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Client#• 6156t) AZULHOS ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MWQDIYYYY) 1 04/10/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ON[ Risk Partners CONTACT NAME; Connie J. Messer CNN Ext: 574.314-9190 FAX, No; 866-893-4638 (AI100 East Wayne Street, Ste 375 E-MAIL COnnie.messer@onirisk.Com South Bend, IN 46601 INSURER(S) AFFORDING COVERAGE_ NAIL # INSURER A: Z°rich Insurance Company Llmiiad INSURED Azul Hospitality -Indianapolis, LLC Azul Hospitality -Services, LLC 800 W. Ivy St. Suite D San Diego, CA 92101 INSURER B : The CnnlinenW rnsuranm Company 35289 INSURER C INSURER D 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 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. LTRR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDt�IIYEYYY MMIDICY EXP DIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X CP0106375700 9/15/2017 0911512016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE n OCCUR PREMISES Ea ncicur ante $1 00D 000 MED EXP (Any one person) $10,000 PERSONAL R ADV INJURY $1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 PRO - POLICY [—I JECT X LOC IOPAGG $2000000 � � $ OTHER: AAUTOMOBILE LIABILITY CP0106375700 911512017 09/151209 COMBINED SINGLE LIMIT Ea atxidenl 1 000 000 r r BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PRO PeraccRTYDAMAGE $ B X UMBRELLA LIAB X OCCUR 6050530380 9/15/2017 09115/2018 EACH OCCURRENCE $50000 000 AGGREGATF $5D OOO OOO EXCESS LIAB CLAIMS -MADE DEO I X RETENTION $10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBER EXCLUDED? - N I A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ F.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Garagekeepers CPO106375700 9/15/2017 09/15/201 Limit: $250,000 Comp/Coll Deds: $1,000 A Liquor Liability CP0106375700 9/15/2017 09/15/201 $1M[I Occl$2 Mil Agg DESCRIPTION OF OPERATIONS I 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 (lability policy when required by written contract. Loc# 1 - 111 N. Main Street; South Bend, IN Building # 1 Hotel City of South Bend SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 227 W. Jefferson Blvd Ste. 1316 ACCORDANCE WITH THE POLICY PROVISIONS. South Bend, IN 46601 AUTHORIZED REPRESENTATIVE C O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S14322281M1432226 CMBSS