Procession - St Joseph Catholic Church - Saint Nick 6

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11/03/2017 FRI 17:19 FAX 00 12/016 ENDORSEMENT (70 BE ATTACH90 TO CERTIFICATE) Effective Date of Endorsement: 12/2/2017 Cancellation Date of Endorsement: 121312f117 .. Certificate Holder: The Diocese of fort Wayne -South Bend, Inc, Chancery Office P 4 Box 390 Fort Wayne,lN 46801 Location. ST JOSEPH CHURCH 216 N HILL ST SOUTH BEND, IN 46617-0000 Certificate No. 8679 of The Catholic Mutual Rellef Society of America Is amended as follows; SECTION 11- ADDITIONAL PROTECTED PBRSON(S) It Is understood and agreed that Section It - Liability (only with respect to Coverage D < General Usbillty), Is amended to Include as an Additional Protected Person(s) members of the organizations ®hown In the schedule, but only with respect to their liability for the Protected Person(*) activtides or sotivities they perform on behalf of the Protected Person($). It Is further understood and agreed that coverage extended under this endorsement is limited to and applies only with respect to liability assumed by contract or agreement; and this extension of coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit of liability thereunder. Unless otherwise agreed by contract or agreement, coverage extended under this endorsement to the Additional Protected Parsons) will not precede the effective date of thle certificate of coverage endorsement or extend beyond -the cancellation date. Schedule - ADDITIONAL PROTECTED PERSON(S) City of South Bend,1N, 227 W Jefferson Blvd, South Band, IN 46601; South Bend Venues Arts & narks, 321 E Walter St, South Bend, IN 46614; Board of Park Cornteiesioncrs, 321 E Walter St, South Bend, IN 46614 Remarks (the following language supereedea any other language In this endorsement or the Certiticste In conflict with this language): The City of South Bend and its respective elected offloials, officers, employees, agents and repreaentatives; Board of Park Commissioners, and South Bend Venua>i Parks & Arts are named additional protected permoti(s) but only :for claims arising out of St. Joseph ChureWs St. Nick Six Race in the City of South Bend on Decembo:r 2, 2017. Authoriz Representative ' ptcs-�zs{t a•� t )