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ACORO® CERTIFICATE OF LIABILITY INSURANCE DAMJMMIDDIYYYY) 8r7/2025 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 policylies) 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 endorsement(s). PRODUCER Gibson Insurance Agency Inc 202 South Michigan St., Suite 1400 South Bend IN 46601 CONTACT NAME_ Kim Parsons PHONE FAx N at, 269-743.6670 No:574-236-6399 ADDRESS,: k arsons the ibsoned e.wm INSURE S AFFORDING COVERAIrE NAIL• INSURER A: CINCINNATI INSURANCE CO. 10677 INSURED DOWNSOU42 Downtown South Bend, Inc. 217 S Michigan St INSURERS: Cincinnati Indemnity Company 23280 INSURER C: INSURER0: South Bend IN 46601 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1976053287 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. INSR 'ADDCSUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE MID POLICY NUMBER MMA)O/YYYY MMID OMRS A X COMMERCIAL GENERAL LIABILITY V EPP G031054 8/2/2025 8/2/2026 EACH OCCURRENCE S 1,00QOD0 _I CLAIMS -MADE LX OCCUR PREMISES JEs occurrence $500,000 MED EXP (Any one person) $10.000 J PERSONAL B ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE :2,000.000 X POLICY J1 JEC LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER: $ A AUTOMOBILELWILT' ^I EPP 0031054 BI2I2025 8/212026 COMBINE SINGLE LIMIT Ea accident $1,000,000 E ANY AUTOOWNED LY INJURY (Par person) BODISCHED AUTOS ONLY �' AUTOSULED BODILY INJURY (Per acciden0 $ ^, X j HIRED I X NON -OWNED PROPERTYDAMAGE S AUTOS ONLY AUTOS ONLY Par ho a ent $ A X uMSRELLALIAB X OCCUR EPP 0031054 8/2/2025 8/2/2026 EACH OCCURRENCE $4.000.000 $4,000.000 EXCESS LIMB CLAIMS -MADE AGGREGATE S DED X RETENTIONSn B WORKERS COMPENSATION EWCO257774 8/2/2025 8/2/2026 X PER O - STATUTE ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWPARTNERIEXECUTIVE E.L. EACH ACCIDENT S50Q000 ❑� OFFICER,MEMBER EXCLUDED' NIA (Ma mums, in RINI E.L. DISEASE - EA EMPLOYEE' S 500,000 If yes. describe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachetl if more space Is required) The City of South Bend is additional insured with respect to General Liability coverage regarding events hosted by Downtown South Bend, Inc as required by written contract. TE The City of South Bend 227 W. Jefferson Blvd. South Bend IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. &,17san faYLtUrawc—`-G7Jil r ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD