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JAN. 22.20O1 2 :51PM <br />Certificate Holder <br />hdiocese of St. Paul - Minneapolis <br />ancery Office <br />226 Summit Avenue <br />St. Paul, MN 55102 <br />CATHOLIC MUTUAL GRP <br />Certificate of Covera.:e <br />Covered Location <br />St, Joseph's Catholic Church <br />171 Elm Street <br />Lino Lakes, MN 55014 -1271 <br />Coverages <br />NO.782 <br />P.2 <br />ate: 1/22/2001 <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 />4223 CENTER ST <br />OMAHA, NE 68105 <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 of Coverage <br />Certificate Number <br />Coverage Effective Coverage Expiration <br />Date Date <br />Limits <br />Property <br />Real & Personal Property <br />General Liability <br />® Occurrence <br />Claims Made <br />8589 <br />7/1/2000 <br />7/1/2001 <br />General Aggregate <br />Products-Comp/OP Agg <br />Personal & Adv Injury <br />Each Occurrence <br />Fire Damage (Any one fire) <br />Med Exp (Any one person) <br />$500,000 <br />Excess Liability <br />Each Occurrence <br />Other <br />Each Occurrence <br />Description of Operations/Locations/Vehicles /Special Items <br />Coverage only extends for claims arising out of St. Joseph's Church Eventide Dance to be held on Parish ground February 10, 2001. <br />Includes Liquor Liability <br />Bolder of Certificate <br />Additional Protected Person(s) <br />City of Lino Lakes <br />0111000329 <br />aziza <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 holder of <br />certificate named to the left, but failure to mail such notice shall <br />impose no obligation or liability of any kind upon the company, <br />its agents or representatives. <br />Authorized Re resentatiyc <br />O'ittet 1. <br />