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ACORO® CERTIFICATE OF LIABILITY INSURANCE 114/ DATE(MMIDDNYYY) 1 8/9/2024 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 endorsements . PRODUCER Gibson Insurance Agency Inc 202 South Michigan St., Suite 1400 South Bend IN 46601 CONTACT rR+NAREre Kim Parsons FAx Ea : 269-743-6670 uc Na:574-236-6399 VDRLE55: k arsons the ibsoned e.00m INSURER(31 AFFORDING COVERAGE NAIC0 INSURER A: Cincinnati Insurance CO. 10677 INSURED DOWNSOU42 Downtown South Bend, Inc. INSURER B: Cincinnati Indemnity Company 23280 217 S Michigan St , INSURERC: INSURER D: South Bend IN 46601 INBURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1850930402 REVISION NUMBER: 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. IN8R TYPE OF INSURANCE ADD SSUBR POLICY EFF LTR POLICY NUMBER MMID POLICY EXP MID LWITS A X COMMERCIALGENERALLUBILITY V EPP 0031054 8/2/2024 M2025 _ I CLAIM&MADE � OCCUR EACH OCCURRENCE 31,000,000 PREMISES Eaoccurre $500,000 MEO EXP (M one person) $10,000 1 PERSONAL B ADV INJURY 111,000,000 GENERA -AGGREGATE S2,000,000 GENT AGGREGATE LIMIT APPLIES PER. X POLICY ECT 7 LOC PRODUCTS -COMPIOPAGG $2,000.000 If OTHER: A AUTOMOBILELWBILRY EPP 0031054 8/22024 8/2/2025 COMBINED SINGLE LIMIT Ea acddenl s1,000,0D0 ANY AUTO 1 BODILYINJURY(Perperscn) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per aoi rd) $ x HIRED NON N — AUTOS ONLY AUTOS ONLY PROPERTY AGE Per aident) S S A X UMBRELLA LIAR X OCCUR EPP 0031054 8/2/2024 8/2/2025 EACH OCCURRENCE $4,000.000 AGGREGATE S4,D00,000 EXCESS LIAB CLAIMSMADE DED X RETENTIONSn S B WORKERS COMPENSATION EM0257774 8/2/2024 8/2/2025 !X ANDEMPLOYERS'LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEWEMBER EXCLUDED? NIA ! TH- STATUTE ER E.L. EACH ACCIDENT $500,000 (Mandatory in NH) If yes, desmbe under E.L. DISEASE - EA EMPLOYEE] $500,000 DESCRIPTION OF OPERATIONS tNIow E.L. DISEASEPOLICYLIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may M attached If mom apace Is required) The City of South Bend is additional insured with respect to General Liability coverage regarding events hosted by Downtown South Bend, Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of South Bend 227 W. Jefferson Blvd. AUTHORIZED REPRESENTATIVE South Bend IN 46601 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD