Laserfiche WebLink
07/31/2012 TUE 15:31 FAX 651 555 4545 ST PAUL ARCHDIOCESE <br />J002/002 <br />Date: 7/3112012 <br />Certificate of Coverage <br />Certificate Ifoldcr <br />Archdiocese of Saint Paul and Minneapolis <br />Chancery Office <br />226 Summit .Avenue <br />Si. Paul, MN 55102 <br />Thin 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 CATII01.IC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10843 OLD MILL RD <br />OMAHA, Nli 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, 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 terns, exclusions and , <br />conditions of such coverage. Limits shown may have been reduced by paid claims. <br />1 ype of Coverage <br />Certificate Nnnmber <br />Coverage Effective <br />Dnto <br />Coverage Expiration <br />Dale <br />Limits <br />Property <br />Relit & Personal Proper() <br />D. General lability <br />ElOccurrence <br />C.lalms Made <br />8589 <br />72122012 <br />7/1/2013 <br />hack Oecnrrenee <br />500,000 <br />General Aggregair <br />t'roducls- Corp /OPagg <br />Personal & &th Injury <br />Fire Damage (Any one Poe) <br />Molt Exit (Ally one Ilcrsiii,) <br />Eavese Liability <br />8589 <br />7/1 /2012 <br />7/1/2013 <br />Each Occurrence <br />500,000 <br />Animal Attgregrnle <br />Oilier <br />Rasa Occurrence <br />Claims Made <br />Annual Aggregrale <br />Limit/Coverage <br />Description of 0perntionsitecentimedV holes /Special tarns (Ike following hmgnage suptrsedes any other looming • in this endorsement or the Certificate in <br />sonlll t with till, language) <br />Coverage is verified with regard to the Covered Location's Men's Club Spaghetti Dinner, to be held on parish grounds, September 14, <br />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 <br />before <br />endeavor <br />certificate <br />impose <br />HS agents <br />any of the above described coverages he cancelled <br />the expiration date thereof, the issuing company <br />to mail 30 days written notice to <br />will <br />the bolder of <br />notice shall <br />the company, <br />named to the left, but failure to mail such <br />110 obligation or liability of any kind Ilion <br />or representatives. <br />Atlantan; Representative }/ - <br />III / <br />011100622(1 1 <br />JUL -31 -2012 02:36PM Fax:651 555 4545 <br />Id: <br />Page:002 R =92% <br />