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.4coROI CERTIFICATE OF LIABILITY INSURANCE <br />DAT <br />11/08/24a/2a <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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If 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 confer rights to the certificate holder in lieu of such andomement(s). <br />PRODUCER <br />SRM Group LLC <br />P.O. Box e, <br />Belleville, IL 62222 <br />NAME; <br />AME:DE <br />:618-365-4966 ACNq; <br />AODRESS:Chelseae@s=—ins.com <br />INSUREIRISI AFFORDING COVERAGE <br />IAJcb <br />INSURER A: LIBERTY SURPLUS INSURANCE <br />25658 <br />INSURED ENGINEERED SOLUTIONS MIDWEST, INC <br />5609 WEST 74TH STREET <br />INDIANAPOLIS, IN 46278 <br />INSURER B: TRAVELERS INDEMNITY COMPANY <br />INsuRERc:TRAVELERS PROPERTY CASUALTY CO <br />INSURER D: LLINOIS UNION INSURANCE C MP <br />INSURER E <br />INSURER F : <br />ncvlalvry rvumacrt: <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IAR <br />L <br />TYPE OF INSURANCE <br />wyp <br />POLICY NUMBER <br />MPW%D <br />MM/pD/1'LX <br />LIMBS <br />X <br />I COMMERCIAL GENERAL LMSARY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ 1,000,006, <br />PREMISES. Ea occuoance <br />S 300000 <br />MEDEXP(Anyonbperson) <br />$ 5 000 <br />F' <br />Y-630-5X292933—TIA-23 <br />12/1/2023 <br />12/1/2024 <br />PERSONAL$ ACV INJURY <br />$ 1,000,000 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY °Ea 7 LOC <br />GENERAL AGGREGATE <br />$ 2,000, 000 <br />PRODUCTS - COMP/OP AGO <br />$ Z, OOO, OOO <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />UABILRV <br />ATO <br />U OWNED <br />ONLY X sCHEpuLEO <br />AUTOON AUTOS <br />HIRED NON-0WNED <br />AUTOSONLY X AUTOS ONLY <br />810—SX252609-23-14—G <br />2/i /2023 <br />12 /1/2024 <br />=Nu WIN <br />nt <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per Parson) <br />$ <br />X <br />BODILY INJURY (Per acciden) <br />$ <br />X <br />Par accident) <br />IS <br />C <br />}[ <br />UMBRELLA LWB <br />EXCESS LIAO <br />OCCUR <br />CLAIMS -NAPE <br />CUP-5X294742-23-14 <br />12/1/2023 <br />12/1/2024 <br />EACH OCCURRENCE <br />$10, o0O OOO <br />r <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATON <br />AND EMPLOYERS'LIABILITY YIN <br />OFF nRORMBER R CLUDEDxEcurlvE <br />OFFICEWMEM6ER EXCLUDED? ❑ <br />&.&Malin NN) <br />II yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />UB-5X229224A-23-14—G <br />12/1/2023 <br />12/1/2024 <br />X STATUTE ER <br />EL EACH ACCIDENT <br />1 000 OOO <br />$ r , <br />E.L DISEASE - EA EMPLOYEI <br />$ 1,000,00.0 <br />E.L. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />D <br />POLLUTION LIABILITY <br />CPY G271695156 010 <br />12/01/2023 <br />12/01/2024 <br />LIMIT <br />$lM/$1M <br />C <br />INSTALLATION FLOATER <br />4T-660—SX357905—TIL-23 <br />12/01/2023 <br />12/02/2D24 <br />LIMIT <br />$500, 000 <br />A <br />PROFESSIONAL LIAB <br />SAESNAANBS2013 <br />4/25/2u24 <br />12/D1/2024 <br />LIMIT <br />$2M/$2M <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule; may be attached if more space is required) <br />CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED <br />CITY OF SOUTH BEND, IN <br />227 WEST JEFFERSON BLVD <br />SUITE 1300 N <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 POLICY PROVISIONS. <br />Co <br />All rinme reccnmd <br />AUORD25(2016/03) The ACORD name and logo are registered marks of ACORD <br />