05-11-09 Common Council Meeting Agenda & Packet

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--- C~:F[~~TI lF~t:LE~'~ I'?~ Eh9~!!E~~l:.'-('•r`'- I m~~~»M1nn COVERAGES ~n+a rn rv ~.cn nrr iniar rrtt rvuctts qt IIVSU RANGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTAND{NG 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, EXCLUSIC+NS AND CONDITION OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED 6Y PAID CLAIMS. INS LTR POLICY TYPE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS General A re ate 2,000,ODO GL AXGL01100182-OS 11/0112008 11/01!2009 Products-Com leted erations A re ate 1,000.000 A 12 01 Personal and Advertisin In'u 1,000,000 : a.m. 12:01 a.m, Each Occurrence 1,000,000 . D ma a to Premise R nted to You An One Premises 1 000 000 Medical Ex ense Limit An One Person Excluded RESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Coverage applies to USA Track 8 Field sanctioned events and registered practices, including any directly related activities, such as event set-up and tear-down, participant check-in and award ceremonies. The Certificateholder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Farm AXIS 1003-Additional Insured - Cenificalehotders but only with respect r~ tie DI I~ISCAI TCAI ..., n_.:~ or ~nnn i i i 1 i CERTIFICATE HQLDER i i r PRODUCER THIS CERTIFICATE IS fSSUED AS A MATTER OF INFORMATION ', American Speualty Insurance & Risk Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 142 NOftt"t Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR Roanoke, Indiana 46783 ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. (NSURI=D USA T k & Fi ld I INSUREP.S AFFORDI4VG COVERAGE rac e nc. , 132 East VVashin ton St t it S 800 INS. A: AXIS Insurance Company g ree , e u Indianapolis IN 46204-3723 INS B: , INS. C: CARE OF SOUTH BEND P.O. BOX 1481 SOUTH BEND. IN 46624 . CERT NUMBER: 1000746556 ` EVENT CODE: 09-16-001 rn~Ircl ~ n-rr~,~r CITY OF SOUTH BEND AND THE BOARD ATTN: BETSY HARRIMAN 1020 HIGH STREET 150UTH BEND, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.