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Client#: 61560 AZULHOS ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM1ODNYYY) 912812017 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 ON] Risk Partners 1111 Chestnut Hills Parkway Port Wayne, IN 46814 CONTACT C NAME: one J. Messer PHONE 574-314-9190 Fax 866-893-463$ AlC, No Ext ; V: No ADORIess: COnnle.meSser@onlllSk.COm INSURER(S) AFFORDING COVERAGE NAIG #f ._.__............ INSURER A: Zurich Insurance Company Llmlte �....-.... INSURED INSURER B : The Continental Insurance Compa 35289 Azul Hospitality -Indianapolis, LLC Azul Hospitality -Services, LLC 800 W. Ivy St. Suite D San Diego, CA 92101 ---- INSURERc: -- INSURERD: INSURERE: F 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 CONTRACTOR 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. I�TR TYPE OF INSURANCE P.Q JL INSR 5IJB WVD POLICY NUMBER POLICY EFF MMIDD POLICY !~XP MMlDDIYYYY LIMITS A X COMMERC$ALGENERAL LIA6ILITY CLAIMS -MADE OCCUR X _.......................__r- __—.. CP0106375700 9/15/2017 ._,__.. 09115/2018 .. EACH OCCURRENCE $1 000,V000 PREMISESOEa occccurrence $1 000 000 MED EXP (Any one person) $10 000 _ PERSONAL 8 ADV INJURY $1,000,000 GEN`L AGGREGATE LIMIT APPLIES PER: POLICY J1;COT LOG OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPlOPAGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS WIRED AUTOS X NON -OWNED AUTOS CP0406375700 9/15/2017 09115/201 Ee acclde�tS€NGLELIMIT $1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ tg LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 6050530380 9115/2017 09/151201 EACH OCCURRENCE $50000 OOO AGGREGATE $50 000 000 DED X RETENTION $10000 WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANY PROPRIETORIPARTHERIEXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A PER OTH- STA _,.. E _ _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Commercial P GPOI06375700 0911512017 09/151201 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached If more space is required) the city of South Bend is additional insured to the general liability policy when required by written contract. Lac# 1 - 211 W. Washington Street; South Bend, IN Building # 1 Hotel I,CKl11-IUA I C YIULLJtK UANUh LLAI IUN City of South Bend 227 W. Jefferson Blvd Ste. 1316 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 C ACORD 25 (2014/01) 1 of 1 #S11577331M1157729 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CMESS