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a <br />CERTIFICATE.. <br />THIS CERTIFICATE IS ISSUE[) AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO[.PER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AL78R 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 />_ <br />IMPORTANT: If the certifwate holder is an ADDITIONAL INSUt2ED, the poileyfles) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in Ileu of such endorsement(s). _ <br />PRODUCER <br />LL ARR E3haffer tnR1.ua ra- kiFv-- I, try., <br />17!a Miami St <br />Soutri Send IN 11131313 <br />.........:.. <br />INSURED <br />J AND B AT THE HIDEAWAY LLC <br />DBAi THE HIII)EAWAY AT THE LASALI <br />237 N MICHIGAN ST, SUITE Et <br />50iUJ'H SEND IN 46601 <br />574-234.1224 <br />INSURER A: MOUNT VERNON FIRE INSURANCE COMPANY <br />[NSUREfta: LIBERTY MUTUAL INSURNACE _ - 7243 <br />misufi C <br />Ira6UaF� b <br />rsrvse�br_�c ['6I3Y'i6il"ATsw lJtIMr�GI�• I�PVISIt7N NtI9.lBER: <br />THIS Is TO CERTIFY THAT THE POLICIES OF IINSUPANIGE USTE0 eELQW HAVE DI:IEN ISSUED TO THE INSURED NAMED A13OVE FOf2 THE POLICY PERIOD <br />INMGATED. 340TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Or ANY OONTRACT OR OTHER DOCUMENT 'NI"m RESPECT TO WHIGH THIS <br />CERTIFICATE MAY UE ISSUED OR AWAY Ki �` AIN, THE INSURANCE AKGROEL) ElY <br />THE POLICIES DESOMSED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCFI POILICIES. 0MR-5 SHOWN MAY HAVE. REEN REDUCED BY PAfD CLAIMS. <br />TYPE UMIT$ <br />�TYPE Of £HSURANCEMH PirLkCYitUhTBER fF�FJI@�PiYYY I idlDEhr <br />I OPKRAL LIAS&n-Y <br />FACIi rZi;0F.RfI"ti:E <br />I <br />}' i C{}5,Iw1ERr LSL GEtSEi�f,L LIA$iLiTi' <br />.... <br />Fn <br />Yht:I*ISF•� A rxefurrgr,r `� '� p�1,4)U� <br />- - - <br />tiuv+oTv�tPN <br />Id <br />,� 'i'..iihlac,4fA£+i=i r frGr'�'Fi <br />idr.D chF iAfi1 rn•c•.rr i �OW <br />A i <br />1� <br />CP 2615116 <br />tN25I2017 10125J2£118 PFR504AL a ADV INJURY Is 1 041f1,DDf,1 <br />I <br />6ENERAL Aac5REGATE 5 2;0©O,ODO <br />€ <br />1 <br />C FNI F n iMl APPI [s 3 PER:: <br />-. <br />j <br />'.. <br />� PRODLK;! S-CQMP0D= A(1:G i s 2.(1000a) <br />i ` <br />. .......... <br />A3)TOhrl3RK:.E 1.14FtILITY <br />CrJE,t81lD 51NCiLF LwI r <br />`7 <br />--- ----- <br />ANY AUTi, <br />BODILY &IJURY I� i pani> RI <br />�ALL C1ir3,hY«C�f -IJL-LiLrdFCI <br />; 8s'37rLr i+}Jf.'filE i^ �•r+..Cn,rFj�' <br />S <br />Av7rOS AUTOS <br />Hri`'E.L}e5tl7'C)h h0il3-0SYtdEq <br />- <br />I <br />!dMORFLLAtt" I: 9rr,UR. it <br />I <br />� s s3Rlzr'Jir:� S 2,C'UOf•IDr <br />III <br />EAPs-Hsr"1rA <br />,I <br />�.I <br />X EXCESS <br />I <br />E <br />XL 258223 <br />... _...._._._,__._ <br />:�12r�2C1g125�2G12.600,000 <br />€ ! 1 ... <br />' DED Rtnw),: k $ <br />4,'ORKEq& co mprNSAYIau <br />WCTATU [[ O1H <br />1 taRY L4d4T ^ i rR ... .........._ <br />€ 0P PL0V5RE'LIA@i-i1TY <br />AN Pf:0PRf-70WV&MEI�KECLMv;E 1 Jt4 <br />v <br />E <br />W(.S•398.3889817-0'e6 It5:ir16J2U18 <br />CL EAC.HAfY'IDEFR a it3tJ,0i�,Q_ <br />IL►3l16F2Qt9 ___._ <br />W—IGE,4:IFUREREX�`LU I17 ;P1ta <br />(ML-n awry M NF11 <br />CL.0 E EAEARLiOYEE510'41000 <br />- <br />ai- [:�iPel[rkckF�r' ��'•.. <br />; <br />E. t Dl4EME _POL4CY u1r ; 5 5N,41gq <br />q CP 2F315716 <br />10d25�2017 i t0125�2g18 <br />! <br />i <br />I,Rggrcalc Limit $2.f1fJA00 <br />I <br />neS-CRIP'itog OF OPERAIiONE ! L0t.An0?4S f VES1ICLr8 (Attarn AGDRD W. AddAiona& Remaft 5rhe400, <br />;j more &plea is mgvwo j <br />237 N MICHIGAN $T, STE E, SOUTH ErFNO, IN 46601 <br />CITY OF SOUTH BEND <br />227 `'N AEFT-F-RSClS Fa A'D, STE )Yib <br />SOUTH SEND <br />IN 46601 <br />ELLATION <br />SHOULD ANY OF THE ABOVE DESCRISED POUCIEB 51E CANCELLED BEFORE <br />THE EXPIRATION BATE TkLREOP, NOTICE WILL BE DELIVERED IN <br />3�CG44+I1At4�� V'{Sl�liklt 4�{)h�l�'f Ss4>,b'6f�rAiL�,.. <br />ACORD 28 (2010105) The ACORD namo and logo are regi <br />188S-2010 ACORD CORPORATION, All rights ratervied. <br />rks of ACORD <br />Gfear All <br />