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TAPALLC-01 LDRIVBR <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE 02123/2017' <br />02l23/2017 <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(tes) must have ADDITIONAL INSURED provisions or be endorsed. <br />H 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 d9his to the certificate holder in Rou of such endorsements). <br />PRODUCER <br />O TACT <br />The Healy Group, Ine. <br />17636 Generations Drive <br />South Bond, IN 46636 <br />PC, Eel; 674 271-8000 FFAX 57 <br />I INC Nop( 4).2434214 <br />- <br />INSURER(S) AFFOROMa COVERAGE <br />NAICa <br />INSURER A:Frankenrnuth ins. Co. <br />13986 <br />INSURED <br />INSURERS: <br />INSURER C: <br />Tapastrie, I.I.C. <br />103 W. Colfax Ave. <br />South Bend, IN 46601 <br />INSURERp:_ <br />INSURER E: <br />INSURER F: <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 />INeR <br />TYPEOFINBURANCE <br />ADOL <br />SUBR <br />POLICY NUMBER <br />FOLIC EFF <br />1011612016 <br />pnCY EXP <br />10/1612017 <br />___ <br />LIMITS <br />X. <br />COMMERCIAL GENERAL LIABILITY <br />ClNMUQADE N OCCUR <br />X <br />PP6289909 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMA°ESORE ° w <br />MEOEXP(AnymoprMxU <br />600,000 <br />OENLAGGRE-1GF�'t�1 <br />X <br />$ 6,000 <br />PFRSONALAADV INJURY <br />1,000,000 <br />LIMIT APPLIES PER: <br />POLICY u jECT LOG <br />OTHER: <br />GENERA AOORESAFE <br />�2.000,000 <br />PRODUCT8-COMP/°PAGG <br />2,000,000 <br />A <br />AUTOMOBILE <br />IxANNYNAUTO <br />LMBILITY <br />pp <br />AU�gqNE&pDCNLYMAUgqTyyop?WUULL�E�Dp <br />AUTOSONLY AUTOSONLY <br />BA 6269909 <br />10/1612016 <br />10116/2017 <br />COMBINEDSINGLE LIMIT <br />1,000,000 <br />BODILY INJURY Par msw, <br />-HOMILY INJURY Pwa 1 <br />Pa0PaaYda,i AMAOE <br />A <br />X <br />UMBRELLA LIAR <br />EXCESSLIAS <br />X <br />OCCUR <br />CLAIMSI E <br />CPP6269909 <br />10110/20i8 <br />1011612017 <br />EACHOCCURRENCE <br />S 6,000,000 <br />AOOREGATE <br />6,000,000 <br />DED I I RETENTIONS <br />S <br />A <br />q <br />ANDELOeELBO MPPEfi <br />1AILIT <br />AFNFYIIOGPRppOPP�RIEMTS�Rp/P R;1ltx'FJUEXECURVE YIN <br />�Slaadalely In NN)"'""DED4 <br />Y <br />DES dIPT 01 N Oro <br />F OPERATIO bsloW <br />General Liability <br />N/A <br />C6269808 <br />CPP6269908 <br />1011812018 <br />1011812016 <br />1011612017 <br />10/1612017 <br />PER <br />UTE OTH <br />E.L EACHACCIDEN <br />E 700,000 <br />E.L. DISEAS -EA EMPL E <br />$ 100,000 <br />ELDISEASE-PO CYLIMIT <br />Liquor Liability <br />$ 500 000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC00.0 tO1, Additional Rwnsrke SchedWe, may he etreshod If more epees Le requiretll <br />City of South Bend Is named an additional insured with respect to General Liability. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof South Bend THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />South Bend, IN 46601 ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUUTTHO�R�IIZED REPRESENTATIVE ^— <br />C 04A44M <br />ACORD 26 (2016103) 01988-2016 ACORD CORPORATION. All <br />I ne AVVKU name and Logo are registered marks of ACORD <br />