Laserfiche WebLink
Ditte: 6114/2017 <br />Certificatte of Coverage -g <br />This Certificate is issued as -a matter of information om[iy and <br />The Diocese of Fort Waync-South Bend, Inc. <br />Chancery Office <br />confers no rights upon the holder of this certificate- Tlkiq certificate <br />does not amend, extend or alter the coverage afforded below. <br />P.O_ Box 390 <br />Fort. Wayne, IN 46801 <br />Conipany Affording Coverage <br />71113 CATHOLIC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10943 OLD MILL RD <br />Covered Location <br />Otw Lady ofHungaryParish <br />OMAHA, N-E- 68154 <br />829 W Calvert Street <br />South Bend, IN 46613 <br />:Covers geg . <br />4. <br />4t: <br />This is to certify that the coverages listed below have been issued to the certificate holder named Above for the certificate <br />indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to: which this <br />certificate may be issued or may pertain, the coverage afforded described herein is subject to all the terms, exclusions and <br />conditions ofstich coverage. Limits show-n <br />may have been reduced by paid claims. <br />Type of Coverage <br />1: <br />Certificate !Numbertale <br />Coverage Effective <br />Coverage Fspiration <br />Date <br />Limits; <br />property <br />Real & Personal Property <br />D. <br />Cach Occurrence <br />1,000,000 <br />General Aggregate <br />Occurrence <br />0 Claims Made <br />8679 <br />10/1/2016 <br />10/1/2017 <br />Froducts-CotopfOl! Agg <br />personal & Adv Injury <br />Fire Damage (Any one fire) <br />Med Ezp (Any one person) <br />Excess Liability <br />Each Occurrence <br />Annual Aggregrate <br />Other <br />Each Occurrence <br />Claims Made <br />Annual AggMrate <br />Limillcovemge <br />1Deseriptlnn of Operations!Locations/VehicleslSpecial Items (the following hinguage supersedes any other languagein this endorsement O]r the Certificate in <br />conflict with this language) <br />Coverage is verified for claims arising out of Our Lady of Hungary Parish during their.festival on July 15, 2017, <br />Holder of CertlfJcate'--':-1 <br />Should Any of the above described coverages be cancelled <br />co issuing company will <br />before the expiration date thereof, the MP <br />t, <br />endeavor to Mail 30 days written notice to the holder of <br />City of South Bend, IN <br />certificate named to the left, but failure to wail'%uch notice shall <br />impose no obligation or liability of any kind upoh the company, <br />its agents or representatives. <br />10067003080 <br />Authorized itepresentativc <br />CA t0L9-69Z-VL9 8'Jud AAubunH 10 APIal ino n09:L0 Z>, % unr <br />