Public Parking Facility - The Cathedral of Saint James

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SOUTHIND01 MILT CERTIFICATE OF LIABILITY INSURANCE DAT7111200A'YYY) 7rvzols 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 The Church Insurance Agency Corp 19 E 34 St New York, NY 10016A304 CONTACT NAME: PHONE FAX AIC No Fxt: N No: ADDRESS: INSURERIS AFFORDING COVERAGE NAIL# INSURERA:Church Ins Co of Vermont 110669V INSURED Cathedral of St James INSURER B: 117 N Lafayette Blvd INSURER C: South Bend, IN 46601-1507 1 INSURERD: INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NIIII 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. III ADDL'$UBRT—POLICY EFF POLIbY EXP7 LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DDIYYYY MMIDD/YYYY LIMITS A I X COMMERCIAL GENERAL LIABILITY 1r�x I CLAIMS -MADE LJ OCCUR N N PP0006095 5/1/2016 5/1/2017 EACH OCCURRENCE 96B cE1 Ed occ IEs occur, 000PREMISES _MED EXP(Anyone person)000PERSONAL&ACV INJURV 0DDGEN'L AGGREGATE LIMIT APPLIES PER JECOT LOC GENERAL AGGREGATE 000POLICY H ,' - TODD TS_COMP/OPAGG000OTHER: — AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT E. eooident BODILY INJURV (Per person) $ ANYAUTO I ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accitlent _ ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY�AMAGE Peraccident $ $ i I _ UMBRELLA LIAB OCCUR EACH OC_CURREN_CE $ .. AGGREGATE $ LI EXCESS AB _- —__. —AS _- I DE_D RETENTION $ .__ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDEDi NIA' STATUTE ERH E.L.EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE—$ __ (Mandatory In NH) II yYes, describe under DESCRIPTIONOFOPERATIONSbelow I I ! E.L. DISEASE-POLICV LIMIT �S -- A Umbrella N N IIVPP0006095 5/1/2016 1 5/1/2017 (Excess Liability 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space is required) Church parking lot used as public facility, city named as an additional insured. The City of South Bend 227 W Jefferson Blvd., Ste 1400 South 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 ) ACORD 25 (2014101) the ACORD name and logo are registered marks of ACORD reserved.