Public Parking Facility- 126 N Main, 121 E Wayne, 109 W Jefferson - LAZ Parking

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ACC)W a CERTIFICATE OF LIABILITY INSURANCE 9DATE /13/20 3YY) 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Frank Griffin Brown & Brown of MA, LLC PHONE (617)471-1220 FAX (617)479-5147 INC No . 500 Victory Rd. ADDRESS: f rank. grif f inobbrown. cam Marina Bay INSURERS AFFORDING COVERAGE NAIC # North Quincy MA 02171 INSURERA: Liberty Mutual Fire Insurance 23035 INSURED INSURERB:LM Insurance Corporation :33600 Laz Parking Chicago, LLC INSURER C: BerkleyInsurance Company :32603 33 West Monroe Street INSURERD:HDI Specialty Insurance Company :16131 Suite 2010 INSURER E: Federal Insurance Com an 20281 Chicago IL 60603 INSURER F: Everest National Insurance Company 10120 COVERAGES CERTIFICATE NUMBER:23-24 REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. °LTR TYPE OF INSURANCE AODL S BR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIALGENERALUABILITY CLAJMS-MADE [X OCCUR PRB2611260451033 I/31/2023 17/31/2024 PREM SES lEaou rrence $ 1,000,000 MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 11000,000 x Contractual Liability GENERAL AGGREGATE $ 2,000,000 GENIAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY X �O- Fx_j Lac $ AUTOMOBILE LIABILITY COMBIN ED SINGLE LIMIT Ea acrJelanki 5,000,000 BODILY INJURY (Per person) $ A X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS kS2611260451013 7/31/2023 .P/31/2024 BODILY INJURY (Per accident) $ NON -OWNED X HIRED AUTOS N AUTOS PROPERTY DAMAGE Per $ X UMBRELLA LIAB X OCCUR SEE ATTACHED LIST OF EACH OCCURRENCE $ 100, 000, 000 X AGGREGATE $ 100, 000, 000 EXCESS LIAB CLAIMS -MADE POLICIES '7/31/2023 P/31/2024 DED I I RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA VAS61D260451053 7/31/2023 .P/31/2024 x WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I I I E.L. DISEASE - POLICY LIMIT $ 1,000,000 A GARAGEKEEPERS LIABILITY 102611260452013 ]/31/2023 7/31/2024 $1.000,000 LIMIT C CRIME/EMPLOYEE DISHONESTY 4CCR4500289226 1/31/2023 .1/31/2024 $5.000.000 LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) If agreed upon in a written contract or agreement, The City of South Bend is included as an additional insured for general liability, auto liability and umbrella, but only with respect to the operations of the named insured. Re: 720125 - City of Southbend - Wayne - 121 E Wayne Street, South Bend, IN, 46601 - Parking Spaces 50 CERTIFICATE HOLDER City of South Bend, Indiana Attn: Executive Director Venues Parka & Arts 301 S. St. Louis Blvd South Bend, IN 46617 I CANCELLATION 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 Fallon Carey/FACARE AUUHU e5 (ZUIUIUa) V 1933-2010 AGORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD