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NAMED INSURED MEMBER <br /> COMMERCIAL GENERAL LIABILITY DECLARATIONS CERTIFICATE <br /> Insurance Company Policyholder <br /> Capitol Specialty Insurance Corporation Sports and Recreation Providers Association Purchasing Group <br /> 1776 South Naperville Road,Bldg-B <br /> Wheaton,U, 60187 <br /> Named insured Member Certificate Policy Period <br /> I <br /> Our Lady of Fatima Society of"Thornton Effective 1.0/17/2009 <br /> P.O.Box 611 Expiration 10/20/2009 <br /> "Ihornton,CA 95685 Coverage is effective and expires at 12:01 am at the address of the <br /> insured member <br /> Location/Description of Operations <br /> Portuguese Fiesta <br /> Schedule of Additional Insureds <br /> The below entities are added as additional insured but only in respect to liability arising out of operations of the named insured during the <br /> policy term. <br /> 1. 2. �. <br /> County of San Joaquin and its Board of <br /> Supervisors,Officers,Employees and <br /> Agents <br /> P.O.Box 1810 <br /> Stockton,CA 95201 <br /> 4. 5. 6. <br /> 7. 8. 9. <br /> This Certificate Issued By: <br /> Francis L.Dean&Associates,Inc. <br /> 1776 South Naperville Road,Bldg-B <br /> P.O.Box 4200 <br /> Wheaton,IL 60189 <br /> (630)665-7011 <br /> Capitol Specialty Insurance Corporation certifies that the certificate holder named herein is insured under the Sports& Recreation <br /> Providers Association Purchasing Group Master Policy. The limits of liability,premium and effective date of coverage applicable to such <br /> certificate holder are as specified above. This certificate of insurance is not the contract of insurance. It is merely evidence of <br /> Insurance provided under the Master Policy. All claims are paid according to the term of the Master Policy. <br /> To review a copy of the Master Policy,please e-mail glpolicy@fdean.com. <br /> Authorized Purchasing Group Representative Trancis L.{Dean <br />