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DATE (MMIDDIYYYY) <br />ACCJRIJ° CERTIFICATE OF LIABILITY INSURANCE <br />01121/2025 <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, 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 endorsements . <br />PRODUCER CONTIGEAG7 David Gilas _ <br />9� <br />The Leadership Insurance Agency, Inc. "E FjOj'� <br />674-277-1611 {574)273-4557 <br />52303 Emmons Road gas: Leadership@laads)shi lns.Com <br />Suite 31 INSU AFFORDING COVERAGE NAIC 0 <br />South Bend IN 46637 INSURER A: AUTO -OWNERS INS CO 18988 <br />INSURED - ... -- I%MIRFR R - . <br />The General Deft LLC <br />609 E Jefferson Blvd <br />South Bend IN 46617 , i <br />rn�/Gs�nr �c r FfiYIFIf _eTF IJI IMRFF?� FZFVISIC7N Nt IMRFR- <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 />INSR <br />TYPEOPINSURANCE <br />•ADD <br />SUBWV.R <br />POLICYNUYBER <br />POLICY Epp <br />POLICYEXPLTR <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE © OCCUR <br />Y <br />N <br />09013483 <br />10/0912024 <br />10109/2025 <br />EACH OCCURRENCE <br />s 1000000 <br />T a 90 oR_xqnc01 <br />PREKSES <br />s 300000 <br />MED EXP (AM ova peel) <br />$ 10000 <br />J <br />PERSONAL a AM INJURY <br />s 1000000 <br />GE9LAGGAEGATELIMIT APPLIES PER. <br />POLICY Z jEEC LOC <br />OTHER7 <br />GENERAL AGGREGATE <br />s 2000000 <br />PRODUCTS-COMP/OPAGG <br />s 2000000 <br />Is <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />CO118INED 5lNGLE LIMIT <br />F n aocaSe <br />f <br />BODILY INJURY (Per person) <br />_ <br />$ <br />SOO LY INJURY (Per =600 S) <br />f <br />PROPERTY DAMAGE <br />er aWdeN <br />f <br />f <br />UMBRELLA LIAR <br />EXCES"A U <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />s <br />f <br />f <br />AGGREGATE <br />DF.D I AFTFNTIONS <br />WORKERS COMPENSA71ON <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBEREXCLUDED? <br />(Feandalory In NH) <br />If yyo 6 deecr-bo "&r <br />DESCRIPrIONOrOPERATIONSbebw <br />NIA <br />PEp ER <br />_ <br />f <br />EL EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />s <br />EL DISEASE -POLICY LIMIT <br />f <br />A <br />Liquor Liability <br />N <br />N <br />09013483 <br />10/09/2024 <br />10/0912025 <br />Each OCcurence <br />1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddiDond Romano Schedule, may be aUadwd If mm space Is requbad) <br />City of South Bend is additional insured with respect to General Liability. <br />r_FRTIFICATF Hi71 r)FR CANCELLATION <br />City of South Bend <br />1400 County City Building <br />FRY - <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 />AUTHORIZED <br />01998-2015 ACORD CORP TION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />