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`` °® CERTIFICATE OF LIABILITY INSURANCE P, 1 of 1 <br />o i6%aoi <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE ROES 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 pal Icy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cerHHcate does not confer rightstotRe <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />0i11io OE Illinois, Ine. <br />c/o 26 Century Blvd. <br />P. 0. 13ox 305191 <br />Nashville, TN 37230-S191 <br />PHDHE 877 -9 5- 378 P'� 889- 467 -2378 <br />-MWL <br />c r if•cat s illie. o <br />INSURERS FORDING COVERAGE <br />NAN:N <br />WSURmA. Navigators Specialty Insurance Company <br />36056 -001 <br />CH12NP40A2.TOVNC <br />_ <br />WSURED <br />Weaver Hvsa Cenaul tents, LLC <br />INSURER II Navigators Insurance Company <br />42307 -001 <br />INSORERC:Harkahire Hathaway Ramcs Late Insurance Co <br />20044 -001 <br />35 Last Wacker Bvite 1250 <br />Chicago, IL 60601 <br />INSURER IT. <br />COMMERCIAL GENERAL LIABILITY <br />CLMMS-MADE ®OCCUR <br />INSURER E: <br />INSURER B <br />COVERAGES CERTIFICATE NUMBER: 10240424 REVISION NUMBER:sae Remarks <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />tm <br />TYPE OF INSURANCE <br />w <br />SUB <br />mn <br />POLIDYNUMBER <br />POl1CYEFF <br />PDLICYE]IP <br />LIME <br />A <br />GENMAI <br />-LIMIL Y <br />CH12NP40A2.TOVNC <br />6/12/2012 <br />6/12/2013 <br />FACNOCd1RRPNf <br />$ 00 000 <br />B <br />E M E ER ENI <br />$ 3 q D 00 D <br />COMMERCIAL GENERAL LIABILITY <br />CLMMS-MADE ®OCCUR <br />ME'OEXPLM one arson <br />$ 10 <br />PERSCNALaANIMIURY <br />S 1 000 DOD <br />GENERALAGGRGGATC <br />ffi 2,000,000 <br />BENL AGGREGATE <br />UMRAPPLIES PER: <br />PRODUCTS- COMP /OPAGG <br />S <br />PGucr <br />X 'F Lee <br />3 <br />13 <br />AUTDMOWI <br />LIABILIW <br />CE12BAP010723 -00 <br />6/12/2012 <br />6/12/2013 <br />El3aAe1sl1�o0sWCLE UMIT <br />2,000.000 <br />X <br />BODILY [NJURY(Parpwn n) <br />3 <br />ANYALFO <br />ALA FA SCHOEOOLED <br />RFEDAUTO.S X ETON SWN� <br />eODiLV INJUpAY(Por nccdenli <br />$ <br />X <br />eram� snl} E <br />$ <br />S <br />A <br />R <br />UMBRELLAUAR <br />X <br />OCCUR <br />C1312XENOA2aJ1LNC <br />6/12/2012 <br />6/12/2013 <br />EACHOCCURRENCE <br />3 10 000 000 <br />AGGREGATE <br />$ 10 000 000 <br />EXCIM LIAR <br />CLAIMS -MADE <br />DED J X IRErrWIONS 10,00 <br />S <br />C <br />WORKPRSCONWENSATTOR <br />ANDESNLOYERS'LIAOFLITY IN <br />ANYPROPRIETORIPARTNEIVEXECUTNE <br />OFFICEWMEMBER E=UOEDT <br />NJA <br />ILW001292 <br />6/12/2012 <br />6/12/2013 <br />X LAS. <br />- <br />FL- EAGHACCIDENT <br />$ 1,000,000 <br />1, DOD, 000 <br />IMx wA.Tln NRl <br />tlByn. under <br />EL. UI5LAL- EAEMPLUYIMS <br />3 1,000,000 <br />RIPTIOe <br />DESCRIPTION OF DPERATIaNH6a0w <br />LL. DISeASE- Pa.ICY uMR <br />DESCRIPTION OPOPERAMONS I LOCATIONSI VEHICLES (AUachAwN 101. Addllonal Rsma ks Sclmdule, ifRnare space is mqulmd) <br />THIS VOIDS AND REPLACES PREVIOUSLY IRSTIRM C.6RTIPICATC DATED: 7/13/2012 WITH In: 19239562 <br />Project #W13CP- OD1 -16 -12 - Ivy Tower Facility Red - South Vend, IN <br />Umbrella policy follows form over the (Amoral- Liability, Automobila Liability, and RVloyera• <br />Liability - <br />Ivy T9U2r Core. is included as an Aclditionnj Insured as respects--to General LiabillLy. <br />City of SOUth Read <br />1316 County City Huilding <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 POI ICY PROVISIONS. <br />AUTROMFO REPRESERFATIVE <br />Coll:3795034 Tp1:1489645 Cert:19240424 40198 84010ACORD <br />• 1 -- • •• -�T ,110 r a wnu i m is Doc Ingo are reglsierea marks 01 ALCURU <br />reserved <br />