Lebanon_Correctional_Institution_Archdiocese_of_Cincinnati_24-25_GL_AL_XS_Othr_6-19-2025_530164129.pdf
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- Attached to
- Agency Administered OH|CTR031043
- Contract number
- CTR031043
- Issued by
- Ohio
About this file
This document is a Certificate of Liability Insurance issued by Arthur J. Gallagher Risk Management Services, LLC on behalf of multiple insurers including National Catholic RRG, Inc., Underwriters at Lloyd's London, and Princeton Excess & Surplus Lines Insurance Company. The certificate is for the Archdiocese of Cincinnati, specifically covering the Office of Incarceration Ministries for a prison ministry function at Lebanon Correctional Institution in Lebanon, Ohio.
The insurance coverage spans from July 1, 2024, to July 1, 2025, and includes Commercial General Liability with a $1,000,000 per occurrence limit and a $2,000,000 general aggregate, Automobile Liability with combined single limit coverage, Umbrella Liability with a $4,000,000 aggregate limit, and Garage Liability. The specific ministry event involves Catholic ministry to the incarcerated at Lebanon Correctional Institution, with the insurance providing coverage for the period of 07/01/2025 – 06/30/2027. The policy includes additional provisions such as liquor liability and is designed to protect the Archdiocese during its ministry operations at the correctional facility.
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Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
6/19/2025
Arthur J. Gallagher Risk Management Services, LLC 2850 Golf Rd Rolling Meadows IL 60008
Traci Zuk 224-366-1621 traci_zuk@ajg.com
National Catholic RRG , Inc 10083 Underwriters at Lloyd's London 15792
Archdiocese of Cincinnati 100 East Eighth Street Cincinnati, OH 45202
Princeton Excess & Surplus Lines Ins Co 10786
530164129
A B
X 1,000,000 X
X Liquor Liab
2,000,000 X
RRG01020241
BP1002024
7/1/2024 7/1/2024
7/1/2025 7/1/2025
B A
Included
X
X X
BP1002024
RRG01020241
7/1/2024 7/1/2024
7/1/2025 7/1/2025
C X X 4,000,000R2-A3-RL-0000020-00 7/1/2024 7/1/2025
4,000,000 X 1,000,000
B A
GARAGE LIABILITY
GARAGE LIABILITY
BP1002024
RRG01020241
7/1/2024 7/1/2024
7/1/2025 7/1/2025
Auto Only-Ea Accid Auto Only-Ea Accid
Included Included
If Additional Insured status noted herein, coverage afforded by Form #TNC-G118 Rev 01/01/12.
RE: Your Parish/School/Entity : Archdiocese of Cincinnati Office of Incarceration Ministries | Name of Function/Event : Prison Ministry | Description of Function/Event: Catholic ministry to the incarcerated | Location of Function/Event: Lebanon Correctional Institution | Date Event: 07/01/2025 – 06/30/2027
Lebanon Correctional Institution
3791 OH-63
Lebanon, OH 45036
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