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Firefox <br />about:blank <br />A�RLY CERTIFICATE OF LIABILITY INSURANCE DATE(M1D/zO�YI <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not comer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACTCandy Sullivan <br />NAAM <br />Shamrock Insurance Services PHONE <br />FAK <br />67 Hunt Street EJ csu6vat@i suranceei4e.mm <br />Ste. 203A MISURE0. S AFFORDNG COVERAGE MAr:a <br />Agawam MA 01001 rwRERA: Ob"I Sedurltylosurence COMParly 24082 <br />N a: <br />St. Joe Watercolor Society <br />54991 Willow Creek Dr <br />Mishewake <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 6ELOW 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />am <br />Im <br />TYPE OFINSURAMCE <br />POIN:Y NUIBER <br />LIMITS <br />A <br />X <br />COLNERCLLL ERALLIABMIIY <br />CWMS MADE OCCUR <br />Y <br />BLS59616M <br />3`1811 <br />3/182024 <br />EACHOCCURRENCE <br />S 1,000.01)) <br />p <br />S 300,000 <br />NED FXP ono pMson) <br />S 15,000 <br />PERSONAL aADV RDURY <br />s 1,000,ODO - <br />GENIAGGREGATELIMIT APPLIES PEP. <br />X POLICY jE�7 LOC <br />OTE0. <br />EEtERALAGGREGATE <br />S 2,000.000 <br />a 2,000.000 <br />i <br />PRODUCTS-COMPMPAGG <br />E LMsuryEa <br />TOBODILYINURY(Parpsai <br />AUTOSSCHEDLEOBONLY <br />OILY AUTOSNON-OWNED <br />Ou AUTOS ONLY <br />F <br />p <br />5 <br />M <br />S _. <br />s <br />MARY(P. aad.M <br />OYBRB1A lN1B <br />csrpis DAB <br />OCCUR <br />CLAINB�AADE <br />EACH OCCURRENCE <br />F <br />S <br />S <br />AGGREGATE <br />DED RETENTIONS <br />wORAERSCOMPENSADOM <br />AMDEMPLOYERS'lIANlT1Y YIN <br />ANYPROPRIETORIPARTNEN£XCLIITNE <br />OFFICERMEMBEREXCLUDED? Li <br />tNandaMryloMH) <br />Hye describe under <br />DESCRIPTION OF OPERATIONS Eels <br />- <br />p - <br />s _ <br />M <br />E.L EACH ACCIDENT <br />ELDISEA.SE-EAEMIIOYEE <br />EL DISEASE - POLICY LIMIT <br />DESDRPmONOFOPERATONSl LO MNSIWWLES(ACORD 1e1, Additional Remarks SCM9ule, at, he alMON it ..We is reeved) <br />The Certificate Holder is named as additional insured with respect to General Liability. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. <br />227 W. Jefferson Blvd. <br />South Bend IN 461501 r eey oB.:<•- <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />CORPORATION. All rinhts rpcprvpd <br />I of 1 4/13/2023, 4:33 PM <br />