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SBCELLA-33 BGROSHANS DATE(MMIDDIYYYY) 7/31/2023 AC`+tQRO" CERTIFICATE OF LIABILITY INSURANCE `--� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 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(ies) 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 C ACT The Healy Group, Inc. 17535 Generations Drive South Bend, IN 46635 ti�ckrr , EIr ; 574j 271-6000 FWe AX No ;(574) 243-3214 AI IN RER AFFORDING COVERAGE NAIC N INSURER A. Selective Insurance Group Inc. 12672 INSURED INSURER B : INSURER C : SB Cellar, LLC INSURER D : 702 E Jefferson Blvd South Bend, IN 46617 INSURER E INSURER F : CGVFRAGFS CFRTIFICATF NlitMRFR, RFVISIntJ NIIMRFR- 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXPLrR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE occuR S 249344 7/30/2023 7/30/2024 EACH OCCURRENCE S 1.000,000 PDA R,=TO R1EAENTED occurrenol S 500,000 MED EXP (Arly one rsa 5,000 PERSONAL 4ADV INJURY 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECOT- LOC OTHER: GENERALAGGREGATE s 2,000,000 PROD 2,000,000 5 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUTHHOS pp AU�S ONLY Al1TOWAY COMBINED SINGLE LIMITidenil S BODILY INJURY Per neisson S BODILY INJURY Per aeddenl P�O�PbeT n AM0.GE A X UMBRELLA LIAB X EXCESS LIAB I OCCUR CLAIMS -MADE 2493"4 7/30/2023 7/30/2024 EACH OCCURRENCE S 1,000,000 AGGREGATE 3 1,000,000 DIED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABIL(rY (A(]]NYCCPROPREIIETggORR�IPARTNERIEXECUTIVE Y❑ [MFandatnryfnNH)EXCLUDED7 11 es, describe under DESCRIPTION OF OPERATIONS betow NIA C 9103086 1/11/2023 1/11/2024 X PER OTH- EL. cHgCCIDENT 500,000 E.L.DISEASE-EAEMPLOYE E 500,000 EL. DISEASE • POLICY LIMIT 500,000 S A Liquor Liability S 2493444 7130/2023 7130/2024 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of South Bend is listed as Additional Insured. City of South Bend 227 W. Jefferson Blvd South Bend, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 44- ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD