License - Renewal for Public Parking Facility - 133 N Main St & 220 W. Colfax - Smart Parking

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� 0 DATE (MM/DD/YYYY) �cv►zo CERTIFICATE OF LIABILITY INSURANCE 01 /09/2024 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 have ADDITIONAL INSURED provisions or 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 ON NAONRIE:TACT Liberty Mutual Insurance PHONN Exlk 800-962-7132 ac Nn 800-845-3666 PO BOX 188065 a nREss: BusinessServiceQLibertyMutual.cam INSURERS AFFORDING COVERAGE NAIC # Fairfield OH 45018 INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B: SMART PARK INC INSURERC: Po Box 44951 INSURER D: INSURER E : Detroit MI 48244 INSURER F: /+AVC�A rGC rcoTlcIrnTc rulnnP=o. nn199F7ARR RFVISInN NUMBER-- 2016-03 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. INSR LTR I TYPE OF INSURANCE D UB POLICYNUMBER MM/DDIYYYY tA1D MD YYY LIMITS )( COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 FZ7, CLAIMS -MADE OCCUR DAMAGE o RE PREMISES Ea oc a $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 A X J X BLS62567338 01/04/2024 01/04/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 1 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY E',&- LOC $ OTHER: AUTOMOBILE LIABILITY j COMBINED SENGLE LIMIT Ea CCldenl $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY P OPERTY DAMAGE r cciden $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE ❑ED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? F`N] (Mandatory in NH) N/A PER I I OTH- STATUTE I IER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: For location 220 W Colfax Ave, South Bend, IN 46601 City of South Bend is Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. r-PQTIG1r"ATF i4n1 nPR CANCELLAI IUN City of South Bend SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 227 W Jefferson Blvd AUTHORIZED REPRESENTATIVE South Bend IN 46601 Curtis Luken 01988-2015 AGOHD GUHPUHA I IUN. Au rignTs reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD