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

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SOUTHIND01 CAMP CERTIFICATE OF LIABILITY INSURANCE DA51„12023 `' 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 JgWCT LeeAnn Campantello The Church Insurance Agency Corp ,tC, No. Fxt : (800) 293-3525 Ftx, Na): 210 South St, Ste 2 Fd�"DEs . campaniecpg.org A Bennington, VT 05201-2894 _ INSURERS AFFORDING COVERAGE NAIC # , 0 A .Church Ins Co of Vermont 110669V INSURED Cathedral of St James INSURER B 117 N Lafayette Blvd INSURER C : South Bend, IN 46601-1507 INSURER D : _ I INSURER E: INSURER F o LZUICInki All IARMr.: p• V 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 TYPE OF INSURANCE ADDL IiUBR so v4vD POLICY NUMBER I POLICY EFF LTR POLICY EXP LIMITS A I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS -MADE OCCUR N N VPP0006095 5/1/2023 511/2024 DAMAGE RENTED S 1�000�QQQ 30,000 MED EXP (Any one person, 1,000,000 PERSONAL, & ADV INJURY S 5,000,000 GEIVLAGGREGATE L�IMpIT� APPLIES PER: GENERAL AGGREGATE S HPOLICY ❑ JELOC PRODUCTS - COMP/OP AGG : $ 1,000,000 pOT OTHER S INED NGLE1.IM1T _C[E �Ai S AUTOMOBILE LIABILITY 9_4enD S ANY AUTO BODILY INJURY Perperson) OWNED F SCHEDULED AUTOS ONLY AUTOSpS BODILY I�N'yJURY Per accident S AUTO$ &,5 0!rD R accida 114GE ONLY I I EACH OCCURRENCE S UMBRELLA LIAR HOCCUR I EXCESS LIAB CLAIMS -MADE I AGGREGATE iI I S S DED RETENTIONS WORKERS COMPENSATION l PER STATIT OTH- ER 1 AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH A CIDENT S OFFICER/MEMBER EXCLUDED? NIA ❑ { Mandatory in NH _ E.L. DISEASE - EA EMPLOYE Is If yes, describe under DFSC IPTI N QF OPERATJONS below - I Ol - POLICY IMIT A General Liability - "S" Form N N 'VPP0006095 511/2023 5/112024 Umbrella 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Ad(wuriol Remarks Schedule, maybe 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 IPROVISIONS OR REQUIRED BY LAW. The City of South Bend 227 W Jefferson Blvd., Ste 1400 South 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 ACORD 25 (2016/03) ©1983-2015 ACUKU CUKPUKA I IUN. Au rlgncs reservea. The ACORD name and logo are registered marks of ACORD