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MMIC <br />CERTIFICATE OF INSURANCE <br />7650 Edinborough Way, Suite 525 <br />Minneapolis, Minnesota 55435-5288 <br />p. 800.328.5532 <br />ConstellationM utual.com <br />This is to certify MMIC Insurance, Inc. has issued to the insured the policy identified below by policy number, policy term and <br />limits of liability, which affords LIABILITY INSURANCE. This certificate of insurance does not amend, extend or otherwise <br />alter the terms, conditions, or limits of the insurance afforded by the policy. <br />INSURED'S NAME: Beacon Health System, Inc. <br />MAILING ADDRESS: 3245 Health Dr. <br />Granger, IN 46530 <br />POLICY NUMBER: NIHF007460 <br />POLICY PERIOD: 10/01/2024 to 10/01/2025 <br />COVERAGE TYPE: General Liability Occurrence <br />LIMITS OF LIABILITY: $1,000,000 Each Occurrence <br />$3,000,000 Aggregate <br />COVERAGE TYPE: Excess Liability <br />SHARED EXCESS <br />LIMITS OF LIABILITY: $14,000,000 Each Occurrence <br />$14,000,000 Aggregate <br />Description: Additional Named Insureds: Three Rivers Health System Inc., Beacon Medical Group, Beacon Health <br />Ventures, Beacon Occupational Health LLC, Memorial Hospital of South Bend and Community Hospital of <br />Bremen, Beacon Health, LLC; Beacon Health Ventures, Inc.; Beacon Occupational Health, LLC. <br />Annual Parking Garage License: Centennial, Bartlett and Navarre Garages <br />Certificate Holder: <br />City of South Bend <br />227 W. Jefferson Blvd. <br />Suite 1400 South <br />South Bend, IN 46601 <br />Issue Date: 10/01/2024 <br />CERT ed. 09/2017 MMIC Insurance, Inc. Page 1 of 1 <br />