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Certificate of Coverage <br />netts 7/29/2015 <br />Certificate Holder <br />,badiocesc of Saint Paul and Minneapolis <br />._;hancery Office <br />226 Summit Avenue <br />St. Paul; MN 55102 <br />This Certificate is issued as a matter of information only 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 />Company Affording Coverage <br />TIME CAT[IOLIC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10843 OLD MILL RD <br />OMAHA, NE 68154 <br />Covered Location <br />St. John's Church of Little Canada <br />380 Enst Little Canada Road <br />Little Canada, MN 55117 <br />Coverages, <br />This <br />indicated, <br />certificate <br />conditions <br />is to certify that the coverages listed -below have -been issued to the certificate holder named above for the certificate <br />notwithstanding any requirement, term or condition of any contract or other document with respect to Which this <br />may be issued or may pertain, the coverage afforded described herein is subject to all the terms, exclusions and <br />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 />Liu>its <br />Property <br />Real & Personal Property <br />I), General Liability <br />�✓ Occurrence <br />8589 <br />7/1/2015 <br />7/1/2016 <br />Each Occurrence <br />500,000 <br />General Aggregate <br />Products-Comp/OP Agg <br />Claims Made <br />Personal & Adv Injury <br />Fire Damage (Any one fire) <br />Med Exp (Any one person) <br />Excess Liability <br />8589 <br />7/1/2015 <br />7/1/2016 <br />.Erich Occurrence <br />500,000 <br />Annual Aggregrate <br />Other <br />Each Occurrence <br />Claims Made <br />Annual Aggregrate <br />Limit/Coverage <br />Description of Operations/Locations/Vehicles/special Items (tile following language supersedes any other language in this endorsement or the Certificate <br />conflict with this language) <br />Coverage is verified with regard to the Covered Location's Men's Club Turkey Bingo, to be held on parish grounds, November <br />Includes Liquor Liability and Fidelity for Charitable Gambling. <br />in <br />22, 2015. <br />Holder of Certificate Cancellation <br />:cy of Little Canada <br />515 Little Canada Road <br />Little Canada, MN 55117 <br />Should <br />before <br />endeavor <br />certificate <br />impose <br />its agents <br />any of the above described <br />the expiration date <br />to mail 30 <br />coverages be cancelled <br />thereof, the issuing company will <br />days written notice to the holder of <br />but failure to mail such notice shall <br />of any kind upon the company, <br />./ <br />named to the left, <br />no obligation or liability <br />or representatives. <br />Authorized Representative <br />i <br />0111008380 <br />(/,L--"--&---":----' <br />