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Certificate of Coverage Date: 3/71/2011 <br />Certificate holder <br />Archdiocese of St. Paul Minneapolis <br />Chancery Office <br />226 Summit Avenue <br />Sr. Paul, MN 55102 <br />This Certifieale is issued as a /natter 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 />THE CATHOLIC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10843 OLD MILL RJ7 <br />OMAHA, NE 68154 <br />Covered Location <br />St. John's Church of Little Canada <br />380 East Little Canada Road <br />Little Canada, MN 55117 <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, tern or condition of any contract or outer document with respect to which this <br />cert ilicate 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 />'Ivpe of Coverage <br />Certificate Numb <br />Coverage Effective <br />ppn <br />Cuvcrnai Expiration <br />Date <br />Limits <br />Pruperry <br />Real Personal Property <br />General Liability <br />0 Occurrence <br />Chaims Math! <br />8589 <br />7/1/2010 <br />7/1/2011 <br />Each Occurrence <br />500,000 <br />General Aggregate <br />Products- Comp /OP Agg <br />Porsunal Adv injury <br />hire Damage (Any one fire) <br />Med Err (Ray one person) <br />E •eeu Liability <br />8589 <br />7/1/2010 <br />7/1/2011 <br />(!aµ'11 Occurrence <br />500,000 <br />Annual Aggrcnrate <br />Other <br />EAeli Occurrence <br />Claim Made <br />Annual Aggregrato <br />Limit/Coverage <br />Dever' 'lion of Operations /Location /Vehlelr'a /Spear/ Items (the following language sup rscdcs any other language in this endorsement or the Cal fie tc in <br />canal r with this language) <br />Coverage is verified with regard to the Covered Location's Fish Fry, to be held on parish grounds, April 15, 2011. <br />Includes Liquor Liability. <br />Holder of Certificate Cancellation <br />City of Liule Canada <br />515 Little Canada Road <br />Lade Canada, MN 55117 <br />Lit <br />Should <br />before <br />endeavor <br />certificate <br />impose <br />its agents <br />any of the above described coverages be cancelled <br />the expiration date thereof, the issuing company <br />to mail 30 days written:notice to <br />will <br />the holder of <br />notice shall <br />the company, <br />named to the left, but failure.to mail such <br />no obligation or liability of any kind upon <br />or representatives. <br />Anti nri2 <br />Representative <br />it <br />0111004629 <br />03 -21 -2011 11:29am From CATHOLIC MUTUAL <br />MAR -20 -2011 07:12PM Fax:6512901602 <br />Id: <br />651 290 1602 <br />T -773 P.002/002 F -432 <br />Page:002 R =100% <br />