HomeMy WebLinkAboutProcession - Mamas Against ViolenceINTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT: 8/18/2017
TO: Ed Gleckler, Traffic & Lighting
ederico Rodriguez, Fire Department
Matt Longfellow, Engineering
Kara Wood, Park Department
Gene Eyster, Police Department
t
ll Sciccitano, Downtown South Bead
arcia Qualls, Streets
Legal Department
FROM: Linda M. Martin, Clerk
SUBJECT: PROCESSION RECOMMENDATION
SPONSOR: Mama's Against Violence
DATE OF EVENT: September_23, 2017 10:OOam-11:OOam
DATE DUE: September 5, 2017
FAX OR E-MAIL TO: 235-9171 1 Imartin southbendin. ov
RECOMMENDATIONS AND COMMENTS:
By Date
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Raschelle Beckwith
From:
Sent:
To:
Subject:
Favorable SBFD
Fire Marshal (Chico) Rodriguez
-----Original Message -----
From: Raschelle Beckwith
Federico Rodriguez
Friday, August 18, 2017 2:24 PM
Raschelle Beckwith
RE: Procession Recommendation-Mama's Against Violence
Sent: Friday, August 18, 2017 2:14 PM
To: Ed Gleckler <egleckle@south bend in.gov>; Federico Rodriguez <frodrigu@southbendin.gov>; Matt Longfellow
<mlongfel@southbendin.gov>; Kara Wood <kwood@southbendin.gov>; Eugene Eyster <eeyster@southbendin.gov>; Jill
Scicchitano <Jills@downtownsouthbend.com>; Marcia Qualls <mqualls@southbendin.gov>
Subject: Procession Recommendation-Mama's Against Violence
Please Provide Recommendation. Insurance Coverage is on its way.
-----Original Message -----
From: SouthBend
Sent: Friday, August 18, 2017 2:14 PM
To: Raschelle Beckwith
Subject: Message from "RNP002673DD3E73"
This E-mail was sent from "RNP002673DD3E73" (MP C6004).
Scan Date: 08.18.2017 14:13:39 (-0400)
Queries to: southbend@southbendin.gov
9177, PHILADELPHIA
INSURANCE CC MPANILs
A 'Oem-ht'r UI
One Bala Plaza, Suite 100, Bala Cynwyd, Pennsylvania 19004
610,617.7900 • Fax 610.617.7940 • PHLY.com
08/21/2017
Mamas Against Violence
PO Box 6784
South Bend, IN 46660
Re:EV20434
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IE
I Dear Valued Customer:
I
Thank you very much for choosing Philadelphia Indemnity Insurance Company
for your insurance needs. Our first class customer service, national presence and A++ (Superior) A.M.
m. Best financial strength rating have made us the selection by over 150,000 policyholders nationwide. I
realize you have a choice in insurance companies and truly appreciate your business.
I wish you much success this year and look forward to building a mutually beneficial business
partnership which will prosper for years to come. Welcome to PHLY and please visit PHLY.com to learn
I more about our Company!
i Sincerely,
i
Robert D. O'Leary Jr.
President & CEO
I Philadelphia Insurance Companies
RDO/sm
IN WITNESS WHEREOF, we have caused this policy to be executed and attested, and, it required by state
few, this policy shall not be valid unless signed by our authorized representative.
President & CEO Secretary
BJP-190-1 (12-98)
disclosed Personal Information about you in the last two years. There are some types of information, however, to which we are not
required to give you access. Information collected for the evaluation of a claim, or when the possibility of a lawsuit exists, will not be
disclosed. if your records contain medical information, we may ask you to name a licensed medical professional to whom we can send
such information so that it may be properly explained. You may be charged a fee if we copy your Personal Information for you.
You have the right to request that we correct, amend or delete any recorded Personal Information that you believe is inaccurate. Within
30 business days of receipt of your request, we will correct, amend or delete the inaccurate recorded Personal Information or notify you
the reason(s) that we are unable to make the change. If you disagree with our decision, you have the right to submit a concise
statement for your file setting forth the reasons you disagree with us and/or the correct, relevant or fair information. If you request, we
will provide you with a summary of our procedures by which you may request correction, amendment or deletion of your recorded
Personal Information.
� If we use an independent consumer reporting agency or insurance -support organization to prepare a report on you, you have the right to
be personally interviewed by them_ information you give during an in
will be included in the report sent to us. If you wish to be
interviewed, please tell us how the agency or organization may contact you, and every effort will be made to interview you. Even if you
are not interviewed, you have the further right to request that the reporting agency or insurance -support organization provide you with a
copy of the report it makes. Information obtained by a report prepared by an insurance support organization may be retained by that
m organization and disclosed to other persons. Write us at the address in this notice and we will give you the name and address of any
agency or support organization we have used to prepare a report on you so that you can contact them directly to find out more about
that report.
contact Us: Philadelphia Indemnity Insurance Company, One Bala Plaza, Suite 100, Bala Cynwyd, PA 19004
Attention: Chief Privacy Officer 062015
Philadelphia Indemnity Insurance Company
I
Form Schedule - Policy
Policy Number: EV20434
Forms and Endorsements applying to this Coverage Part and made a part of this
policy at time of issue:
i
j Form
Edition
Description
BIP1901
1298
Commercial Lines Policy Jacket
Pp2015
0615
Privacy Policy Notice
CPDPIIC
0614
Common Policy Declarations
Location Schedule
0100
Location Schedule
PICMEI
1009
Crisis Management Enhancement Endorsement
IL0021
0908
Nuclear Energy Liability Exclusion Endorsement
IL0017
1198
Common Policy Conditions
IL0117
1210
Indiana Changes - Workers' Compensation Exclusion
IL0158
0906
Indiana Changes
IL0272
0907
Indiana Changes - Cancellation and Nonrenewal
Page 1 of 1
Philadelphia Indemnity Insurance Company
i-
E COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS
i
i
Policy Number: EV20434
Agent # 107790
See Supplemental Schedule
€ LIMITS OF INSURANCE
I
$ 3 , 000 ,000 General Aggregate Limit (Other Than Products — Completed Operations)
$ 3,000, 000 Products/Completed Operations Aggregate Limit (Any One Person Or Organization)
m $ 1, 000, 000 Personal and Advertising Injury Limit
$ 1, 000, 000 Each Occurrence Limit
$ 100,000 Rented To You Limit
$ 0 Medical Expense Limit (Any One Person)
FORM OF BUSINESS: Non Profit Organization
Business Description: Special Events
Location of All Premises You Own, Rent or Occupy: SEE SCHEDULE ATTACHED
AUDIT PERIOD, ANNUAL, UNLESS OTHERWISE STATED: This policy is not subject to premium audit.
Rates Advanced Premiums
I
Prod.lCom p. Prod./Comp.
Classifications Code No. Premium Basis Prem.lOps. O s. Prem.lQps Ops.
p --
SEE SCHEDULE ATTACHED
[ TOTAL PREMIUM FOR THIS COVERAGE PART: $175.00 $
i
RETROACTIVE DATE (CG 00 02 ONLY)
f
f
This insurance does not apply to "Bodily Injury", "Property Damage", or "Personal and Advertising Injury" which actors before the
retroactive date, if any, shown below.
E Retroactive pate:
FORM (S) AND ENDORSEMENT (5) APPLICABLE TO THIS COVERAGE PART: Refer To Forms Schedule
Countersignature Date
Authorized Representative
Philadelphia Indemnity Insurance Company
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SUPPLEMENTAL SCHEDULE
Policy Number, EV20434
Classifications Code No.
Premium Basis
Rates
Prem./Ops. Prod./Comp. Ops.
.............
Advance Premiums
Prem.tops. ProddComp. Ops.
PREM NO, 001
IN ATTENDEES 63218
300 ATTENDANT
$ 0.15
ADDITIONAL INSURED
EVENT PREMIUM
$ 175.00
TOTAL PREMIUM
$ 175.00