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HomeMy WebLinkAboutAward Quotation - Walker Field House Restoration Phase II Proj No 125-044R - Slatile Roofing - signedEstablished 1924 ROOFING – MASONARY RESTORATION – SHEET METAL February 10, 2026 City of South Bend, Board of Public Works ATTN: Hillary Horvath 215 S. Dr. Martin Luther King, Jr. Blvd., South Bend, IN 46601 Email: hhorvath@southbendin.gov Walker Field House Restoration, Phase II Project No. 125-044R Enclosed you will find the following 1 copy of the following: •One (1) signed original of the Contract •Certificate of Insurance naming the City of South Bend as additional insured Slatile Roofing and Sheet Metal Co., INC. Phone: (574) 233-7485 Fax: (574) 233-7351 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBRWVDADDLINSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION$ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCEDAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 02/10/2026 CapSure Insurance Group Inc 250 E. 8th Street Suite 230 Holland MI 49423 Rob Ter Horst (616) 836-1361 rob@capsureins.com Slatile Roofing & Sheet Metal Co., Inc. 1703 S. Ironwood Drive South Bend IN 46613 INCLINE CAS CO 11090 EVANSTON INS CO 35378 BRIDGEFIELD CASUALTY COMPANY 10335 HOMELAND INS CO OF NY 34452 A y y CP7002713 07/15/2025 07/15/2026 1,000,000 500,000 10,000 1,000,000 2,000,000 2,000,000 A y y CA7001121 07/15/2025 07/15/2026 1,000,000 A|B y y UM7001254 | MCGX101834 07/15/2025 07/15/2026 1,000,000 1,000,000 Excess Umbrella 4,000,000 C N y 0196-64199 07/15/2025 07/15/2026 IN 1,000,000 1,000,000 1,000,000 D Pollution Liability 7930067350001 07/15/2025 07/15/2026 Pollution Limit 1,000,000 Project: Walker Field House Restoration, Phase II - Project No. 125-044R -The City of South Bend is listed as Additional Insured where required by written contract. Waiver of subrogation applies to General Liability, Automobile Liability, Work Comp, and Umbrella 30-Day Notice of Cancellation applies. City of South Bend 227 W Jefferson Blvd, Suite 1316 South Bend IN 46628