License - Renewal for Public Parking Facility - Episcopal Cathedral of St. James

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SOUTHIND01 CA CERTIFICATE OF LIABILITY INSURANCE DATE(M 11261202YYY) 2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 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 INSURER(S), 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 on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Church Insurance Agency Corp 210 South St, Ste 2 Bennington, VT 05201-2894 INSURED Cathedral of St James 117 N Lafayette Blvd South Bend, IN 46601-1507 (800) 293-3525 Fax (AfC, No): INSURERIS} AFFORDING COVERAGE "CA INSURERA:Church Ins Co of Vermont 10669V INSURER C E: COVERAGES CERTIFICATE NUMBER., REVISION NUMi3ER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRT TYPE OF INSURANCE ADDL SU13R POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FZ71 occuR N N VPP0006095 5/1/2022 5/112023 EACH OCCURRENCE 12000,000 DAMAGE TO RENTED PREf�]L$�.IE�QGSdLrI C.PJ 1 �� 000 MED EXP (Any one arson 30,000 PERSONAL &ADVIN.IUAY S 1,000,000 'LAGGRE ELIMITAF' LT PER: GENERAL AGGRE AT 5,000,000 S FOJPRO- JECTr7Loc PRODUCTS 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY Per arson BODILY INJURY aer acciden OWNED SCHEDULED AUTOS ONLY AUTOS Per 8T� t AMAGE $ AUTOS ONLY AUUTOS ONLY UMBRELLA LIAB OCCUR EACH QCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE =FICCER/MEMBER EXCLUDED? PA, ER/MEMBER in NH) If yes, describe under N / A . EAC. F.rJT S E,L DISEASE - EA EMPLOYE D PT PERATIONS below . D - P Y A General Liability - "S" Form N + N VPP0006095 5/1/2022 5/112023 Umbrella 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Church parking lot used as public facility, city named as an additional insured. 117 N Lafayette Blvd. public parking CANCELLATION: THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL ENDEAVOR TO GIVE THE ADDITIONAL INTEREST IDENTIFIED 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD EFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR REQUIRED BY LAW. The City of South Bend 227 W Jefferson Blvd., Ste 1400 South South Bend, IN 46601- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD