Procession - St Joseph County Crop Walk

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08-21-' 17 15 : 05 F ROM- 5742396407 T-674 P0004/0007 F-072 CERTIFICATE OF LIABILITY INSURANCE DATE,MMlDD,YYYYj 6/22/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATS 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 INSURt R($), 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 an this certificate does not confer ri hts to the certificate holder in lieu of such endorseMen S . PRODUCER Naldorf Risk Solutions, LLC 'O Box 590 -luntington NY 11743 CONTACT NAMff: FWNP- 63IA23-9500 FAX • 631-424-3610 "AIL ,Onto waldorfinsuranc®.com INSURERS AOROING CoVERAi@E NAIC # I s nER =Lto ds of London - AAl 122000 INSURED CHUWRL 3hurch World Service Inc, 3u5ineGG Manager 18606 Phillips St, PO Box 908 Elkhart IN 46516 INSURER B INS RERC. INauar"s INSURERE. INSURER P . ^ff ,r-InA'r= aaManco. 41100AR119 12rV114ION NUMRFR! HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO'NMTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONYRACT OR OTHER DOCUMENT W1114 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 SUCK POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE R wua POLICY NUMDER POLICY EFF MIUIDo POLICY F.iI MM10D LIMITS A X COMMERCIAL GENERALUABILITY CLAIMS -MADE [i] OCCUR Y 17WI777 417/2017 4f712018 EACH OCCURRENCE CNTEp PREWSPA Fa wwrr6nob $1000000 $ MEDFKP An o,aperson) S PEn8ONAL & ADV INJURY 6 OEN'L AGGREGATE LIMrrAPPLIE8 PER: GENERAL AGGREt ATL $2,000 000 PRODUCTS-COMPIOPAGG $ X POLICY El PRO- LOC JECT OTHER: AUTOMONILELIAAIUTY IFEewdWnl $ BODILY INJURY (Per pemon) $ ANY AUTO BODILY INJURY (Per at4dann) Pareccldenl 3 " & SCHEDULED QI�AMAGE HIRED ONLYIJTOS ED AUTOS ONLY AUTO ONLY $ $ UMBRELLAUAR OCCUR EACHOCCURKNCF S _ AGGREGATE $ IXCE$SLIAV CLAWS -MADE low RETENTIONS WoRKEas COMPENSATION ❑THE STAT $ E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIEY0"ARTNER1ZXGCUTIVE j OFFICER/MEMBER EXCLUDi=07 u (Mandatary In NH) N J A 6,b PISFASE- EA EMPLOYE $ E.L.OISEASi - POLICY LlMIT $ IfyeB da>3cribeUndar 0E$4�RIPTION OF OPERATIONS N, DESCRIPTION OF OPERATION81 LOCATIONS 1 VFNICLES (ACORD 101, Addlgonsl Remark8 SohWUID, IMy Iro dttxchod ifnrOre diMre la requlrod) Coverage certified above extends to include the Certificate Holder as Additional Insured but only v4th respect to liability arising out of the CROP Walk. St Josephs County The Ci of South Bend insured with the South Bend Parks and Recreation and the board of Park Commissioners $21 E. Walter Street South Bend, 146614 also additional insured. The City of South Bend 227 W Jeffereson Ave South Band IN 46601 SHOULD ANY OF THE ABOVE DESCRI13ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BS DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U. MW 01988-2015 ACI ACORD 25 (2010103) The ACORID name and logo are rag"latered marks of ACORD CORPORATION. All rights reserved,