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17 <br />A`ORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDMYY) <br />8/13/2025 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />Waldorf Risk Solutions, LLC <br />PO Box 590 <br />Huntington NY 11743 <br />CON A Zr— <br />AME <br />NAME; <br />631-423-9500 uc xo: 631-424.7810 <br />nooness: info wrs1928.cem <br />INSURE S AFFORDING COVERAGE <br />NAIL0 <br />' <br />INSURER A: Certain Underwriters at Lloyds, London - AA1 122000 <br />INSURED CHUWRL <br />INSURERS: <br />Church World Service Inc. <br />475 Riverside Drive, #700 <br />INSURERC: <br />New York NY 10115 <br />INSURERD: <br />NSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1272590313 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE <br />TR' <br />ADDLISUBR <br />POLICY NUMBER <br />MOLICY EFF POLICY EXP <br />lJMRB <br />A X <br />ImCOMMERCLILGENERALLIABILITY <br />CLAIMS -MADE K OCCUR <br />Y <br />Y <br />i 25W1777 <br />4012025 4/7/2026 <br />1 <br />EACH OCCURRENCE <br />PREMIS�oom once <br />MED EXP (Any one person) <br />PERSONAL$ADVINJURY <br />GENERAL AGGREGATE <br />PRODUCTS-COMP/OP AGO <br />$1.000,000 <br />$1,000,000 <br />$15.000 <br />$1,010,000 <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />X POLICY 71 Ou <br />JETF7LOC <br />OTHER: <br />$2.ODO,ODO <br />S 1,000,000 <br />S <br />AUTOMOBILELIABILRY <br />_ <br />ANY AUTO <br />OWNED ',SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />- <br />COMBINED SINGLE LIMIT$ <br />Ea aoudenl <br />BODILY INJURY (Per sensn) <br />$ <br />BODILYINJURYIN aceident) <br />s <br />PROPERTY DAMAGE <br />Par eaiaen[ <br />$ <br />UMBRELLA LIAB <br />LIAB <br />OCCUR <br />CLAIMS-MADE11 <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />_EXCESS <br />_ <br />DED 1 RETENTION <br />S <br />WORKERS C <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOIVPARTNERIEXECUTIVE <br />OFFICE"EMBEREXCLUOED4 ❑ NIA <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />ISTATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE-EAEMPLOYEE$ <br />$ <br />EL DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Scbadule, maybe allachW Hmom apace is required) <br />Coverage certified above extends to include the Certificate Holder as Additional Insured but only with respect to liability arising out of the CROP Walk. <br />RE: St. Joseph County Crop Walk on 921/2025 <br />r.FRTIFICATF Hlnl nFR CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of South Bend <br />731 S. Lafayette Blvd <br />South Bend IN 46601 <br />AUTHORRED REPRESENTATIVE <br />U. '1 "�"' n1 <br />9)1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />