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rroaucer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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<br />xi w°tv P i t t 5 I�9 i Ilt t i3 !' h Itl) ,J 11 i EI,I Ill�liiiilkkl fit i)a y 1/5/2012
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<br />Producer
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />MANIONBELL INSURANCE ASSOCIATES
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />R O. BOX 36186
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />LOS ANGELES, CA. 90036 q00 7 , r.4 11 16
<br />(213) 387-8294" FAX (213) 389-5833 LL'i L 1:. �TI 1 i
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
<br />COMPANIES AFFORDING COVERAGES
<br />LIC. # 0655274
<br />Company
<br />I A TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
<br />Insured L y.' I ,', �'a
<br />Company
<br />GIRL SCOUT COUNCIL OF ORANGE COUNTY
<br />B COMMERCIAL TRAVELERS
<br />9500 TOLEDO WAY
<br />Company
<br />IRVINE, CA 92618
<br />C
<br />Company
<br />D
<br />'<GP .. i.e.vtt{'•) .. I �.lf �, '�IIh $ t,. n.. , l i .,:i { .Ft..rat {. 4 ,r l t C. �' e.vdi
<br />.i 4 .. i , t SS t t
<br />i ,
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE IN IS SUBJECT TO ALL THEIR TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHON MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />CO
<br />POLICY EFFECTIVE
<br />POLICY EXPIRATION
<br />LTR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />DATEIMM,DOYn
<br />DATEIMM,DOYYI
<br />LIMITS
<br />A
<br />% COMM. GENERAL LIABILITY
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />% OCCURRENCE FORM
<br />PRODUCTS'COMPIOPAGG
<br />$1,000,000
<br />OTHER
<br />660-8828L146
<br />1/1/2012
<br />1/1/2013
<br />PERSONAL BADV INJURY
<br />$1,000,000
<br />EACH OCCURRENCE
<br />$1,000,000
<br />FIRE DAMAGE(Any one fire)
<br />$50,000
<br />MED EXP(Any one person)
<br />$5,000
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />COMBINED SINGLE LIMIT
<br />$0.00
<br />ALL OWNED AUTOS
<br />BODILY INJURY
<br />SCHEDULED AUTOS
<br />(Per person)
<br />$0.00
<br />HIRED AUTOS
<br />BODILY INJURY
<br />NONOWNEDAUTOS
<br />(Per accident)
<br />$0.00
<br />PROPERTY DAMAGE
<br />$0.00
<br />B
<br />EXCESS LIABILITY
<br />EACH OCCURRENCE
<br />$1,000,000.00
<br />X
<br />UMBRELtAFORM
<br />AUC3884708
<br />1/1/2012
<br />1/1/2013
<br />AGGREGATE
<br />$1,000,000.00
<br />OTHER THAN UMBRELLA FORM
<br />ACCIDENT COVERAGE
<br />A
<br />MED LIMIT
<br />SICKNESS
<br />$O
<br />$O
<br />PRIMARY
<br />EXCESS
<br />DEDUCTIBLE
<br />$0
<br />DEDUCTIBLE
<br />OTHER
<br />OTHER
<br />:1+n,nla
<br />�n'd iH.
<br />CERTIFICATE HOLDER IS NAMEDS AS AN ADDITIONAL INSURED WITH REGARD TO GENERAL LIABILITY OF
<br />NAMED INSURED'S OPERATIONS AS WORDED ON ATTACHED ENDORSEMENT.
<br />ENDORSEMENT)
<br />(PLEASE..
<br />.SEE .ATTACHED
<br />_r1. ✓;;}00yyL@No "I.S"Uh1 3,.. II;r:H$�1%yW m. _.£IWviidi,li,ih.lrtte4
<br />;' ,jl .:. , y.$..
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />CITY OF SANTA ANA
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAY WRITTEN
<br />20 CIVIC CENTER PLAZA
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />SANTA ANA, CA 92701
<br />Bernadette Manion
<br />
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