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01/OB/2009 15 <br />L 01001/0 - v / <br />I /Ant" <br />Fax from : 2133895033 81/86/69 15:87 Pg <br />THIS CERTIFICATE IS ISSUEOAS A MATTER OF INFORMATION <br />Producer <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />MANIONIBELL INSURANCE ASSOCIATES <br />HOLDER. 7N1B CERTIFICATE OOFb NOT AMEND, EXTEND OR <br />P 0. BOX 76186 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />ANGELES, CA 90036 <br />LOS327.EUS, <br />LOS <br />COMPANIES AFFORDING COVERAGES(213) <br />FAX 9203) 389.5833 <br />LIC. v 0655274 <br />Cw"nI' <br />TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />Insured <br />A <br />CADgeBw <br />B COMMERCIAL TRAVELERS <br />GIRL SCOUT COUNCIL OF ORANGE COUNTY <br />9500 TOLEDO WAY <br />Cwt"M <br />IRVINE, CA 92618 <br />C <br />C -M" <br />D <br />TIIB N TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED SSLOW HAVE BEEN ISBVED TOMS INSURED W MEDA80A FOR THE POLICY PEW -00 <br />INDICATED, NolwamSTANDWGANY REQUIREMENT, TERM ORCONDMON OF ANY CONTRACTOR OTHER DOCUMENT WrrH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED <br />9YTHSE POLICIES DESCRIBED HERE NIS SUBJECT TO ALLTHER TERMS. <br />EXOLUBIONS AND CONDITIONS OF SUCH POLICIES. LSeTSSHONMAY HAVE BEEN REDUCED BY PAID CLAMS <br />� <br />lrESTNE <br />er MemATION <br />LTR <br />TYK OR INSURANCE <br />pOL1CYNWSER <br />WrMrPD.m <br />TaPYO4m <br />LtlBfS <br />$2,OOD.000 <br />A <br />x aoINSURAIALwMun <br />GENERAL AGGREGATE <br />PRODUCTS•COMPIOPAGG <br />$1,000,0DO <br />x eapAl„O.cerDAM <br />T,RIt <br />660492SLI46 <br />1/1/2009 <br />1/112010 <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />EACHOCCURRENCE <br />$1,0001000 <br />FIRE DA AGE(Anywe B1*) <br />$55.000 <br />MED EXP we <br />$5,000 <br />AUTOMOBILE LwurY <br />COMBINED SINGLE LIMIT <br />$0.00 <br />un A.rto <br />BODILY INJURY <br />SC1edILED AVTOx <br />(PBI PMSDA) <br />$D•OQ <br />BODILYINJURY <br />Dvmeowra <br />(Per BaddMl) <br />$0.00 <br />PROPERTY DAMAGE <br />$0.00 <br />B <br />RCuSLMMLRY <br />FACH OCCURRENCE <br />$1,000.000.00 <br />AUC3864708 <br />1/1/2009 <br />111/2010 <br />AGGREGATE <br />$1,000,000.00 <br />x <br />u.IsuA TORI <br />OTHEA T1MN IAMR6lA Paw <br />$D <br />ACCIDENT COVERAGE <br />NED LMIT <br />'i1.'Cl�; <br />SICKNESS <br />$0 <br />RYMWY <br />00lY <br />i) <br />DEDUCIBLE <br />•$0 <br />FT <br />OTHER <br />CERTIFICATE HOLDER IS ADDED AS ADDITIONAL INSURED WITH REGARD TO THE <br />NAMED INSUREDS OPERATIONS AS WORDED ON ATTACHED ENDORSEMENT. <br />(PLEASE SEE ATTACHED ENDORSEMENT) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 <br />DAY WRITTEN <br />CITY OF SANTA ANA, <br />NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL <br />ITS OFFICERS, AGENTS, VOLUNTEERS AND <br />SUCH NOTICE SMALL IMPOSE NO O&JGATION OR LIABILITY OF ANY KIND UPON <br />REPRESENTATIVES <br />THE COMPANY, ITS AGENTS, OR REPRESENTATIVES. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />FAX: 714571-4209 <br />!� l <br />Fax from : 2133895033 81/86/69 15:87 Pg <br />