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Procession - Buffalo Soldiers MC South Bend
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Procession - Buffalo Soldiers MC South Bend
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Last modified
4/3/2025 12:46:29 PM
Creation date
5/9/2018 1:07:38 PM
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Board of Public Works
Document Type
Permit Applications
Document Date
5/8/2018
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AGENCY CUSTOMER ID: 4579 <br />LOG : All <br />Fat 11111"[01 IL F-1 W 114-J F,1 ZIII 1*1.1�I <br />AGENCY <br />GIBSON INSURANCE AGENCY„ INC. (SOUTH BEND, IN) <br />POLICY NUMBER <br />CL 2727878 <br />CARRIER <br />Mount Vernon Fire Insurance Company <br />INSURED <br />Imani & Unidad Inc. <br />914 Lincoln Way W <br />South Bend, IN 46616 <br />NAIL CODE <br />26522 EFFECTIVE DATE: 6/23/2018 <br />Page 1 of 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: <br />CERTIFICATE OF LIABILITY INSURANCE <br />COVERAGE PART <br />LIMITS <br />Commercial Liability <br />Each, Occurrence Limit <br />$1,000,000 <br />Personal & Advertising Injury Limit (Any One Person/Organization) <br />$1,000,000 <br />Medical Expense Limit (Any One Person) <br />$1,000 <br />Damages To Premises Rented To You (Any One Premises) <br />$100,000 <br />Products/Completed Operations Aggregate Limit <br />See See L-535 <br />General Aggregate Limit <br />$3,000,000 <br />ACORD 101 (2008/01) Copyright 2008 ACORD CORPORATION. Ali rights reserved. <br />
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