Procession - South Bend Heritage Foundation - 30th Annual Red Ribbon March Against Drugs and Violence

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}"►=Q� CERTIFICATE OF LIABILITY INSURANCE - - DATE(MMIDDIYYYY) 0212812018 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 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 ail endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsement(s). PRODUCER CONTM57 Theresa Burns NAME: Gibson Insurance Agency, Inc. PHONE 800 814-2122 Fax A!C No Eat : { } (A/C, No): (800)836-2122 130 S Main St, Ste 400 L-MAILtburns@gibsonins.com ADDRESS: Qg PO Box 11177 INSURER(S) AFFORDING COVERAGE NAIC # South Bend IN 46601-0177 INSURER A: Cincinnati Ins Co 10677 INSURED INSURER 8: Cincinnati Ind Co 23280 South Bend Heritage Foundation, Inc. INSURER C : 803 Lincolnway West INSURER D INSURER E South Bend IN 46616 INSURERF: f+VVCKAtWrz. LLKI IFIL:AIt NHM6ER• 3-L-1011ZJ LIE10111TV oClNQrn1i Kim orao— 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 CONTRACT OR 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. IN LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD lYYYY Y MMlDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FXI OCCUR PREMIS ES ETO a pence $ 500,600 X MED EXP (Any one person) $ 5,000 XCU X Contractual Liability PERSONAL a ADv INJURY $ 1,000,000 A EPP0232816 03/02/2018 03/02/2019 GEN'L AGGREGATE LIMIT APPUES PER; GENERAL AGGREGATE $ 2,000,000 POLICY � PRO - LOC PRODUCTS-CpMP1OPAGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aWdent $ 1 000 000 X ANY AUTO BODILY INJURY(Perperson) $ A OWNED SCHEDULED AUTOS ONLY AUTOS EPP0232816 03/0212018 03/02/2019 BODILYINJURY Per accident ( ) $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per acddenl $ Medical payments $ 5,000 UMBRELLA LtAB X OCCUR EACH OCCURRENCE $ 5,000,000 X $ 5,000,000 A EXCESS LIAB CLAIMS -MADE EPP0232816 03/0212018 113/112/21119 DED I I RETENTION $ 0 [AGGREGATE $ WORKERS COMPENSATION _ AND EMPLOYERS' LIABILITY YIN X I STATUTE EORH E.L. EACH ACCIDENT $ 100,000 B ANY PROPRIETORIPARTNERIEXECUTNE ❑ OFFICEPJMEM13ER EXCLUDED? N NIA EWCO24723304 03l0212018 03/0212019 E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY OMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is additional insured with respect to general liability coverages regarding work performed by the insured. s i'•.l1 City of South Bend 227 W Jefferson 1316 County City Bldg 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 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD