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Public Parking Facility - Episcopal Cathedral of St James
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Public Parking Facility - Episcopal Cathedral of St James
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4/3/2025 1:38:59 PM
Creation date
4/26/2018 10:07:36 AM
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Board of Public Works
Document Type
Permit Applications
Document Date
4/10/2018
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VRon <br />COMPANY Of VL MONT CERTIFICATE OF INSURANCE <br />The Church Insurance Company of Vermont February 14, 2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Insurer providing coverage: The Church Insurance Company of Vermont <br />PRODUCER: <br />The Church Insurance Company of Vermont <br />210 South Street <br />Bennington, Vermont 05201--5000 <br />INSURED: <br />Cathedral of St James <br />1 17 N Lafayette Boulevard <br />South Bend, IN 46601 <br />MORTGAGEE ---- <br />L <br />OSS PAYEE ---- <br />EMAIL: CICVTcerts@cpg.org <br />FAX: 802-753-1385 <br />CERTIFICATE HOLDER: <br />CITY OF SOUTH BEND <br />227 WJEFFERSON BLVD #1400 <br />SOUTH BEND, IN 46601 <br />ADDITIONAL INSURED <br />The policies of insurance listed below have been issued for the insured named above for the policy period indicated. Notwithstanding any <br />requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the <br />insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies, aggregate limits <br />shown may have been reduced by paid claims. <br />POLICY NUMBER: VPP0006095 CERTIFICATE EFFECTIVE DATE: 5/1 /2017 EXPIRATION DATE: 5/1/2018 <br />Commercial General Liabilitv <br />Occurrence Forun <br />General Aggregate applies per policy: Limits <br />EACH OCCURRENCE/AGGREGATE $1,000,000 Occ/5,000,000 Agg <br />FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 <br />MEDICAL EXPENSE (ANY ONE PERSON) $ 30,000 <br />Directors' & Officers' Liabilitv $1,000,000 <br />Employment Practices Liability $1,000,000 <br />Commercial Property <br />LOCATION: 11 1-1 1 7 N Lafayette Blvd South Bend; IN 46601 <br />COVERAGE INFORMATION: BLANKET BUILDING AND CONTENTS, REPLACEMENT COST, SPECIAL FORM, THEFT INCLUDED <br />BLANKET BUILDING & CONTENTS LIMIT: $1 1 368200 <br />PROPERTY DEDUCTIBLE: $1,000 <br />FLOOD DEDUCTIBLE: 2% <br />OTHER REMARKS: THE CITY OF SOUTH BEND IS AN ADDITIONAL INSURED ON THE GL FORM 0717 10 05 WITH REPSECT TO <br />THEIR STATUS AS THE LESSOR OF THE PARKING SPACES AT 309 W WASHINGTON ST, SOUTH BEND, IN 46601 <br />DISCLAIMER: The Certificate of Insurance does not constitute a contract between the issuing insurer, authorized representative, <br />and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policy <br />listed thereon. <br />CANCELLATION: THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY <br />BE TERMINATED, THE COMPANY WILL ENDEAVOR TO GIVE THE ADDITIONAL INTEREST IDENTIFIED 30 DAYS WRITTEN NOTICE, AND WILL <br />SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD EFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY <br />PROVISIONS OR REQUIRED BY LAW. <br />AUTHORIZED REPRESENTATIVE <br />STEVE FOLLOS <br />
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