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Ac6m b® CERTIFICATE OF LIABILITY INSURANCE 7/29/2016YY, 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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). PRODUCER Amity Insurance Agency, Inc. 500 Victory Rd. Marina Bay North Quincy MA 02171 CNAME: ONTACT Frank Griffin PxoNE (617)471-1220 FAXoc (617)479-E147 AODRIEss:fgrif£in@amityins. com INSURERS AFFORDING COVERAGE NAIC q INSURER A:Lexin ton Insurance Company INSURED LAZ Parking Midwest, LLC 33 West Monroe Street Suite 270 Chicago IL 60603 INSURER 13:Liberty Mutual Fire Insurance - INSURER C:Federal Insurance Com an INSURER D:Liberty Insurance Corporation INSURER E'American Guarantee & Liability INSURERF:The Ohio Casualty Company COVERAGES r..FRTIFICATF NIIREVISION NUMBER: 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. ILTR WPEOFINSURANCE INAR ADOL SUED POLICY NUMBER MMID�Y EFF MMIO�/Y1'EVVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ EXCLUDED A CLAIMS -MADE OCCUR D13135971 7/31/2016 7/31/2017 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 $ POLICY PRO- X LOC. �j„ -.:- ` c AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 11000,000 X BODILY INJURY (Per person) $ ANY AUTO\`� \ B ALL OWNED SCHEDULED �' 1/2016 7/31/2017 BODILY INJURY (Per amsen0 $ AUTOS AUTOSX ( X PROPERTY DAMAGE Peraccidenl $ NON OWNED `"j�=='� \y f HIRED AUTOS AUTOS -- I X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 100,000,000 X AGGREGATE $ 100,000,000 EXCESS LIAB CLAIMS -MADE /2016 I /31/2017 DED I RETENTION $ D WORKERS COMPENSATION TH X TORYWCSTATIT EE AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACHACCIDENT $ 1 000 000 (mandatoryOFFICERIMIn H)EXCLUDED? (Mandatory In NH) NIA A761D260451026 7/31/2016 7/31/2017 EA E.L. DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE POLICY LIMIT $ 1,000,000 If yes, descums under DESCRIPTION OF OPERATIONS below A GARAGEKEEPERS LIABILITY 013135971 /31/2016 7/31/2017 $1,000,000 LIMIT C CRIME/EMPLOYEE DISHONESTY 82224802 7/31/2016 7/31/2017 $1,000,000 LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more space is required) If agreed upon in a written contract or agreement, City of South Bend is included as an additional insured for general liability per CGL Form #LX9466, but only with respect to the operations of the named insured. Re: 220903 - Eddy Street Commons at Notre Dame City of South Bend Attn: Michelle Adams 227 W. Jefferson Boulevard South Bend, IN 46601 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 25 120101051 Griffin/FG ©1988-2010 ACORD CORPORAT INS02512m Onm nt The ACr1Rn name and Innn arc renicfcred mark. of Ar.npn