Non Res Block Party - St Joseph Grade School

Home Browse Search

ENDORSEMENT (TO BE ATTACHED TO CERTIFICATE) Effective Date of Endorsement: 6/6/2018 Cancellation Date of Endorsement: 617l2018 Certificate Holder: The Diocese of Fort Wayne -South Bend, Inc. Chancery Office P O Box 390 Fort Wayne, IN 46801 Location: St. Joseph Grade School 216 North Hill South Bend, IN 46617 Certificate No. 8679 of The Catholic Mutual Relief Society of America is amended as follows: SECTION II -ADDITIONAL_ PROTECTED PERSON(S) It is understood and agreed that Section II -Liability (only with respect to Coverage D - General Liability), is amended to include as an Additional Protected Person(s) members of the organizations shown in the schedule, but only with respect to their liability for the Protected Person(s) activities or activities they perform on behalf of the Protected Person(s). 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 Person(s) will not precede the effective date of this certificate of coverage endorsement or extend beyond the cancellation date. Schedule - ADDITIONAL PROTECTED PERSON(S) City of South Bend, IN 227 West Jefferson Blvd South Bend, IN 46601 Remarks (the following language supersedes any other language in this endorsement or the Certificate in conflict with this language): Coverage only extends for claims arising out of St. Joseph Grade School's field day in which St. Louis Street will be closed from Colfax to LaSalle on June 6, 2018. .< 1, itit Authoriz Represev.e PKS-122(1 o- 11)