -2122 <br />THIS SINGER IS ISSUED TO EXTEND COVERAGE <br />X <br />IN THE ABOVE NAMED COMPANY <br />CODE: 7-35068 SUB CODE: <br />PER EXPIRING POLCY#. 35903434 <br />RENT MI S <br />MEOEXP(Myonepersn) <br />AGENCY 00003140 <br />CUSTOMER <br />DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY <br />Commercial Property: <br />OncluElnp LOCallon) <br />INSURED <br />City of South Bend <br />Eddy Street Commons <br />PERSONAL A ADV INJURY <br />1200 N County City Building <br />Parking Garage <br />Dept of Admin & Finance <br />South Bend, IN <br />GENERAL AGGREGATE <br />South Bend IN 46601 <br />rnvcaeaFc <br />MORTGAGEE u ADDITIONAL INSURED <br />LOAN p <br />AUTHORIZED REPRESENTATIVE <br />Ins Agency /ALKIRE <br />ACORD 75 (2010/04) Page 1 of 2 ©1993 -2010 ACORD CORPORATION. All rights <br />INS075 po1oo ).D2 The ACORD name and logo are registered marks of ACORD <br />LIMITS <br />TYPE OF INSURANCE <br />PROPERTY CAUSESOFLOSS <br />COVERAGE�FORMS <br />DEDUCTIBLE <br />COINS% <br />AMOUNT <br />BASIC BROAD [A] SPEC <br />Building & Infrastructure, Special form <br />Business Income & Rental Value, Special form <br />25,000 <br />25,000 <br />36,000,000 <br />15,000,000 <br />GENERAL <br />LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAMS MADE OCCUR <br />RENT MI S <br />MEOEXP(Myonepersn) <br />E <br />$ <br />PERSONAL A ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />RETRO DATE FOR CLAIMS MADE: <br />PRODUCTS - COMPIOP AGG <br />$ <br />VEHICLE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />BODILY INJURY Per person <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY(Peractldenl) <br />$ <br />SCHEDULEDAUTOS <br />PROPERTY DAMAGE <br />$ <br />HIRED AUTOS <br />NON -0WNEO AUTOS <br />MEDICAL PAYMENTS <br />$ <br />PERSONAL INJURY PROT <br />$ <br />UNINSURED MOTORIST <br />$ <br />ACTUAL CASH VALUE <br />$ <br />VEHICLE PHYSICAL DAMAGE CEO <br />ALL VEHICLES Ll SCHEDULED VEHICLES <br />COLLISION : <br />STATEDAMOUNT <br />$ <br />OTHER THAN COL• <br />GARAGE LABILITY <br />AUTOONLY- EAACCIDENT <br />$ <br />ANYAUTO <br />OTHER THAN AUTO ONLY: <br />EACHACCIDENT <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />UMBRELLA FORM <br />AGGREGATE <br />g <br />OTHER THAN UMBRELLA FORM <br />RETRO DATE FOR CLAIMS MADE: <br />SELF - INSURED RETENTION <br />$ <br />WORKER'S COMPENSATION <br />WC STATUTORY LIMITS <br />E. L. EACH ACCIDENT <br />$ <br />AND <br />EMPLOYER'S LIABILITY <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE, POLICY LIMIT <br />$ <br />SPECIAL <br />CONDITIONS I <br />FEES <br />E <br />TAXES <br />E <br />OTHER <br />COVERAGES <br />ESTIMATED TOTAL PREMIUM <br />E <br />- e • ^ ^ ^' ^^ <br />MORTGAGEE u ADDITIONAL INSURED <br />LOAN p <br />AUTHORIZED REPRESENTATIVE <br />Ins Agency /ALKIRE <br />ACORD 75 (2010/04) Page 1 of 2 ©1993 -2010 ACORD CORPORATION. All rights <br />INS075 po1oo ).D2 The ACORD name and logo are registered marks of ACORD <br />