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S)ARW4U <br />�WpA . W Y%pn9e[tEs <br />A Public Service Agency <br />This is to certify that: <br />CERTIFICATE OF SELF-INSURANCE <br />The Salvation Army <br />NAME OF SELFINSURER <br />30840 Hawthorne Boulevard, Rancho Palos Verde, California 90275 <br />ADDRESS, CITY, STATE, ZIP <br />has been approved as a Self -Insurer under the California Compulsory Financial Responsibility <br />Law and assigned Self -Insurance #k 202 pursuant to Section 16063 of the California <br />Vehicle Code for the period August 1.9, 2021 through August 18, 2022 <br />ruh�_Aj Q_' <br />MANA ER <br />Financial Responsibility Unit <br />Department of Motor Vehicles <br />6R27(REU, IaM9)DH <br />H7 RiskManagowd SWIM <br />REmEWEo & APPRovao BY: <br />--� Risk Management Analyst <br />