Opening of Applications - 2025 Sewer Insurance Lateral Repair Program - Bob Frame Plumbing

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CERTIFICATE OF LIABILITY INSURANCE 02/11/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAnvn ONLY nnu cunrhHs nu Nronaa urvn Inc �cn1 rrwrarc r,.....�r.. , ,,.. 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(fes) 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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY P FAX jA,c, No, Eaq:888-333-0949 (a,c, no): 507-046-0664 HOME OFFICE: P,O. BOX 328 OWATONNA, MN 55060 h-MAIL s: CLI ENTCONTACTCENTER®FEDINS.COM.. INSURER A:FEDERATED MUTUAL INSURANCE COMPANV 13935 INSURED INSURER B: BOB FRAME PLUMBING SERVICES INC INSURER C: 2442 JACLYN CT SOUTH BEND, IN 46614-3700 INSURER D: INSURER E: INSURER F: DFVIRION NIIMRER: G 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. ILTR=C] AY NSURANCE RALLIABILITY OCCUR TGEHILAGGREOATE IANDSR SWVD N POLICY NUMBER 9403507 MMIDDIYYY FF 04/01/2025 MMIDDIYYYY 04/01/2026 LIMITS EACH OCCURRENCE $1,000,ODO ; ccurreOe ENTED PREMISES $100000 MEO EXP(MY one Person) EXCLUDED PERSONAL SAov INJURY $1,000000 GENERAL AGGREGATE $2000 OOD IT APPLIES PER: CT ❑LOC PRODUCTS 6 COMP/OP ACC $2,000*000 X AOVMEDAUTOS AUTOMOBILE LIABILITY ANYAUTOBODILY ONLY AMTEEDDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY J N N 9403507 04/01/2025 04/01/2026 COMBINED (Ea acclden SINGLE LIMIT l $120001000 INJURY (Per Foram) BODILY INJURY (Per Accidew) F OPAERT YY DAMAGE eso A X UMBRELLA LIAR EXCESS LIM X OCCUR CLAIMS44ADE N N 9403508 04/01/2025 04/01/2026 EACH OCCURRENCE $21000,000 AGGREGATE $21000,000 DEO I RETENTICN A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN MY PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? I (hlandalory Ln NN) Uyes, describe under DESCRIPTION OF OPERATIONS below N/A N 9403509 04/01/2025 04/01/2026 X PERSTATUTE I THER E.I.EACH ACCIDENT $50010DO E.DISEASE EA EMPLOYEE $SOO,000 E.L DISEASE POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addldana Remarks Schedule, may be attacMd it more space is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CITY OF SOUTH BEND 22U SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 227 W JEFFERSON BLVD SOUTH BEND, IN 46601-1830 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo aze registeretl marks of ACORD