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CARET-1 OP ID: COME 1141 Rp CERTIFICATE OF LIABILITY INSURANCE DATE 012016Y) 04/20/2016 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 endorsements . PRODUCER Snyder insurance Agency Inc. PO Box 767 Michigan City, IN 46361 Kevin Snyder CONTACT Kevin Snyder PHONE FAX C. No. Ell: 219-879-4343 (AIC�No): 219-874-7480 E-MAIL ss: snyinsks@sbcglabal.net — INSURER(S)AFFORDING COVERAGE NAIC 11 INSURER A : Erle 26263 _ INSURED Caretaker Landscape & Lawn LLC Jeff & Kathleen Pritchard INSURERB: PO Box 324 INSURERC: INSURERD; Michigan City, IN 46360 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION 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 TYPE OF INSURANCE DEyffnnf POLICY NUMBER POLICY EFF MMIDD POLICY ExP MMIDDI LIMITS A GENERAL LIABILITY X COMMERCIAL_ GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 1 Q98-3301902 03/0412017 03104/2018 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED — PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL ADV INJURY $ 1,000,00 _& GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-JFrT LOC PRODUCTS - COMPIOP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Q03-1430916 0311412017 03M412018 COMBINED SINGLE LIMIT Ea accident 500,000 ____ _ BODILY INJURY (Perperson) $ BODILY INJURY {Per accident} $ PROPERTY DAMAGE PER ACCIDENT) $ _�....._..._..,... $ UMBRELLA LIAR EXCESS LIA$ OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEO I I RETENTION$ $� A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBER FXCWDED? (Mandatory In NH) IF yes, describe under DESCRIPTION OF OPERATIONSbe$aw N I A Q98-640316 03/04/2017 03/04/2018 WC STATU- OTH- TORY LIMITS ER- E.L. EACH ACCIDENT $ 10D,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 300,000 A Inland Marine RENTED EQUIPMENT 03104/2117 03104/2018 rented eq 110,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space Is required) CERTIFICATE HOLDER CANCELLATION SOUTHB1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Bend/St Joseph p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept AUTHORIZED REPRESENTATIVE 125 S Lafayette Blvd Ste 100 South Bend, IN 46601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD