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11 <br />• <br />C� <br />ENDORSEMENT <br />(TO BE ATTACHED TO CERTIFICATE) <br />Effective Date of Endorsement 5/3/2025 Charge Crcdit <br />Cancellation Date of Endorsement5/4/2025 <br />Certificate Holder The Diocese of Fort Wayne -South Bend, Inc. Chancery Office P O Box 390 Fort Wayne, IN 46801 <br />Location ST ADALBERT CHURCH 2505 GRACE STREET SOUTH BEND, IN 46619-0000 <br />Certificate No. 8679 of The Catholic Mutual Relief Society of America is amended as follows: <br />SECTION II -ADDITIONAL PROTECTED PERSON(S) <br />It is understood and agreed that Section II - Liability (only with respect to Coverage D - General <br />Liability), is amended to include as an Additional Protected Person(s) the organization(s) shown in <br />the schedule below. <br />City of South Bend, IN, Special Events Committee and Board <br />731 S Lafayette Blvd <br />South Bend, IN <br />Remarks: <br />Cinco De Mayo Festival on May 3, 2025 from 8am until 9pm. <br />However, the following limitations apply to coverage: <br />1. The maximum limits of coverage provided by <br />Catholic Mutual Relief Society of America to <br />the Additional Protected Person(s) named <br />in this endorsement shall not exceed the <br />coverage dollar amount specifically required <br />by contract or agreement and agreed to by the <br />Protected Person(s). In the absence of <br />specific coverage limits within a referenced <br />contract or agreement, the limits of liability <br />afforded to the Additional Protected <br />Person(s) must be listed on a separate <br />Certificate of Coverage form attached to this <br />endorsement. All limits of liability extended by <br />this endorsement are inclusive of both Section II <br />Coverage D and Section VII coverages (if <br />applicable). <br />2. Unless specifically agreed to by contract or <br />agreement, the coverage extended to the <br />Additional Protected Person(s) by this <br />endorsement is excess and non-contributory <br />over any other available coverage or <br />insurance. <br />3. This endorsement does not apply to any <br />Occurrence outside the specific date(s) of a <br />facility use agreement or terms of a lease. <br />4. This endorsement does not extend coverage to <br />the Additional Protected Person(s) for <br />Occurrences which cannot be attributed to <br />primary acts or omissions of the Protected <br />Person(s). <br />5. Provided that a premises is utilized by the <br />Protected Person(s) in a manner consistent with <br />its intended purpose and in accordance with the <br />applicable contract, agreement, or lease, this <br />endorsement does not extend coverage to the <br />Additional Protected Person(s) for premises <br />defects or other Occurrences which could not be <br />discovered by the Protected Person(s) with <br />reasonable diligence. <br />6. The limited coverage afforded to the Additional <br />Protected Person(s) by this endorsement only <br />applies to the extent permissible by law and shall <br />not apply to non -delegable duties unless <br />specifically agreed to by contract or agreement. <br />This extension of coverage shall not enlarge the scope of coverage provided to the Certificate Holder <br />under this Certificate nor increase the limit of liability thereunder. Unless otherwise agreed by contract <br />or agreement, coverage extended under this endorsement to the Additional Protected Person(s) will <br />not precede the effective date of this endorsement or extend beyond the cancellation date. <br />PKS-122C(10-23) THE CATHOLIC MUTUAL RELIEF SOCIETY OF AMERICA <br />