Special Event - St. Joseph County Crop Walk - September 24

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ACORO® CERTIFICATE OF LIABILITY INSURANCE `/ DAM(MMIDDNYYY) 1 8/24/2023 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 endomement(s). PRODUCER Waldorf Risk Solutions, LLC PO Box 590 Huntington NY 11743 CONTACT NAME` PHONE . 831423-9500 uc NII: 631-424.3610 ADDRESS: Info rsl928.com INSURERSAFFORDINGCOVERAGE NAICS INSURER A: Certain Underwriters at Uo da, London-AA7122000 INSURED CHUWRL Church World Service Inc. INSURERS: 28606 Phillips St, PO Box 968 INSURERC: _ INSURERD: Elkhart IN 46515 NSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: 47484907 REVISION NUMBER: 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. INSR Tp 'ADOL SUBR. TYPE OF INSURANCE POUCY NUNBER POLICY EFF MM,DOIYYYY POLICY SKIP MMNOIYYYY LIMITS A X ! COMMERCIAL GENERAL LIABILITY Y Y 23W1777 4/7/2023 477/2024 EACH OCCURRENCE $1.000.000 MAGE TO RENTED CLAIMS -MADE � OCCUR PREMISES IEs occurrence) E MED EXP(Any we person) S15.000 PERSONAL B ADV INJURY S GENL AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE S2,000,000 X _ POLICY JE8r LOC . PRODUCTS - COMP/OP AGG E OTHER: $ AUTOMOBILELIABILITY CCMBIN IN L LIMIT$ Ea acciden BODILY INJURY IPer person) ANYAUTO $ OWNED SCHEDULED AUTOS ONLY AUTOS - _. BODILY INJURY (Per accident)$ HIRED NONOWNED AUTOS ONLY AUTOS ONLY pROPERTV DAMAGE Per accident $ E UMBRELLALIAS OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAR CLAIMS -MADE $ S DIED RETENTIONS WORKERS COMPENSATION ANDEMPLOYERS' UABILITY YIN ANYPROPRIETORIPARTNERJEXECUTIVE ER TH- STATUTE ER E.L. EA CH ACCIIEN $ OFFICERAIEMBEREXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEEI $ If es. deaRibe under DESCRIPTION OF OPERATIONS helmv E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached If more apace Is reeuired) Coverage certified above extends to include the Certificate Holder as Additional Insured but only with respect to liability arising out of the CROP Walk. RE: St. Joseph County Crop Walk on 9/24/2023 South Bend 731 S Lafayette South Bend IN 46601 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 5 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD