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Certificate of Coverage Date:2 /12/2004 <br />Certificate Holder <br />Archdiocese of St. Paul - Minneapolis <br />Chancery 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 />THE CATHOLIC MUTUAL RELIEF SOCIETY <br />10843 OLD MILL RD STE 300 <br />OMAHA, NE 68154 <br />Covered Location <br />St John the Evangelist Church <br />380 E Little Canada Road <br />Little Canada, MN 55117-1699 <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 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 Coverage <br />YP 6 <br />Certificate Number <br />Coverage Effective <br />Date <br />Coverage Expiration <br />Date <br />Limits <br />Property <br />Real & Personal Property <br />General Liability <br />8589 <br />7/1/2003 • <br />7/1/2004" • <br />General Aggregate <br />Products- Comp /OP Agg <br />✓ Occurrence <br />Claims Made <br />Personal & Adv Injury <br />Occurrence <br />Each O <br />500,000 <br />Fire Damage (Any one fire) <br />Med Exp (Any one person) <br />Excess Liability <br />Each Occurrence <br />Other <br />Each Occurrence <br />Descr ption of Operations/Location./Vehicles/Special Items <br />Coverage verified for St John the Evangelist Church for the Parish Auction Fund Raiser to be held on April 30, 2004. <br />Includes Liquor Liability. <br />Holder of Certificate Cancellation - <br />City of Little Canada <br />Should <br />before <br />endeavor <br />certificate <br />impose <br />its agents <br />any of the above described <br />the expiration date thereof, <br />to mail 30 <br />coverages be cancelled <br />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 />named to the left, <br />no obligation or liability <br />or representatives. <br />Autho9zed Representative / <br />%''�� <br />/ CI <br />0111001182 <br />l� <br />