HomeMy WebLinkAbout3A2 Exhibit C Regarding Insurance Compliance (First Mortgage Revenue Bond 2013)bank:,
Global Corporate Trust Services
60 Livingston Avenue, EP-MN-WS3C
St. Paul, MN 55107
usbank corn
March 1, 2019
Ms. Jennifer Hockenhull, Controller
City of South Bend, Indiana
1400 County -City Building
227 West Jefferson Blvd.
South Bend, IN 46601
Re: City of South Bend Building Corporation First Mortgage Revenue Bond of 2013
Dear Ms. Hockenhull:
This letter is being sent in advance of the due date of the following item(s) to assist you in providing us with the
required documentation in a timely manner.
Item Document Reference Due Date
Exhibit C Regarding Insurance Compliance Mortgage, Indenture of Trust & Agreement 03/31/2019
6.03
If the requested item(s) has been sent, you may disregard this letter.
If possible, please send your item(s) to us electronically in an unalterable portable document format (pdf).
We appreciate your attention to this matter. Please contact me at the telephone number or email address below to
discuss any questions or concerns you may have regarding the content of this letter. You may also contact your
Relationship Manager, T. Scott Fesler, at 317-264-2501.
Sincerely,
4321�_'
Diane Carlson
Trust Review Analyst
Telephone: 651-466-6288
Facsimile: 651-466-7427
Email: diane.carlson@usbank.com
Account Number: 206670000
Tickler Number(s): 1231185
ACCW" CERTIFICATE OF PROPERTY INSURANCE
Il._�
DATE (MMIDDIYYYY)
06/22/2018
THIS CERTIFICATE IS ISSUED ASA 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.
PRODUCER kOMEACT Stephen Swihart
Gibson Insurance Agency, Inc PHONE(800) 814-2122 FAX 800 836-2122
130 S Main St, Ste 400
TYPE OF INSURANCE
ADDRIESS;
sswihart@gibsonins.com
PO Box 11177C
COVERED PROPERTY
RODUCER
00003140
South Bend
IN 46601-0177
WSUR£R{S)AFFORDING COVERAGE
A:
g Lexin ton Ins Co
INSUREDINSURER
1 City of South Bend and Any Subsidiary
CAUSES OF LOSS DEDUCTIBLES
INSURER B
227 W Jefferson Blvd
INSURER C;
$
Dept of Admin & Finance
BASIC eUiLDINt;
INSURER D :
South Bend
IN 46601
INSURERE
�
INSURER F
COVERAGES CERTIFICATE NUMBER: 18/19 Prop REVISION NUMBER:
LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Loc# 00001: Dept. of Admin. & Finance 1200 N County -City Building South Bend IN 46601
See Attached Overflow Pages
I HIS 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.
NAIC #
19437
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNYYY)
POLICY EXPIRATION
DATE (MMIDDIYYYY)
COVERED PROPERTY
LIMITS
X PROPERTY
BUILDING
CAUSES OF LOSS DEDUCTIBLES
PERSONAL PROPERTY
$
BASIC eUiLDINt;
BUSINESS INCOME
�
BROAD CONTENTS
EXTRA EXPENSE
SPECIAL
RENTAL VALUE
5
EARTHQUAKE
S
A
017471589/05
07/01/2018
07/01/2019
BLANKET BUILDING
WIND
S
BLANKET PERS PROP
FLOOD
S
BLANKET BLDG & PP
X Equipment 50,000
S 25,000,000
X
Per occurrence
S
INLAND MARINE
TYPE OF POLICY
5
CAUSES OF LOSS
S
POLICY NUMBER
S
NAMED PERILS
S
CRIME
S
3
TYPE OF POLICY
S
BOILER & MACHINERY I
• EQUIPMENT BREAKDOWN
$
S
5
SPECIAL CONDITIONS I OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Total Insured Limit: $550,000,000. Listing of carriers for Excess Limits above $25,000,000 available upon request. This confirms the City of South Bend
Building Corporation, re: First Mortgage Revenue Bond of 2013, has adequate coverage as required by Section 6.03 of the Trust Indenture.
CERTIFICATE HOLDER
US Bank - Global Corporate Trust Services Diane Carlson, Trust
60 Livingston Avenue
EP-MN-WS3C
St. Paul MN 55107
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
@ 1995-2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD
OFFICER'S CERTIFICATE
Reference is made to the Mortgage and Trust Indenture dated as of May 1, 2001
(the "Governing Document"), between the City of South Bend Building Corporation, a
not-for-profit corporation organized and existing under the laws of the State of Indiana, as
amended, and Wells Fargo Bank, N.A., as trustee (the "Trustee")
The undersigned officer hereby certifies to the Trustee that:
i. I have read all relevant sections of the Governing Documents relating to
insurance and the definitions relating thereto;
ii. I have made such examination or investigation as is necessary or appropriate
in order to make the statements contained herein;
iii. I have made such examination or investigation as is necessary to enable me to
express an informed opinion as to whether or not the terms, conditions and
covenants in the Governing Documents with respect to insurance matters have
been complied with; and
iv. Based on examination and review of the Governing Documents all of the
terms, conditions and covenants set forth in the Governing Documents as they
relate to Insurance matters have been satisfied and are in full force and effect.
IN WITNESS WHEREOF, the undersigned has executed this Officer's Certificate
This 14th day of March T 2019
CITY OF SOUTH BEND
BUILDING CORPORATION
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Daniel-
ar er
Title: President, City of South Bend Building Corporation