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ACORIr CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) <br />4/4/2025 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If 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 endomement(s). <br />PRODUCER <br />Gibson Insurance Agency Inc <br />202 South Michigan Street, Suite 1400 <br />South Bend IN 46601-2020 <br />Kim <br />INSURED FAMIJUS-01 <br />INSURER B <br />Family Justice Center of St. Joseph County, Inc. <br />—r <br />533 North Niles Avenue <br />INSURER C <br />South Bend IN 46617-1919 <br />INSURER D: <br />INSURER E _ <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 2078399068 <br />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 />IL� tR TYPE OF BISURANCE ADDL SUBR POLICY EFF <br />NUMBER MM&1 <br />POLICY UPPOUCY <br />141,11 /YY <br />UMRS <br />A X COMMERCALGENERALUMILITY SE2028802 6/2112025 6/23/2025 <br />EACH OCCURRENCE 61,000,000 <br />CLAIMS -MADE %( OCCUR ! <br />PREMISES (Ea occumnce) jS100.000 <br />_ <br />MED EXP(My one person) $1,000 <br />PERSONAL &ADV INJURY S <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $2,000,000 <br />- <br />PRO- <br />_ <br />POLICY � JECTPRO <br />POLICY <br />PRODUCTS - COMP/0P AGG $ <br />OTHER: <br />S <br />AUTO CMULABIUTY <br />COMBIN IN $ u 1 <br />_(Ea amident <br />ANY AUTO <br />BODILY INJURY (Per parson) Is <br />OWNED SCHEDULED <br />AUTOS ONLY " AUTOS <br />BODILY INJURY(Per accident)' ccident S <br />HIRED NON -OWNED <br />_ <br />.PROPERTY DAMAGE <br />AUTOS ONLY __. AUTOS ONLY <br />[Peraccidentl ' <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE D <br />EXCESS LAB CLAIMS -MADE <br />AGGREGATE _ <br />DED RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />IPER OTH- <br />AND EMPLOYERS' LABILITY YIN <br />.STATUTE _. _,ER <br />ANYPROPRIETOWPARTNERIEI(ECUTIVE <br />.L <br />E. EACH ACCIDENT S <br />OFFICERIMEMBEREXCWDED9 ❑ NIA <br />(Manea"in NH) <br />E.L. DISEASE - EA EMPLOYEE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EI. DISEASE -POLICY LIMIT S <br />A Liquor Uabllity SE2028802 6/21/2025 6/23/2025 <br />Each Common Cause 1,000,000 <br />Aggregate Z000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) <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 Proof of Coverage Only^' <br />AUTHORU:ED REPRESENTATIVE <br />ihsan �uarra��rc 4ycil <br />©1988-2015 ACORD CORPORATION. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />