Special Event - Winter Walk 2025-February 16 2025

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g M8eg2Jef'S id, I,k--oa((L ACORD® CERTIFICATE OF LIABILITY INSURANCE DA D/ I08/ 01/0812025 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 Healy Group 17535 Generations Drive CONTACT NAME: T Ryan Swygart (574) 271-6000 FAXNo): South Bend, IN 46635 AIL ADDRESS: rswygart@healygroup.wnn INSURERS AFFORDING COVERAGE NAICe INSURERA: Mount Vernon Fire MOUVE1 INSURED St Margaret's House Inc INSURER B: Selective Insurance Group Inc. 12572 117 N. LaFayette Blvd. South Bend, IN 46601 INSURER c: SELECTIVE INS CO OF THE SOUTHEAST 39926 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. wER' TYPE OF INSURANCE LTR AODL SUER' POLICY EFF POUCYEXP POLICY NUMBER MMIDDIVYYY MWBD/YYYY LRRTS B COMMERCMLGENERALLMIRLRY S 2238806 08/01/2024 08/0112025 EACH OCCURRENCE $ 1,000,000 CLAIM3-MADE OCCUR DAMAGE PREMISES Es owunenm $ 1,000.000 S 20,000 MED EXP (Any WO Person) S 1,000,000 PERSONAL BADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE POLICY JECOT LOG PRODUCTS-COMPAJP AGG $ 3,000,000 S OTHER' B AUTOMOBILELUIBILJTY S 2238806 08/01/2024 08/01/2025 Ee OII E SINGLE LIMB g 1,000,000 $ ANY AUTO BODILY INJURY Par pe apn) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per ac ovX S NON-OW HIRED AUTOSO ONLY AUTOS ONLY � AUTOS ONLY (Per2PROPERTYDAMAGE Pera¢ident $ S B UMBRELLA UAB y/ OCCUR S 2238806 08/01/2024 08/01/2025 EACH OCCURRENCE S 1,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE S 1,000,000 DED RETENTIONS 08/01/2024 08/01/2025 S y/ PET OTH- STATUTE _ ER E.L. EACH ACCIDENT S 500,000 E.L. DISEASE - EA EMPLOYEE S 500,000 E.L. DISEASE -POLICY LIMIT S 500,000 C WORKERS CONPEN811TION WC 9038052 ANDEMPLOYERS'LIABILITY YIN ANYPROPRIETORIPARTNERIEXECU IVE OFFICE"EMBER EXCLUDED? 711 NIA (MarWsW, in INK) I(yS6d rbe under DESCRIPTION OF OPERATIONS... B ' NFP Management Liability MY 1003105 08/01/2024 08/01/2025 AGGREGATE 1,000,000 A General Liability - Special Event Y SE 2027912 02/16/2025 02118/2025 $1M OCCUR/ AGG: 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Addkional Ramahs ScheduN, may w attached If more apace laraquim0 Event: 2025 Winter Walk The City of South Bend, Special Events Committee, and Board of Public Works are listed as Additional Insureds under General Liability for this event as required by written Contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. 227 W Jefferson Blvd South Bend, IN 46601 AUTHORIZED REPRESENTATIVE © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD