Special Event - St. Nick 6 - December 2 - Revised Route

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• • Certificate of Coverage Date:8/30/2023 Certificate Holder This Certificate is issued as a matter of information only and The Diocese of Fort Wayne -South Bend, Inc. confers no rights upon the holder of this certificate. This certificate Chancery Office P O Box 390 does not amend, extend or alter the coverage afforded below. Fort Wayne, IN 46801 Company Affording Coverage THE CATHOLIC MUTUAL RELIEF SOCIETY OF AMERICA 10843 OLD MILL RD Covered Location ST JOSEPH SCHOOL OMAHA, NE 68154 216 N. HILL ST SOUTH BEND, IN 46617 ('overag. This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate indicated, notwithstanding any requirement, term or condition of anv contract or other document with respect to which this certificate may be issued or may pertain, the coverage afforded described herein is subject to all the terms, exclusions and conditions of such coverage. Limits shown may have been reduced by paid claims. Type of Coverage Certificate Number Coverage Effective Date Cmerage Expiration Date Limits Property Real & Personal Property D. General Liability Each Occurrence 700,000 General Aggregate 1,000,000 Occurrence Products-Comp/OP Agg ® Claims Made N079 10/1/2023 10: 1 '2024 Personal & Adv Injury Fire Damage (Anv one fire) Med Elp (An, one person) Excess Liability Each Occurrence :Annual Aggregrate Other Each Occurrence Claims Made Annual Aggregrale Limit/Coverage Description of Operations/Loca rioncNehides/Special Items phe following language supersedes anv other language in this endorsement or the Certificate in conflict with this language) City of South Bend, Special Events Committee, and Board of Public Works are named additional protected person(s) but only for claims arising out of St. Joseph School's St. Nick 6k and 3k Annual Run/Walk Event on December 2, 2023. Holder of Certificate ('ancellation Additional Protected erson s Should any of the above described coverages be cancelled before the expiration date thereof, the issuing company will The City of South Bend endeavor to mail 30 days written notice to the holder of Public Works Service Center certificate named to the left, but failure to mail such notice shall 731 S. Lafayette Blvd. impose no obligation or liability of any kind upon the company, South Bend IN its agents or representatives. oe .Authorized Representative 'All /�/ r 0067005097