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Certificate of Coverage Date: 11/4/2014 <br />Certificate homer <br />Archdiocese of Saint Paul and Minneapolis <br />Chancery Office <br />226 Summit Avenue <br />Si, Paul, MN 55102 <br />This Certificate is issued as a natter of informal ion only and <br />confers no rights upon the holder of this certificate. This certificate <br />(foes not amend, extend oi' alter the coverage afforded below. <br />Cumpnly Affording Coverage <br />771.13. CATHOLIC MUTUAL RELIEF <br />SOCIETY OF AMERICA <br />10843 OLA MILL RD <br />OMAI IA, 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, 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 />1'ype of Coverage <br />Certificate NumberDate <br />Coverage Effective <br />Coverage Expiration <br />Date <br />Limits <br />Properly <br />Real & Personal Property <br />0. General Liability <br />✓ Occurrence <br />Claims Mode <br />8589 <br />7/1/2014 <br />7/1/2015 <br />Each Occurrence <br />500,000 <br />General Aggregate <br />Products-Comp/OI' Agg <br />Personal F Ads Injury <br />Etre Damage bony one lire) <br />Med Exp (Any one person) <br />Excess Liability <br />8589 <br />7/1/2014 <br />7/1/2015 <br />Each Occurren01 <br />500,000 <br />Animal Aggregrale <br />Other <br />Each Occurrence <br />Claims Made <br />Annual Aggregrale <br />Limit/Coverage <br />Description of Operadons/I.ncaliou. /Vehicles/Special )lens (11 e. following language supersedes any other Ianguag . in this endorsement nr like C ertilicate in <br />conflict with this language) <br />(:overage is verified with roger 1 to the Covered Location's Men's Club Bingo, to be held on prig] grounds, November 23, 2014. <br />Includes Liquor Liability. <br />Helder of Certificate Cm@ellatlelr <br />City of Little Canada <br />515 Little Canada Road <br />Little Canada, MN 55117 <br />Should <br />bef'or'e <br />endeavor <br />certificate <br />impose <br />its 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 the <br />will <br />holder of <br />notice shall <br />the company, <br />named to the lett, but failure to mail such <br />no obligation or liability of any kind upon <br />or representatives. <br />Authorized itepresentative <br />i ( I.,/ <br />01 11007725 <br />4�`"" <br />