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<br /> ". .... .. . .'. <br /> Certificate of Coverage Date: 5/17/2005 <br />. ........ ...... <br />.... . .' . .' ....... .' .. .. ......... ..... <br />Certificate Holder This Certificate is issued as a matter of iuformation ouly and <br />Archdiocese of St. Paul-Minneapolis coufers uo rights upon the holder of this certificate. This certificate <br />Chancery Office does Dot amend, extend or alter the coverage afforded below. <br />226 Summit Avenue <br />St. Paul, MN 55102 Company Affording Coverage <br /> THE CATHOLIC MUTUAL RELIEF SOCIETY <br /> 10843 OLD MILL RD <br />Covered Location OMAHA, NE 68154 <br />St. Genevieve Church <br />7087 Goiffon Street <br />Centerville, MN 55038-9719 <br />, Coverages .,.,- .' 77 .. ................i <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 respect to which this <br />certificate may be issued or may pertain, the coverage afforded described herein is s~bject 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 & Penonal Property <br /> General Liability General Aggregate <br /> Products-Comp/OP Agg <br /> [2] Occurrence Personal & Adv Injury <br /> 0 8589 7/1/2005 7/1/2006 Each Occurrence 500,000 <br /> Claims Made <br /> Fire Damage (Anyone fire) <br /> Med Exp (Anyone person) <br /> Excess Liability <br /> Each Occurrence <br /> Other <br /> Each Occurrence <br />Description of OperationsJLocationsNehlcles/Special Items <br />Coverage is verified with regard to St Genevieve Parish's Festival, to be held on Church grounds, 7087 Goiffon Street and 1683 Sorel <br />Street, on August 21,2005. <br />Includes Liquor Liability and Fidelity for Charitable Gambling. <br /> . ... .' . . .< <br />Holder of Certificate '. ...... . Can~ellation . .., . .'<, ..... <br /> Should any of the above described coverages be cancelled <br />City of Centerville before the expiration date thereof, the issuing company will <br /> endeavor to mall 30 days written notice to the holder of <br /> certificate named to the left, bnt failure to mail snch notice shall <br /> impose no obligation or liability of any kind upon the company, <br /> its agents or representatives. n' <br /> Authorized Representative ( .0 r( ~.. lL <br />0111000133 I /' -, '?' "{f-- <br /> ~ <br />