Opening of Applications - 2025 Water Works Utility Service Line Program - Bob Frame Plumbing

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CERTIFICATE OF LIABILITY INSURANCE 02l11/2025 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(les) 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 PHONE HOME OFFICE: P.O. BOX 328 (A/C, No, Ex0: 888-333-4949 (A/c, No): 507-446-4664 OWATONNA, MN 55060 ,,nnuc«. rl I PXITrnMTArrrPMTLRynIFFnlfdq rnM IN6URE0 BOB FRAME PLUMBING SERVICES INC 2442 JACLYN CT SOUTH BEND, IN 46614-3700 INSURERS AFFORDING COVERAGE NAICA INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13M NSURER B: PER C: NSU RER D: NSU RER E: INSURERf 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 TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY MMIDD/YYYY EXP LIMITS A X COMMERCIALGENERALUABILITY CLAIMS -MADE [X]OCCURCGNErO Y N 9403507 04/01/2025 04/01/2D26 EACH OCCURRENCE $1,000,000 gENTEO PREMISES $100 tow MED EXP(Myy one Person) EXCLUDED PERSONAL 6 ADV INJURY $11000,000 GENERAL AOOREGATE $2000000 OENL AGOREOAT�E LIMIT APPLIES PER: POLICY I�IPRO- LOC YEOT OTHER: X PRODUCTS S COMPIOP ACC $21000,000 AOWNED AUTOMOBILELIABILITY JMYAUT0 AUTOS LVNLV AUTHEEDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N N 9403507 04/01/2025 04/01/2026 BI (Eafaccidee�aDaSINGLE LIMIT $1000000 BODILY INJURY(Per Person) BODILY INJURY (Per AcNdenl) ROPMERiTYY DAMAGE or A X UMRRELLA LAS EXCESS LIAR XOccUR CLAIMS -MADE N N 9403508 04/01/2025 04/01/2026 EACH OCCURRENCE $2,000,OGO AOOREOATE $29000,000 DED I RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandolory In NN) If yes, describe under DESCRIPTION OF OPERATIONS below N/A N 9403509 04/01/2025 04/01/2026 X I PER STATUTE THER E.L EACH ACCIDENT $500t000 E.LDISEME EA EMPLOYEE $500,000 E.L DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Addidwal Remares Schedule, may be attached If more space Is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERSJ LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION CITY OF SOUTH BEND 22 0 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 reservetl. ACORD 25 (2016/031 The ACORD name antl logo aze registeretl marks of ACORD