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Customarq Series <br />Customarq C /assic /nsurance Program <br />Premium Bi // <br />Po /icy Period APRIL 16, 2012 TO APRIL 16, 2013 <br />Effective Oate SEPTEMBER 18, 2012 <br />Po /icy Number 3587 -79 -16 NBO <br />/ nsured ACTIVE NETWORK 1NC <br />Name of Company FEDERAL 1NSURANCE COMPANY <br />Oate /ssued SEPTEMBER 18, 2012 <br />Portion of total premium attributable for terrorism and statutory standard fire where applicable <br />is $ 0.00 <br />PLEASE SEND PAYMENT TO AGENT OR BROKER. <br />Additional Insured Changes. Adding County of Ventura. <br />Additions/ <br />Date Payment Due Pr m/ im <br />SEPTEMBER 18, 2012 $ O . 00 <br />TOTAL <br />Commission 15 . O O £ <br />International Commission i s . o O �s <br />WHEN SENDING PAYMENT, PLEASE INDICATE POLICY NUMBER ON YOUR CHECK. <br />NOTE: PLEASE RETURN THIS BILL WITI I PAYMENT AND INCLUDE ANY ADDITIONAL CHANGES. <br />1F THIS ENDORSEMENT HAD BEEN IN EFFECT FOR A FULL YEAR <br />THE RETURN OR ADDITIONAL PREMIUM WOULD HAVE BEEN: $ O <br />Producer: <br />WOODRUFF - SAWYER 8c CO. <br />2 PARK PLAZA, SUITE 500 <br />IRVINE, CA 92614 -0000 <br />Reference Copy <br />$ o.00 <br />Form 80 -02 -9020 (Ed. 4 -94) Premium Bi /l Paga 1 <br />