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JAN -30-2006 MON 05:18 PM MANION BELL INSURANCE <br />FAX N0, 213 389 5833 <br />P. 01 <br />RTue i�[BOsCE`1y <br />wRN <br />1n8/2606 <br />rr'oduceT <br />MANCON/BELL INSURANCE ASSOCIATES <br />P. O. I)OX 30196 <br />LOS ANGELES, CA. 90036 <br />(2; 5) 3R74204• IAX (213) 390,5833 <br />1. 10. # 05555274 <br />THIS CERT If CATE IS ISSUED ASA MATTER OF INFORMATION <br />QNLY AND CONFERS NO RIGF ITS UPON THE CERTIFICATE <br />BOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTEaI IH0 COVERAGF AFFORDED DY THE POLICILS OCLOW <br />COMPANIES AFFORDING COVERAGES <br />- <br />rn,npm,y <br />A <br />ST. PAUL FIRE AND MARINE INS. CO. <br />Insured W <br />GIRI, SCOUT COUNCIL OF ORANGE COUNTY <br />]630 ADAMS AVENUE <br />COSTA MESA, CA 92626 <br />B <br />CoiIV�Ay <br />C <br />Cu,nploy <br />D <br />~COVERPGE kY' <br />THIS IS TO CFf1Tll'-Y'TM'1- THE POUCH- i Or NnuRANCE LMT[O OCL.OW HAVE ELI N ISSUEO'TO TH51NSUni [) NAMED ABOVE FDR THE POLICY PERIOD <br />INDICATED, NOI WI'IH`+rFlNOING ANY mOVIRFMCNIT, TERMORC,O.NDITICN OFANYCONTRACTOR OTHER DOCUMCNT WITH nC5CECTT0WKCNT'HS <br />CETTIFICATE MAY UL:ISL'JLDCR MAYPERTAIN, TIF INSURANCE AFFORDED SYTiE POLICILS DESCRIBED {ERG IN IS SLOJCCTTO ALLTHERIERMS, <br />fXCLUf.'ICIaR ;WD COND111UNSOF SUCH POLICIES. LIMITS SHON MAY HAVE ECI'IV REDUCED BY PA.DCLAIMS <br />_ <br />CD <br />LTR <br />TYPE OF INSUMNCF <br />POLICY NUMOCR <br />POLICY <br />EFF DAIL <br />POLICY <br />oN DATE <br />LIMITS <br />A <br />'x <br />_ <br />X court Uf:Nrrvv, LrIlpa,fV <br />or,Cunr.F.NreronAl <br />F ------- <br />99•CKO-4,911.5000-12 <br />J <br />1/l/2006 <br />1/1/2007 <br />CGNERAI, AGGREGATE <br />$2,000,000 <br />PROiCUCTS'COMPIOPAGS <br />$1,000,000 <br />PCRSONAL d ADV INJURY <br />$1,000,000 <br />EACH OCCURRENCE <br />$1,000,000 <br />FIRE.. DAMAGE(Anyone In) <br />$50,000 <br />MCO ffXPAiy one person) <br />_ <br />$5,000 <br />�I <br />AUTOMOBILE LIADILTTY�^ <br />MY AUTO <br />I,LLOwwcn AUlnn <br />scr II.DULCD Auras <br />, w1r;J AU, os <br />1100 O.W.:nnrno:; <br />T- <br />CCMBINEC SINGLE LIMIT <br />BODILY INJURY <br />(Per person) <br />GODILY INJURY <br />1POr accitlerq <br />PROPERTY DAMAGE <br />EXCESS LIABILITY <br />IUUDRCLLAfR1A1 <br />nT4LH riIlW UMRf o:LLArODIA <br />='-� "" <br />fAOORFC++ATF <br />EACI I OCCUNRENCE <br />ACCIDENTCOVERADE <br />r, MARY <br />excess <br />"" _.. •�,fi,. <br />Y. <br />"' <br />N. -('' ; .. <br />MEDLIMIT <br />$0 <br />:3IC.KNCS5 <br />$0 <br />OLOUCTIRLF <br />$0 <br />THE CPHT17FICATE HOLDER IS ADDED AS ADDITIONAL INSURED WITH REGARD TO THE NAMED INSURFD'S <br />OPERATIONS, RE: GIRL SCOUT MEETINGS/ACTIVITIES <br />'O�HTIFI0AT.k00LREp�- � "^.,,� CANCELLATION <br />City of Santa Ana - Parks and Recreatlon <br />Community Services Agency and Corbin Center <br />Attn: Executive Director of the Parks Recreation <br />and Community Services Agency <br />P,O, Box 1988 M-23 <br />888 W, Santa Ana Blvd. 2nd Floor <br />I1 Santa Ana, CA 92701 <br />SHOULD ANY OF I HE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE 11 IE: <br />EXPIRATION DATE THEREOF, THC; ISSUING COMPANY WILL ENDEAVOR TO MAIL TEN <br />DAY WRIT IEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO SEND SUCH NC ICE SHALL IMPOSE NO OBLIGATION OR LIAOILITY OF <br />ANY KIND UPON THE COMPANY, ITS AGENTS, OR REPRESCN TATIVES. <br />AUTHORIZED REPRESENTATIVE <br />jP/52L �CywC� �f �CLiL.L.Gs p,t <br />0 <br />