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C <br />4co CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYYI <br />6n/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 rialms to the certificate holder in lieu of such endorsementfsl. <br />PRODUCER <br />Gibson Insurance Agency Inc <br />202 South Michigan St., Suite 1400 <br />South Bend IN 46601 <br />NAIL <br />INSURED LOMouiYOa INSURER B: Cincinnati Indemnity Company 23280 <br />Downtown South Bend, Inc. - - <br />217 S Michigan St INSURER C: <br />South Bend IN 46601 INSURER D: <br />INSURER E <br />COVERAGES CERTIFICATE NUMBER: 1976053287 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 <br />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 ADDL UBRI POLICY EFF POUCY EXP <br />LTR TYPE OFINSURANCE POUCYNUMBER M DIYYYY MMmOM'YY <br />UMRS <br />A X COMMERCIAL GENERAL LIABILITY y , EPP 0031054 arM025 8/2/2026 <br />—, <br />EACHOCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE X 'OCCUR <br />PREMISES Ea oxurlance <br />$500,000 <br />$10,000 <br />MED UP (Any we person) <br />'$1,0001000 <br />PERSONAL& ADV INJURY <br />52,000.000 <br />_GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PPi. —X JECT 71 LOC <br />GENERAL AGGREGATE <br />PRODUCTS - COMPIOP AGG <br />$2,000.000 <br />E <br />OTHER. <br />A AUTOMOBILELWBIUTY EPP 0031064 8/212025 8/2/2026 <br />EOa BINEDtSINGLE LIMIT <br />51000000 <br />ANY AUTO <br />BODILY IWURY(Per palwn) <br />E <br />OWNED SCHEDULED <br />AUTOS ONLY _AUTOS <br />BODILY INJURY PeraaiEant <br />( ) <br />$ <br />X HIRED X NON -OWNED <br />_ AUTOS ONLY _ AUTOS ONLY <br />PROPERTY DAMAGE <br />_LPer accident <br />E <br />s <br />A X UMBRELLA LIAB X OCCUR EPP 0031054 8/212025 8/2/2026 <br />EACH OCCURRENCE <br />E4GD0,000 <br />EXCESS LIAB ICIAIMS-MADE <br />Ed,000,000 <br />DIED X RETENTIONS <br />_AGGREGATE <br />g <br />B AND EMPLOY RS'LABILRY Y/N EWCO257774 8/2I2025 8I2I2026 <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICER)MEMBER EXCLUDED' NIA ❑ <br />X STATUTE ER <br />I E.L. EACH ACCIDENT $500,000 <br />(Mandatory in NH) <br />If yes. deseiee under <br />DESCRIPTION OF OPERATIONS Oebei <br />EL DISEASE- EA EMPLOYEE'.. $ 500.000 <br />E.L. DISEASE -POLICY LIMIT $500,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may as attacked if mom space Is m irad) <br />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 <br />written contract. <br />The City of South Bend <br />227 W. Jefferson Blvd. <br />South Bend IN 46601 <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 />��hsrnr �iu7rr.,�i�e_-�ycrrcl� <br />©1988.2015 AC <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />