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Home My WebLink About4C Covenant Compliance Request from Wells Fargo 2020CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 06/22/2018 THIS CERTIFICATE IS ISSUED AS A 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 CONTACT NAME; Stephen Swiharf Gibson Insurance Agency, Inc. "H Ext): (800) 814-2122 FAX [AIC No : (800) 836-2122 I-IR130 S Main St, Ste 400 E-MAIL sswihart@gibsonins.com ADDRESS: PO Box 11177 PRODUCER 00003140 CUSTOMER ID: South Bend IN 46601-0177 INSU S AFFORDING COVERAGE INSURED INSURER A: Lexington Ins Co 1. City of South Bend and Any Subsidiary INSURER B: 227 W Jefferson Blvd INSURER C : Dept of Admin & Finance INSURER D: South Bend IN 46601 INSURER E: COVERAGES CERTIFICATE NUMBER: 18/19 Prop RFVISInN NI IMRFR- NAIC # 19437 LOCATION OF PREMISES / 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 THIS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYYY) POLICY EXPIRATION DATE (MMIDD/YYYY) COVERED PROPERTY LIMITS X1 PROPERTY BUILDING $ CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY $ BUSINESS INCOME BASIC BUILDING 5 BROAD $ EXTRA EXPENSE CONTENTS SPECIAL S RENTALVALUE EARTHQUAKE $ A 017471589/05 07/01/2018 07/01/2019 BLANKET BUILDING WIND BLANKET PERS PROP FLOOD $ BLANKET BLDG 8 PP X Equipment 50,000 $ 25,000,000 X Per occurrence s INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS POLICY NUMBER a NAMED PERILS $ CRIME 5 $ TYPE OF POLICY S BOILER & MACHINERY/ EQUIPMENT BREAKDOWN $ S S S _ bVrWAL GUNUI I IUNS I U I HtK GUVtKAGtb (AGUKU 1U1, Additional Remarks Schedule, may be attached if more space is required) Wells Fargo Bank Indiana, N.A. is named as Mortgagee with respects to Public Works Service Center, Lafayette Blvd, South Bend, IN CERTIFICATE HOLDER CANCELLATION Wells Fargo Bank N.A. MAC N8622-033 111 E Wayne St Fort Wayne IN 46802 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 a� oma CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 06/22/2018 THIS CERTIFICATE IS ISSUED AS A 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 CONTACT Stephen Swihart NAME: Gibson Insurance Agency, Inc. PHONE (800) 814-2122 FAX (800) 836-2122 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD A1C Na Ext : _LAS 130 S Main St, Ste 400 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. E-MAIL _ sswihart@gibsonins.com TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ADDRESS_ COVERED PROPERTY LIMITS PO Box 11177 PRODUCER 00003140 DATE (MMIDDIYYYY) CUSTOMER ID* PROPERTY South Bend IN 46601-0177 INSUR S) AFFORDING COVERAGE NAIC# INSURED $ INSURER A: Lexington Ins Cc 19437 1. City of South Bend and Any Subsidiary PERSONAL PROPERTY BASIC BUILDING INSURER B: 227 W Jefferson Blvd BUSINESS INCOME S BROAD CONTENTS INSURER C EXTRAEXPENSE Dept of Admin & Finance SPECIAL INSURER D: EARTHQUAKE $ South Bend IN 46601 INSURER E: BLANKET BUILDING A INSURER F: 07/01/2018 07/01/2019 COVERAGES CERTIFICATE NUMBER: 18/19 Prop REVISION NUMBER - LOCATION OF PREMISES / 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 THIS 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE (MMIDD/YYYY) DATE (MMIDDIYYYY) PROPERTY BUILDING S $ CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING BUSINESS INCOME S BROAD CONTENTS EXTRAEXPENSE $ SPECIAL RENTALVALUE EARTHQUAKE $ BLANKET BUILDING A 017471589/05 07/01/2018 07/01/2019 WIND BLANKET PERS PROP FLOOD S BLANKET BLDG 8 PP X Equipment 50,000 $ 25,000,000 X Per occurrence $ INLAND MARINE TYPE OF POLICY S S CAUSES OF LOSS POLICY NUMBER S NAMED PERILS a CRIME S TYPE OF POLICY $ BOILER & MACHINERY / EQUIPMENT BREAKDOWN $ $ 5 $ SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Wells Fargo Bank Indiana, N.A. is named as Mortgagee with respects to O'Brien School, Parks Dept #1103, 321 Walter Street, South Bend, IN City of South Bend Building Corporation FICATE HOLDER Wells Fargo Bank N.A. MAC N8622-033 111 E Wayne St Fort Wayne IN 46802 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 ?�aR� CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DDIYYYY) 06/22/2018 THIS CERTIFICATE IS ISSUED AS A 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 CONTACT Stephen Swihart NAME: Gibson Insurance Agency, Inc A,C Ho Ext): (800) 814-2122 FAX, No), (800) 836-2122 130 S Main St, Ste 400 Loc# 00001: Dept. of Admin. & Finance 1200 N County -City Building South Bend IN 46601 E-MAIL ADDRESS: sswihart@gibsonins,com PO Box 11177 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, PRODUCER CUSTOMER ID: 00003140 TYPE OF INSURANCE INSURER{S AFFORDING COVERAGE South Bend IN 46601-0177 INSURED COVERED PROPERTY INSURER A: Lexington Ins Co 1. City of South Bend and Any Subsidiary INSURER B: 227 W Jefferson Blvd BUILDING INSURER C : $ Dept of Admin & Finance CAUSES OF LOSS DEDUCTIBLES INSURER D! South Bend IN 46601 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 18/19 Prop REVISION NUMBER: NAJC # 19437 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 THIS 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ $ CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING BUSINESS INCOME 5 $ BROAD CONTENTS EXTRAEXPENSE $ SPECIAL RENTALVALUE EARTHQUAKE $ A 017471589/05 07/01/2018 07/01/2019 BLANKET BUILDING WIND $ BLANKET PERS PROP FLOOD BLANKET BLDG & PP x Equipment 50,000 $ 25,000,000 Per occurrence s INLAND MARINE TYPE OF POLICY $ $ CAUSES OF LOSS POLICY NUMBER $ NAMED PERILS S CRIME 5 $ TYPE OF POLICY BOILER &MACHINERY / EQUIPMENT BREAKDOWN S 5 5 SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Wells Fargo Bank Indiana, N.A. is named as Mortgagee with respects to 701 W Sample St, South Bend IN (Municipal Services) and 5303 York Road, South Bend, IN (Fire Station #10) City of South Bend Building Corporation CERTIFICATE HOLDER CANCELLATION Wells Fargo Bank N.A. MAC N8622-033 111 E Wayne St Fort Wayne IN 46802 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 gQRo, CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 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 CONTACT Stephen Swihart NAME: Gibson Insurance Agency, Inc. PHDNE Ex , A1C, No (800) 814-2122 FAx (800) 836-2122 A1C No 130 S Main St, Ste 400 Loc# 00001: Dept of Admin. & Finance 1200 N County -City Building South Bend IN 46601 E-MAIL ADDRESS: sswihart@gibsonins.com PO Box 11177 CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, C PRODOME UCER ST 00003140 0. TYPE OF INSURANCE INSURER(S) AFFORDING COVERAGE South Bend IN 46601-0177 INSURED COVERED PROPERTY INSURERA: Lexington Ins Co 1. City of South Bend and Any Subsidiary INSURER B.- 227 W Jefferson Blvd BUILDING INSURER C : 5 Dept of Admin & Finance CAUSES OF LOSS DEDUCTIBLES INSURER D: South Bend IN 46601 INSURER E: BASIC BUILDING COVERAGES CERTIFICATE NUMBER: 18/19 Prop REVISION NUMBER: NAIC # 19437 LOCATION OF PREMISES / 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 Overnow Pages THIS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ 5 CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING BUSINESS INCOME $ BROAD CONTENTS EXTRAEXPENSE S SPECIAL RENTALVALUE A EARTHQUAKE 017471589/05 07/01/2018 07/01/2019 BLANKET BUILDING $ WIND $ BLANKET PERS PROP FLOOD $ BLANKET BLDG & PP X Equipment 50,000 s 25,000,000 Per occurrence $ INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS POLICY NUMBER S NAMED PERILS CRIME S $ TYPE OF POLICY 5 BOILER & MACHINERY I EQUIPMENT BREAKDOWN $ Is S SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Wells Fargo Bank Indiana, N.A. is named as Mortgagee with respects to 730 United Drive, South Bend, IN City of South Bend Building Corporation CERTIFICATE HOLDER CANCELLATION Wells Fargo Bank N A. MAC N8622-033 111 E Wayne St Fort Wayne IN 46802 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 � AC'"RE)R CERTIFICATE OF PROPERTY INSURANCE See Attached Overflow Pages DATE (MM/DDIYYYY) `� CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 06/22/2018 THIS CERTIFICATE IS ISSUED AS A 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 LIMITS CONTACT Stephen Swihart NAME: Gibson Insurance Agency, Inc. PHONE(800) 814-2122 FAX (800) 836-2122 A1C No. Ex. A1C. No): 130 S Main St, Ste 400 $ E-MAIL sswihart@gibsonins.com CAUSES OF LOSS ADDRESS: PO Box 11177 PRODUCER 00003140 PERSONAL PROPERTY CUSTOMERID: South Bend IN 46601-0177 INSURER(S)AFFORDING COVERAGE NAIC # INSURED INSURER A: Lexington Ins Co 19437 1. City of South Bend and Any Subsidiary INSURER B: 227 W Jefferson Blvd INSURER C Dept of Admin & Finance INSURER D : South Bend IN 46601 INSURER E: SPECIAL $ INSURER F: COVERAGES CERTIFICATE NUMBER: 18/19 Prop RFVISIAN Nl1MRFR- LOCATION OF PREMISES / 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 THIS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSRTypE LTR OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDrNYY) POLICY EXPIRATION DATE (MMIDD/YYYY) COVERED PROPERTY LIMITS X PROPERTY BUILDING $ $ CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING BUSINESS INCOME BROAD S EXTRA EXPENSE CONTENTS SPECIAL $ RENTALVALUE EARTHQUAKE $ A 017471589/05 07/01/2018 07/01/2019 BLANKET BUILDING WIND $ BLANKET PERS PROP FLOOD $ BLANKET BLDG & PP X Equipment 50,000 $ 25,000,000 X Per occurrence s INLAND MARINE TYPE OF POLICY $ S CAUSES OF LOSS POLICY NUMBER $ NAMED PERILS a CRIME 5 TYPE OF POLICY BOILER & MACHINERY/ EQUIPMENT BREAKDOWN $ $ 5 5 SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) With respects to South Bend Redevelopment Authority Bond Issues Wells Fargo Bank Indiana N.A. is named as Mortgagee. Named insured includes South Bend Redevelopment Authority and South Bend Redevelopment Commission CERTIFICATE HOLDER CANCELLATION Wells Fargo Bank N.A. MAC N8622-033 111 E Wayne Street Fort Wayne IN 46802 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 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 day of CITY OF SOUTH BEND BUILDING CORPORATION Name: Title: