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4 <br />ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YY Y) <br />1`� 11/30/2022 <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 INSURERS), 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 />H 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 <br />Gibson Insurance Agency Inc <br />202 South Michigan St., Suite 1400 <br />South Bend IN 46601 <br />INSURED <br />Real Services, Inc. <br />1151 S Michigan St <br />PO Box 1835 <br />South Bend IN 46634 <br />COVERAGES CERTIFICATE NUMBER: 2124897635 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 />NSR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY UP <br />LOArr$ <br />B <br />X <br />COMMERCIAL GENERAL LUURLITY <br />CLNJ.I MSADE JFV- I OCCUR <br />PHPK2435533 <br />7/1I2022 <br />7/1/2023 <br />EACH OCCURRENCE <br />S1,OOD,ODO <br />PREMISES Ea ocweanrs <br />$100,000 <br />MED UP ass, rem) <br />S 5,000 <br />PERSONAL S ADV INJURY <br />111,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY JEC LOC <br />OTHER <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS-COMP/OP AGO <br />s3,Doo,000 <br />S <br />AUTOMOBILELIABILT' <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON -OWNED <br />ONLY AUTOS ONLY <br />PHPK2435533 <br />7/1/2022 <br />7/1/2023 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />s10000D0 <br />X <br />BODILY INJURY (Par pawl) <br />$ <br />BODILY INJURY(PMaodENR) <br />S <br />X <br />PROPERTY DAMAGE <br />flow accident <br />It <br />S <br />B X UMBRELLALIAB X OCCUR <br />EXCESS LWB CLAIMS -MADE <br />DED RETENTION <br />PHUB822607 <br />7/1/2022 <br />711/2023 <br />EACHOCCURRENCE <br />s2,000,000 <br />AGGREGATE <br />52,000,ODO <br />S <br />q WORKERSCOMPENSATION <br />AND EMPLOYERS'LMBLLITY YIN <br />ANYPROPRIETOR/PARTNERIFJ(ECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />ff yex s, deribe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WCV6146654 7/l/2022 7/1/2023 <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />s500,000 <br />E.L. DISEASE -EA EMPLOYEE <br />S500,000 <br />E.L DISEASE -POLICY OMIT <br />S 500,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be aUached K more space is required) <br />CFRTIFICATF Hint DER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />-FOR INFORMATION ONLY` <br />AUTHORIZED REPRESENTATIVE <br />9)1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />