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Procession - St. Margarets House
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Procession - St. Margarets House
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Last modified
3/31/2025 4:32:34 PM
Creation date
1/12/2017 8:54:08 AM
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Board of Public Works
Document Type
Projects
Document Date
1/10/2017
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12/08/2016 16:36 5742333125 XRC BILLING PAGE 04/07 <br />I i <br />CERTIFICATE <br />THIS CERTIFICATE S ISSUED AS A MATTER OF INFORI <br />CERTIFICATE DO SI NOT AFFIRMATIVELY OR NEGATIVE] <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE 1 <br />IMPORTANT: If the certificate, holder Is Be ADDITIONAL INS <br />If this cidlhH to doge nOfGATION ISVAIVEDConferr rights totthe certificate ho dto the terms ande i <br />FRooucER <br />INSURED <br />St Margarefe House Inc <br />117 N, LaFayette Blvd. <br />South Bend, IN 46601 <br />Is <br />COMMERCIAL GENERAL LIABILITY <br />OIAIMS-MADE O OCCUR x <br />cGA� UMITAPPLIESPER: <br />POLICY PRO- ED 1.00 <br />ANYAUTO <br />OWNGO <br />AUTOS ONLY SCTHEDULED <br />��--II�������� AU�IOpSyyryE <br />AU aONLY Ag 0.S pryl,e <br />VMBRELLA LIAB X OCCUR <br />City of South Send <br />X <br />STMARGA-01 I Lg <br />LIABILITY INSURANCE DAr"waorr Y) <br />72108r20Is <br />ONLY AND CONFERS AL NO RIGTHE COVERAGE VTHE CERTIFICATE HOLDER, THIS <br />END, EXTEND OR ALTER W ETISU AFFORDED BY THE POLICIES <br />11TUTE A CONTRACT BETWEEN FIVE ISSUING INSURER(S), AUTHORIZED <br />2. <br />ma8t have ADDITIONAL INSURED proVISlorls or be, ehtlorsed. <br />certain PONCies may require an endorsemenR A statement on <br />Imant(sI. <br />FOR THE <br />PERIOD <br />0 HERESPECT70LWHICH THIS <br />SUBJECT TO ALL THE TERMS, <br />2233808 <br />08/01/2016 � 09/01/2017 <br />OB1D1 M010 108101f2017 <br />Renq,Na SChWulq may se""I' d tr Msro apace Is MgRlmd) <br />STHE <br />HOULD ANY OF THE ABOVE DESCRIBEb POLICIES BE CANCELLED BEFORE <br />ACCORDANCE EXPIRATIOW TH THE POLICY PRATE OVIS ONSCE WILL BE DELIVERED IN <br />AUTNON2ED RePRESENTATNE <br />, �1aw+a'�Javr <br />The ACORD name and logo are registered ma1D 108&2016 ACORD CORPORATION. All rights reserved, <br />rks Of ACORD <br />
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