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Certificate of Coverage Date: 3 /1/2012 <br />Certificate Holder <br />Archdiocese of St. Paul - Minneapolis <br />Chancery Office <br />226 Summit Avenue <br />Si. 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 />TI'TE. CATHOLIC 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 East Little Canada Road <br />Little Canada, MN 55117 <br />Coverages <br />MIS 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 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 />Properly <br />Deal & Personal Property <br />Each ()commies <br />500,000 <br />D. General Liability <br />P1Occurrence <br />""j <br />_f, Claims Made <br />8589 <br />7/1/2011 <br />7/1/2012 <br />General Aggregate <br />Products-Comp/OP Agg <br />e <br />Pson:d & A iv Injury <br />Eire Damage (Any one fire) <br />Med lisp (Any one person) <br />Execs Llability <br />8589 <br />7/1/2011 <br />7/1/2012 <br />Each Occurrence <br />500,000 <br />Annual Aggregr:ate <br />Other <br />Each Occurrence <br />Claims Made <br />Animal Agg,egrale <br />I..tmil /Coverage <br />Desert it ion of Operations /1.0ca1inn. Vehicles /Special Items (tie following language supersedes any otherr language in this cndmacment or the Certifies e in <br />milli twilit this language) <br />Cover ige is verified with regard to the Covered Location's Fish Fry Dinner, to be held on parish grounds, March 30, 2012. <br />Includes Liquor Liability. <br />Holder of Certificate Cancellation <br />City of Little Canada <br />515 Little Canada Road <br />Little Canada, MN 55117 <br />Should any of the above described coverages be cancelled <br />before the expiration date thereof, the issuing company will <br />endeavor to mail 30 days written notice to the bolder of <br />certificate named to the left, but failure to mail such notice shall <br />impose 00 obligation or liability of any hind upon the company, <br />its agents or representatives. <br />Authorized Iteprescuetlive 4 <br />/ <br />r � • . ' <br />0111004629 <br />