Laserfiche WebLink
AR r.�F7 DATE (MMIDDIYYYY) <br />LLL!!! L/ CERTIFICATE OF LIABILITY INSURANCE 1/7/2025 <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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). <br />PRODUCER CONTACT <br />NAME: SUSIe Guarino <br />McGriff Insurance Services LLC PRONE FAX <br />150 S. Warner Road, Suite 460 ;� e 1 610-233-4 , No); <br />King Of Prussia PA 19406 "'At susan, uariio mr riff.com <br />INSURED 151LAZKARP <br />LAZ Parking Midwest, LLC <br />500 S. Front St., Suite 210 <br />Columbus OH 43215 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: National Union Fire Ins Co of Pitt. PA <br />19445 <br />B: AIU Insurance Com2any <br />19399 <br />-INSURER <br />INsuRERc: Allianz Global Risks US Insurance Co <br />35300 <br />INSURER D <br />INSURER F: <br />�^W=MAr_Co 11CDTICW`ATC uu 1lle921=13• coa-7-7ne2-7 RFVICIrIAI MIIMRFR- <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 />11 <br />LTR <br />TYPE OF INSURANCE <br />AD04ISU <br />POLICY NUMBER <br />MM/DDIYYYY POLICYETT <br />pMIDD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />Y <br />3609369 <br />7/31/2024 <br />7/31/2025 <br />EACH OCCURRENCE <br />1 $1,000,000 <br />CLAIMS -MADE F7x OCCUR <br />ff7MERCIAL <br />DAMAGE TO -RFNTT=5 <br />PREMI occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2.000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />POLICY r PECOT- 71 LOC <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY Y <br />Y <br />3135689 <br />7/31/2024 <br />7/31/2025 <br />2:1,!IEDSINGLELIMIT <br />eccrdent <br />$5,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY L.AUTOS ONLY <br />BODILY INJURY (Per accident) <br />$ <br />I POPE JTY AMAGE <br />$ <br />C <br />X <br />UMBRELLALIAB X OCCUR Y <br />Y <br />SEE SCHEDULE <br />7/31/2024 <br />7/31/2025 <br />EACH OCCURRENCE <br />S100,000,000 <br />X <br />AGGREGATE <br />s 100.000,000 <br />EXCESS LIAB CLAIMS -MADE <br />DM I I RETENTION S I <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y <br />Y <br />WC014111735 7/31/2024 <br />7/31/2025 l;X I FER OTH- <br />STATUT <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />$ 1,000.000 <br />OFFICER/MEMBER EXCLUDED? FKJNIA <br />(Mandatory in NH) <br />E L, DISEASE - EA EMPLOYEE <br />I <br />IF yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E L DISEASE- POLICY LIMIT <br />. $ 1,000,000 <br />A Garagekeepers Liability Y Y 3135689 7/31/2024 7/31/2025 1.000.000 <br />B Stop Gap Liability WC014111735 7/31/2024 7/31/2025 Limits 1M/1M/1M <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />If agreed upon in a written contract or agreement, City of South Bend is included as an additional insured for general liability, but only with respect to the <br />operations of the named insured. Re: L22903- Eddy Street Commons at Notre Dame <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. <br />227 W. Jefferson Boulevard <br />South Bend IN 46601 AUTHORIZED REPRESENTATIVE <br />USA 2d-1 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />