Laserfiche WebLink
Certificate of Coverage Date:' 1' '0'4 <br />Certificate Holder <br />The Diocese of Fort Wayne -South Bend, Inc. <br />Chancery Office <br />P O Box 390 <br />This Certificate is issued as a matter of information oniy and <br />confers no rights upon the holder of this certificate. This certificate <br />does not amend, extend or alter, the coverage afforded below. <br />Fort Wayne, IN 46801 <br />Company .Affording Coverage <br />THE CATHOLIC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10843 OLD MILL RD <br />Covered Location <br />ST ADALBERT CHURCH <br />OMAHA, NE 68154 <br />2505 GRACE STREET <br />SOUTH BEND, IN 46619-0000 <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 <br />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 />00.000 <br />Occurrence <br />® Claims \lade <br />S679 <br />10/1/2023 <br />101'_0_'a <br />General Aggregate <br />1.000.000 <br />Products -Comp OP AYt <br />Personal & Adv Injun' <br />Fire Damage (Any one fire) <br />\fed Exp (Any one person) <br />Excess Liabilih <br />Each Occurrence <br />Annual Aggregrate <br />Other <br />Each Occurrence <br />Claims Made <br />Annual Aggregrate <br />LimiuCoverate <br />Description of OperationsLocationsAVeWeks/Special Items (the following language supersedes any other language in this endorsement or the C enlficate in <br />conflict with this language) <br />Coco De Mayo Festival on May 4, 2024 from 8am until 9pm. <br />Holder of Certificate <br />Cancellation <br />Additional Protected Person(s) <br />Should any of the above described coverages be cancelled <br />before the expiration date thereof, the issuing company will <br />City of South Bend, IN, Special Events Committee and Board <br />of Public Works <br />731 S Lafayette Blvd <br />South Bend. IN <br />endeavor to mail 30 days written notice to the holder of <br />certificate named to the left, bat failure to mail such notice %hail <br />impose no obligation or liability of any kind upon the company, <br />its agent% or representatives. <br />• <br />Authorized Representative',, 'All <br />�. <br />0067005138 <br />