Special Event - Concours d'Elegance at Copshaholm - July 13

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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) a/1012024 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(tes) 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 Gibson Insurance Agency Inc 202 South Michigan St., Suite 1400 South Bend IN 46601 CONTACT Alison Christensen PHONE FAx u N , 574-245-3521 No ; 574-236-6399 ADDRESS, achristensen@thegibsonedge.com INSURERS AFFORDING COVERAGE NAICe INSURER A: Selective Insurance Company Of South Carolina 19269 INSURED STUDNAT4)1 Studebaker National Museum INSURER B: Hartford Insurance Company of the Southeast 38261 201 Chapin St INSURRC: INSURER D: South Bend IN 46601 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 198927908 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCEL13TE0'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 TYPE OF INSURANCE ADOL SUBR� POUCYNUMSER POLICY EFF MMIDDNYYYI POLICY EXP (MMIDOPFIDW LIMITS A X COMMERCIALGENERALLb18LITV CUJMS-MADE 1K OCCUR S 2410712 5H/2024 I 5/1/2025 EACH OCCURRENCE $1,000,0G0 DAMAGETORENTED PREMISE Ea o=enence $500.000 MED EXP Any one person) $15.000 PERSONAL S ADV INJURY $1,000,000 GENL AGGREGATE LIMB APPLIES PER POLICY JMECOT F5�1 LOC OTHER: GENERAL AGGREGATE $2,000,0DO PRODUCTS-COMPIOP AGG $2,000.000 I $ A AUTOMOBILEUABRITY ANY AUTO OWNED SCHEDULED AUTOS ONLYNAUTOS AUTOS ONLY ALTOS ONLDY S 2410712 5/1/2024 5/1/2025 CEOIJBIaccidenSWULELIMIT $1000000 X BODILY INJURY (Per person) $ BODILY INJURY Per acddent ( ) $ X Parr acccRtlrvenDAMAGE $ Medical Pa march $5•000 A X UMBRELLA LIAR EXCESS LLI8 X OCCUR CLAIMS -MADE S 2410712 5/1/2024 5/1/2025 EACH OCCURRENCE $4,000.000 AGGREGATE $4.000.000 DIED X RETENTION $n S B MPENSATION AND EMPLOWORKEYERS' LIABILITY YIN ANYPROPRIETOR�PARTNER/EXECUTNE OFFICERIMEBEREXCLUDED4 (Mandatory In -NH) NH) ❑ If yes, describe antler DESCRIPTION OF OPERATIONS babe, NIA 35WECAJ3HLS 12/1/2023 12/1/2024 X STATUTE ER E.L. EACH ACCIDENT f 500,000 E.L. DISEASE -EA EMPLOYE $500,000 E.L. DISEASE - POLICY LIMIT S500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlachad N more space Is required) City of South Bend Attention Denise Miller Department of Public Works 731 S Lafayette Blvd 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. ((&rhsem Q7iiwanx �1yu�rcy ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD