Permit - Public Parking Facility Renewal - Episcopal Cathedral of St James

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JAN 2 8 2M (deceive c� SOUTHIND01 ACORO" DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/28/2025 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 License # 957262 CONTACT Jennifer VOngsavanh The Church Insurance Agency Corp PHONE 800 293-3525 FAX 8DD 557-1395 210 South Street, Suite 2 (Arc, No, E , 8( (A . Ha):[ ) Bennington, VT 05201.2894 von 9avanh C .O INSURED Cathedral of St James INSURERC : 117 N Lafayette Blvd INSURER D : South Bend, IN 46601-1507 INSURER E INSURER F : 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. INSRi TYPE OF INSURANCE i4DDLISU R POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVQ. _ M n' A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'��'� CLAIMS -MADE X OCCUR IVPP0006095 511/2024 5/1/20251�000�Q ❑ X� IeH.SFS.[Eaa�wne±!�e]_ -$ -- _ (3EN'LAGGREGATE LIMIT APPLIES PER: X POLICY L__--,1 FROT- LOC OTHER: AUTOMOBILE LIABILITY _ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONLY A f UMBRELLA LIAR X OCCUR X EXCESS LIAB CLAIMS -MADE X DED I X I RETENTION$ 10,000 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PRO PRI ETOR/PARTN ER/EXECUTIVE RMCCER/MEMBER EXCLUDED? N/A datory in NH) If ves. describe under 5/1 /2024 1 511 /2025 BODILY INGLE LIMIT H ACCI 1 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES JnCORD 101, Additional Rcrn.irks Schedule, may be attached 0 more space is required All operations of the named insured including Church parking lot used as public facility; Parking Spaces at 309 W ASHINGTON ST, SOUTH BEND, IN 46601 in connection with which the certificate holder is named as an additional insured but only in connection with the actions and negligence of the named insured. 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 SEE ATTACHED ACORD 101 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION The ACORD name and logo are registered marks of ACORD All rights reserved.