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<br /> 't)l/i: C>f1 '" 0.4>,,,,,', <br /> Q'!:!r': Date:7/3/2008 <br /> Certificate of Coverage ~"o.I'~ <br />Certificate Holder This Certifieate is issued as a matter ofinformation only and <br />Archdiocese of St Paul-Minneapolis Chancery Office 226 confers no rights upon the holder of this certificate. This certificate <br />Summit Avenue St Paul, MN 55102 does not amend, extend or alter the coverage afforded below. <br /> Company Affording Coverage <br /> THE CATHOLIC MUTUAL RELIEF SOCIETY 10843 OLD <br /> MILL RD OMAHA, NE 68154 <br />Covered Location <br />St Genevieve Church 7087 Goiffon Street CentervilIe, MN <br />55038-9719 <br />Coverages <br /> , , '" , " , <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 respeet 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 Certificate Number Coverage Effective Coverage Expiration Limits <br /> Date Date <br />Property <br /> Real & Personal Property <br />General Liability General Aggregate <br /> Products-Comp/OP Agg <br />EI Occurrence Personal & Adv Injury <br /> 8589 711/2008 7/112009 Each Occurrence /500,000 <br />0 Claims Made <br /> Fire Damage (Any ODe lire) <br /> Med Exp (Any ODe person) <br />Excess Liability <br /> 8589 7/1/2008 7/1/2009 Each Occurrence 500,000 <br />Other <br /> Each Occurrence <br />Description ofOperations/Locations/VehicleslSpecialltems <br />Coverage is verified with regard to the Covered Location's Church Picnic, to be held on parish grounds, 7087 Goiffon Street and 1683 <br />Sorel Street, on August ]7,2008. Includes Liquor Liability and Fidelity for Charitable Gambling. <br />Hl)lder of Certificate , CancenatioD <br />" <br />Additional Protected Person(s) Should any ofthe ahove described coverages he cancened <br />City of Centerville 1880 Main Street Centerville, MN 55038 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. n <br /> Autborized Representative ( '"" ... / r( ~ .". . ~ <br />~11J00Ol33 I ,/ '~ .~- /~ <br /> \ <br /> <br />/ <br /> <br />UtT, <;.J. CC <=''1 <br />S ~ d.l.l,4 C,...."l <>" <br /> <br />.... <br />