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C,i1Ij I:'ti ( j �I ,j' +''I j CERTIFICATE OF INSURANCE The Church Insurance Company of Vermont January 09, 2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Insurer providing coverage: The Church Insurance Company of Vermont PRODUCER: The Church Insurance Company of Vermont EMAIL: CICVTcerts@cpg.org 210 South Street FAX: 802-753-1385 Bennington, Vermont 05201-5000 INSURED: Cathedral of St James 117 N Lafayette Boulevard South Bend, IN 46601 CERTIFICATE HOLDER: CITY OF SOUTH BEND 227 WJEFFERSON BLVD SOUTH BEND IN 46601 The policies of insurance listed below have been issued for 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, aggregate limits shown may have been reduced by paid claims. POLICY NUMBER: VPP0006095 CERTIFICATE EFFECTIVE DATE: 5/1 /2016 EXPIRATION DATE: 5/1 /2017 Commercial General Liability Occurrence Form General Aggregate applies per policy: Limits EACH OCCURRENCE/AGGREGATE $1,000,000 Occ/5,000,000 Agg FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 MEDICAL EXPENSE (ANY ONE PERSON) $ 30,000 Directors' & Officers' Liability $1,000,000 Employment Practices Liability $1,000,000 Commercial Property LOCATION: 111 -117 N Lafayette Blvd South Bend, IN 46601 COVERAGE INFORMATION: BLANKET BUILDING AND CONTENTS, REPLACEMENT COST, SPECIAL FORM, THEFT INCLUDED BLANKET BUILDING & CONTENTS LIMIT: $11255500 PROPERTY DEDUCTIBLE: $1,000 FLOOD DEDUCTIBLE: 2% OTHER REMARKS: AS RESPECTS PARKING LOT ADJACENT TO INSURED PROPERTY DISCLAIMER: The Certificate of Insurance does not constitute a contract between the issuing insurer, authorized representative, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policy listed thereon. 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 PROVISIONS OR REQUIRED BY LAW. AUTHORIZED REPRESENTATIVE STEVEFOLLOS