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ki� -777'777-7-;1 <br /> Certificate of Coverage <br /> Cerilficaic Holder Tills Certificate Is Issued its$I Matter of information only and <br /> Archdiocese of St.Paul-Minneapolis confers no rights upon the holder of this carlifical e.This certificate <br /> Chancery Office does not amend,extend or alter the coverage afforded below. <br /> 226 Surninit Avenue <br /> St.Paul,MN 55102 Company Affording Coverage <br /> THE CATHOLIC MUTUAL RELIEF <br /> Covered Location SOCIETY OF AMERICA <br /> 10843 OLD MILL RD <br /> St.Genevieve Caholio Church OMAHA, NE 68154 <br /> 7087 Goiffon Street <br /> Centerville,MN 55038 <br /> era ges- <br /> �j <br /> Tills is to certify that the coverages listed below have been Issued to the certificate holder named above for the certificate <br /> Indicated,notwithstanding any requirctrient,term or condition of any contract or other document with respect to which tills <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 sbolvii may have been reduced by paid claims. <br /> Coverage Effective Coverage Expiration <br /> Type of Coverage CerlificsiteNumber Date Dale Limits <br /> Property Real&Personal Property <br /> D.General Whilky Each Occurrence 500,000 <br /> General Aggregate <br /> Occurrence 8589 7/V2013 7/1/2014 Products-Conip/011 Agg <br /> Claims blade I'monal&Adv Injury <br /> Fire Damage(Any one fire) <br /> Mcd Exp(Any one person) <br /> Excess TARbility Each Occurrence 500000 <br /> 8589 711/2013 711/2014 Annual Aggicgrntc <br /> other Fach Occurrence <br /> Claims Made <br /> Annual AgFrograle <br /> Limit/Coverage <br /> lk3cripilonof0pentions/LocalloiisNehiclesNi)"Inlitems (the following Ismitu Ric supersedes any other language In tills tnilorsemeni or the Certificate In <br /> conflict Willi ills language) <br /> Coverage is verified with regard to Covered Location's Annual Chicken Dinner and Picnic,to be hold on parish grounds,August 18, <br /> 2013. <br /> Includes Liquor Liability and Fidelity for Charitable Gambling, <br /> llolderorcertin 4 <br /> Should any of the above described coverages be cancelled <br /> before the expiration date thereof,the Issitingcompliny will <br /> City of Centerville endeavor to mail 30 days written notice to the holder of <br /> 1880 Main Street certificate named'to the left,but failure to inaft such notice shall <br /> Centerville,MN 55038 impose no obligation or liability of any)Intl upon the company, <br /> its agents or representatives, <br /> Rcprescnlalive <br /> 10-11-10--13-3 <br /> Authorized <br /> 00 <br /> 29 <br />