Laserfiche WebLink
Certificate of Coverage Date: I(/27/2016 <br />Certificate Holder <br />This Certificate is issued as a matter of information only and <br />The Diocese of Fort Wayne -South Bend, Inc. <br />confers no rights upon the holder of this certificate. This certificate <br />Chancery Office <br />does not amend, extend or alter the coverage afforded below. <br />P Box <br />Company Affording Coverage <br />Fort Waynene,, IN 46801 <br />THE CATHOLIC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10843 OLD MILL RD <br />Covered Location <br />St. Joseph Parish <br />OMAHA, NE 68154 <br />211 North St. Louis Blvd <br />South Bend, IN 46617 <br />Coverages <br />This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate <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 coverage afforded described herein is subject to all the terms, exclusions and <br />conditions of such coverage. Limits shown may have been reduced by paid claims. <br />Type of Coverage <br />Certificate Number <br />Coverage Effective <br />Date <br />Coverage Expiration <br />Date <br />Limits <br />Property <br />Real & Personal Property <br />D. General Liability <br />Each Occurrence <br />500,000 <br />General Aggregate <br />®✓ Occurrence <br />® Claims Made <br />8679 <br />10/1/2016 <br />10/1/2017 <br />Products-Camp/OP Agg <br />Personal & Adv Injury <br />Fire Damage (Any one fire) <br />Med Exp (Any one person) <br />Excess Liability <br />8679 <br />10/1/2016 <br />10/1/2017 <br />Each Occurrence <br />500,000 <br />AnnualAggregrate <br />Other <br />Each Occurrence <br />Claims Made <br />Annual Aggregrate <br />Limit/Coverage <br />Description of Operations/LocationsNehicles/Special Items (the following language supersedes any other language in this endorsement or the Certificate in <br />conflict with this language) <br />Coverage is verified for claims arising out of St. Joseph Parish's St. Nick Six Race in the City of South Bend on December 10, 2016. <br />Holder of Certificate Cancellation <br />Should any of the above described coverages be cancelled <br />City of South Bend, Park & Rec Dept & Board of Park <br />Commissioners, 321 E Walter St, South Bend, IN 46614-2642 <br />City of South Bend, Holy Cross College, Holy Cross Village at <br />Notre Dame, University of Notre Dame <br />0067003010 <br />before the expiration date thereof, the issuing company will <br />endeavor to mail 30 days written notice to the holder of <br />certificate named to the left, but failure to mail such notice shall <br />impose no obligation or liability of any kind upon the company, <br />its agents or representatives. <br />Authorized Representative01 <br />rr <br />