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VAMMUFOWA <br />AWlalYflKtEs <br />A Public Service Agency <br />This is to certify that: <br />CERTIFICATE OF SELF-INSURANCE <br />The Salvation <br />NAMEOFSELPMS <br />30840 Hawthorne Boulevard, Rancho Palos Verde, California 90275 <br />ADDRESS, cIPF, STATE, ZIP <br />has been approved as a Self -Insurer under the California Compulsory Financial Responsibility <br />Law and assigned Self -Insurance 4 202 pursuant to Section 16053 of the Califomia <br />Vehicle Code for the period August 19, 2021 through August 18, 2022 <br />MAN ER <br />Financial Responsibility Unit <br />Department of Motor Vehicles <br />SR 2] (REV. 10/99) UR <br />uukn� APPZon <br />,fl f 11 REVIEv�eo&ArPRoevm Br... <br />�4G�thteci� <br />(`----� Risk Managel1 Ana�ys[ <br />