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Sidewalk Cafe - Purple Porch Co-Op
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Sidewalk Cafe - Purple Porch Co-Op
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Last modified
3/31/2025 4:37:39 PM
Creation date
3/16/2017 10:18:45 AM
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Board of Public Works
Document Type
License Renewal
Document Date
3/14/2017
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIG)NYYY) <br />02122/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Kody Hitchcock <br />John Scott Insurance <br />PHONE 269-782.2123 uc rye; 20S 39-8224 <br />nooeL kody@ ohnscoltinsurance.com <br />106 Commercial St. <br />INSURER(S) AFFORDING COVERAGE <br />NAIL# <br />Dowagiac, MI 49047 <br />wsURERA_,FrankenmuthMutualJnsuranceComoanv <br />13986 <br />INSURED <br />Purple Porch CO-OP <br />INSURER S: <br />Chris Hebron <br />_INSURERC: <br />INSURERD: <br />123 N Hill St <br />South Bend, IN 46617-2717 <br />INSURER E: <br />-- <br />INSURER F: <br />:ATE <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />HISS <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />D <br />SUER <br />POLICY NUMBER <br />POLICY E F F <br />MMIDD(YYY <br />POLICY E%P <br />MMIDDrvY <br />LIMITS <br />A <br />X( <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OoccuR <br />CPP6312152 <br />02/11/2017 <br />02/112018 <br />EACH OCCURRENCE <br />$ 1000000 <br />DAMAGETORENTED <br />PREMISE$1Ea occurrence <br />� <br />S 600000 <br />MED EXP(Any me, prmm-9 <br />S 5000 <br />PERSONAL B ADV INJURY <br />$ 1,00-0000_ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY P" LOC <br />GENERALAGGREGATE <br />_ <br />$ 2000 ONO <br />GEN'L <br />X <br />PRODUCTS-COMPIOPAGG <br />S 2.000.00O <br />EPL <br />$ 260,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODI LY I NJURY(Per Person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOSONLVHAUTOS <br />BODI LY INJURY Per accident <br />( ) <br />5 <br />HIRED NIGH <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CIAIMSMADE <br />AGGREGATE <br />$ <br />DED RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />ANDEMPLOVERS'LIABILITY YIN <br />ANY PROPRIETORFARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDEEXCLUDED?NIA <br />(Mandatory In NH) <br />If yes, Uesctlbe artier <br />DESCRIPTION OF OPERATIONS below <br />WC 6312152 <br />02/11/2017 <br />02/112018 <br />PER OTH- <br />STATUTE <br />1 OOOTOOO <br />,_,ER„ <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000000 <br />S 1000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) <br />The certificate holder is listed as an additional insured <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />(c) 19R9.2015 ACORn CORPORATION all rinhfe r.,s—ead <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by KDH on February 22, 2017 at 04:24PM <br />
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