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ACORU CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMMDJYYYY) <br />0112012023 <br />IRIS 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, curtain pollcles may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsements . <br />PRODUCER <br />The Leadership Insurance Agency, Inc. <br />52303 Emmons Road <br />Suite 31 <br />South Bend IN 46637 <br />CONTACT David GIleB <br />P N . 574-277-1611 574 273.4557 <br />EAMMos, david leadarshl ins.corn <br />SURM21 AFFOROINO VERAOE <br />NAICA <br />: AUTO -OWNERS INS CO <br />Issas <br />INSURED <br />The General Deli LLC <br />609 E Jefferson Blvd <br />South Bend IN 46617 <br />INsu C: <br />INSURERD: <br />INSURER E <br />P.RF: <br />rAVI-RAr:FS CERTIFICATE N11MBERe REVISION NUMBER: <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 />I <br />TYPEDFINSURANCE rRDDL <br />SUER <br />PUL[CrNUMHFR <br />POLICY✓ FFAMMOMDDEL <br />POLL YE]IP <br />LIMITS <br />A <br />COMMERCIIAL GENERAL LIABILITY <br />CLAIMBAiADE © OCCUR <br />Y <br />N <br />09013483 <br />10/09/2022 <br />10/09/2023 <br />H OCCURRENCE <br />S 1 OQOOOO <br />E <br />S 300000 <br />MED EXP oro <br />S 10000 <br />PERSONALSADVINJURY <br />S 1000000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />POLICY© JEC-CT LOG <br />OTHER: <br />05NERALAGGREGATE <br />s 2000000 <br />PRODUCTS-COMPIOPAGG <br />6 2000000 <br />6 <br />AUTOMOBILE LJASILITY <br />ANYAUTO <br />OWNED SCAUTOSHEDULED <br />AUTOS ONLY <br />AUTOS ONLY — AUTOS ONLY <br />COMBINED SINGLE LLMIT <br />BODILY INJURY (Parperm <br />$ <br />S <br />BODILY INJURY (Per eoddenl) <br />i <br />0 Rr riE <br />g <br />$ <br />UMBRELLA LJAB <br />EXCESS L1AB <br />k1 <br />OCCUR <br />CLAIMS-0LADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />It <br />DFD I I RETENTIONS <br />6 <br />WORKERS COMPENSATION <br />AHO EMPLOYERS LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTtVE + <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />II yyeeaa doan+bourldor <br />DESG IPTION OF OPERATIONS below <br />N f A <br />E.L EACH ACCIDENT <br />3 <br />E.L,DISEASE - EA EMPLOYEE <br />S <br />EL. D -POLICY LIMIT <br />S <br />A <br />Liquor Liability <br />N <br />N <br />09013483 <br />10/09/2022 <br />10/08/2023 <br />Each Occurence <br />1000000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Sohoduls, may be atlaehad If more spare Is required) <br />City of South Bend Is additional Insured with respect to General Liability. <br />I Li YiVlNI 0I40 <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 />1400 County City Building <br />AUTHORRED RE PREStNTATIVF <br />South Bend IN 46601 <br />Fax: Email' PARR-2A41c A[`ABr1 rnraonnn rrr►w nrr a..r.b ....,..�.,... <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />