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aC �® DATE(MM/DD/Y" CERTIFICATE OF LIABILITY INSURANCE 11/3/2025 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 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 endorsement(s). PRODUCER CONTACT>.Ashton Taner Synergy LLC SynePHONE FR7C 13800 Jackson Rd. 574-231 65fifi c No :574-258-9177 Mishawaka IN 46544 ,UDRLEss: cfservicB s er 'nsuran rou .cvm INSURERS AFFORDING COVERAGE NA1C# INSURERA: Property -Owners 32905 INSURED RIGHTOL-01 INSURER B : Auto -Owners Insurance 18988 Right to Life Michiana Education Fund, Inc. 2004 Ironwood Circle Suite 130 INSURERC: South Bend IN 46635-1800 INSURER D : INSURER E : INSURER F : f-nvCO A/'_`CC !-=D1FInlf ATG IJIIMRPR•107dd1 RR91 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. IINSR TypE OFINSURANCE EADDL SUBl7l POUCYEFF PoMCy EXP LTR IINSD WVD I POLICYNUMBER MMfDD MMM LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR GEWL AGGREGATE LIMIT APPLIES PER: X POLICY PROJECT LOC OTHER: Y 9676284200 9/28/2025 9/28/2026 EACH OCCURRENCE $ 1,000,000 $50.000 PREMISES Maoccurren MED EXP (Any oneperson) $ 5,000 $ PERSONAL & ADV INJURY GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OPAGG $ 1.000.000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 5438655300 3/13/2025 3/13/2026 COMBINED SINGLE LIMIT Ea accfdenl $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ rFFCWERTY DAMAGE a 1 $ $ UMBRELLA LIAB EXCESS LIAB H OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBEREXCLUDED7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A A106592095 5/18/2025 5/18/2026 ,X SPTA TE FR E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500.000 E.L. DISEASE - POLICY LIMIT $ 500,000 7- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Tf more apace Is required) The City of South Bend, IN, Special Events Committee, and Board of Public Works are listed as additional insured when required by written contract with regard to event being held. CERTIFICATE HOLDER CANCELLATION City of South Bend, IN 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. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD