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<br />AC+ )?" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MIMIDDIYYYY)
<br />12/1912017
<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 SUBIROGATION 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 endorseme'nt(s).
<br />PRODUCER
<br />MARSH USA, INC.
<br />445 SOUTH STREET
<br />CONTACT
<br />NAME.
<br />PMi)NE arc. Nut;
<br />E-MAIY.
<br />ADDRESS:
<br />MORRISTOWN, NJ 07960.6454
<br />AM: Mordstown.CertRequesl marsh.com, Fax: 212-948.0979
<br />INSURERS AFFORDING COVERAGE
<br />NAIL #
<br />INSURER A „ Federal Insurance Company -
<br />20281
<br />INDIAN
<br />INSURED NATIONAL MULTIPLE SCLEROSIS SOCIETY
<br />INSURER B ; ACE Pro erty and Casually Insurance Company
<br />20699
<br />INSURER c :_
<br />INDIANA STATE CHAPTER
<br />INSURER D :
<br />3500 DEPAUW BLVD, SUITE 1040
<br />INDIANAPOLIS, IN 46268
<br />INSURER E :
<br />INSURER F :
<br />rC1VFRAGFS CERTIFICATE NUMBER: NYC-009899588-14 REVISION NUMBER: 2
<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 />WSW
<br />TYPE OF INSURANCE
<br />DDL
<br />SUeR
<br />POLICY NUMBER
<br />MM/POLDD 1MYX
<br />POLICY E%P
<br />MMlDDfYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />3583.33-49
<br />12131/2017
<br />12/31/2018
<br />EACH OCCURRENCE
<br />$ 1,000,000'
<br />CLAIMS -MADE a OCCUR
<br />DAMAGE T ®9RTE .... __.. _
<br />M�I
<br />PREMISES Ea occurrences
<br />_-. ....,-
<br />$ 1,000,000
<br />�
<br />MED Ex.P (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000'
<br />_
<br />GEN"L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000,
<br />PRO- X
<br />JECT LOG
<br />PRODUCTS
<br />1,000,000POLICY
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />7353-02-37
<br />12/31/2017
<br />12/3112018
<br />COMBINED SINGLE LIMIT
<br />(Ea Sccidenl) ._ ___ __ .
<br />$ 1,000,000
<br />.s
<br />$
<br />X ANY AUTO
<br />BODILY INJURY (Per person)
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE-
<br />(Per accident
<br />$
<br />Comp/Coll Deductible
<br />$ 1,000
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />M00652835007
<br />12131/2017
<br />12/3112018
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$ 5„000,000
<br />11
<br />DED X I RETENTION $10' 000
<br />I $
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANYPROPRIETORIPARTNEWEXECUTIVE
<br />OFFICERIMEMBEREXCLUDEl7 �N !,
<br />(Mandatory in NH)
<br />NIA
<br />71763467
<br />1213112018
<br />X PER OTH-
<br />STATUTE. ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1 „000,©00
<br />E.I ,DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />IF yes, desa ibe under
<br />DESCRIPTION OF OPERATIONS below
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addillonat Remarks Schedule, may be attached It more space Is requlred)
<br />THE TRUSTEES OF INDIANA UNIVERSITY, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT, BUT LIMITED TO THE
<br />OPERATIONS OF THE INSURED UNDER SAID CONTRACT, PER THE APPLICABLE ENDORSEMENT WITH RESPECT TO THE GENEyyRA12LIABILITY AND AUTOMOBILE LIABILITY POLICIES.
<br />THE CITY OF SOUTH BEND
<br />COUNTY CITY BUILDING
<br />ATTN: MARCIA QUALLS
<br />227 W. JEFFER'SON, ROOM 1316
<br />SOUTH BEND, IN 46601
<br />SHOULD ANY OF THE ABOVE DESCRIBED' POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashi MDkheriee -..JV(, +.%A,0.0" � •
<br />01988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2016103) The ACORD name and logo are registered i marks of ACORD
<br />
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