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r ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIWYY) 7/25/2017 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 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 CT Stephen Swihart NAMGibson PHONE a (800) 814-2122 A/C Na; FAX (800)636-2122 Insurance .Agency, Inc. ADDRESS: sswihart@gibsonins. cam 130 S. Main St, Ste 400 INSURERS AFFORDING COVERAGE NAIC # PO Box 11177 INSURERA:Cincinnati Ins Co 10677 South Bend IN 46601-0177 INSURED INSURERB:Cincinnati Ind Co 23280 iNSURERC: Downtown South Bend, Inc. INSURERD: 217 S Michigan St INSURER E : PO Box 930 INSURERF: South Bend IN 46624-0930 COVERAGES CERTIFICATE NUMBER:17/18 Liab 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDY /YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 5,000 EPP0031054 8/2/2017 8/2/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 % POLICY PRO- JECT ❑ LOG PRODUCTS - COMPIOP AGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED % HIRED AUTOS R AUTOS EPP0031054 8/2/20I7 8/2/201B BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident _$ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAR CLAIMS -MADE DED I % I RETENTION$ 0 $ RPP0031054 8/2/2017 8/2/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PROPRIFTORIPARTNERIEXECUTIVE �{ 8TATUTE FIRANY E.L. EACH ACCIDENT $ 100 000 B OFFICERfMEMBER EXCLUDED? ❑ (Mandatary in NH) NIA EWCO257774 8/2/2016 8/2/2017 F.L. DISEASE - EA EMPLOYE $ 100 000 E.L. DISEASE - POLICY LIMIT $ 500,000 If as, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space is required) City of South Bend is additional insured with respect to General Liability regarding events hosted by Downtown South Bend, Inc. rFRTIFIrATP Hrll nPIP CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Bend 227 W. Jefferson THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. South Bend, IN 46601 AUTHORIZED REPRESENTATIVE �f G Ins Agency/STSWTH ACORD 25 (2014101) 1 NS026 001 ant r ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD