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PDLICTMLDeR COPY <br />PO BOX 8192. PL.EASANTON, CA 94588 <br />CERTIFICATE OF WORKERS` COMPENSATION INSURANCE <br />ISSUE DATE: 10-01-2010 <br />CITY 0P SANTA ANA SP <br />20 CIVIC CEINTER PL2 <br />SANTA ANA CA 92701-40M <br />GROUP: <br />POLICY fUkMER 1397886-2020 <br />CER11FCATE ID: 117 <br />CERTIFICATE EXPOES 10-01-2021 <br />10-01-2020/10-01-2021 <br />This is to cartrly taws we have "-4W a valid Workers' COsrpops;rlron r.surar,.Ce policy n i form approved by the <br />Cahtomia trFrra a Cormmissuonor to the emploYer maimed below for the Policy period Indicated, <br />Th.; policy is not suopect to canced3aticr by ttse Fund except txR on 30 dais advance written notice is &a arrplayer. <br />We will also give you 3p days advance niotice should this pcbcv be carceaed Prior to roe normal ■xt)iralium <br />This certificate at insurance is not an mgurance policy and does rpt arra.rr4, extend or alter, the Ca,,eerage attorded <br />by the ,policy listed herein. Notwithrmclweg any reQJrenrlerrt, term or condition of aria contract Or other docvrnent <br />wish resdpect to wvch tMp cartiticate of ".ranee may be Isaue+l or to wnrh it may porlarn, the rxurarCe <br />atforcled by the policy /ddeejterlbed heree Is 5Jo}ecl to all " ter", eveluvort, and conditions. of such pol" <br />Authorrapd Ripproventative Fres+d" and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE - <br />ENDORSEMENT` #2Oe5 ENTITLED CERTIFICATE HOLDERS' NDTICE EFFECTIVE 10 01 2003 IS <br />ATTACHED TO AND FDRM.S A PART OF TF42S POLICY. <br />ENDORSEMeNT 018111 - WILLIAM O'TDGLE, PRESIDENT - CXCLtAED. <br />"WUR5EMENT 01851 - TREVOR BLYTHE. S - EXCLUDED. <br />EMPLOYER <br />ECAL/N MICS, INC ECOMCNICS, INC. SP <br />PO gDx 9100 <br />DEL MAR CA 92014 <br />TCk.' 7Crtl <br />104 ' 0 <br />P"1471 O : 09 -17 _ 202C <br />nAk' <br />Risk Ma}tsg23 ent Drsiun.REVIEwEr] & APPROVED BY: <br />.rsrr�.c.-.A.t Y <br />�� Risk KTimatgement Am ilyst <br />