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CORDAX INC. 1 - 2003
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CORDAX INC. 1 - 2003
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Last modified
1/3/2012 3:12:59 PM
Creation date
12/10/2003 8:51:43 AM
Metadata
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Template:
Contracts
Company Name
CorDax
Contract #
N-2003-137
Agency
Public Works
Expiration Date
12/31/2004
Insurance Exp Date
10/3/2004
Destruction Year
2009
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STATE P.O. BOX 420807. SAN FRANCISCO, CA 94142-0807 <br /> <br />F:U N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 11-14-2003 <br /> <br />CITY OF SANTA ANA <br />ITS OFFICERS,EMPLOYEES & AGENTS <br />220 SOUTH DAISY BLDG A <br />SANTA ANA CA 92703 <br /> <br />GROUP: <br />POLICY NUMBER: ZTS00EZ 2003 <br />CERTIFICATE ID: '7 <br />CERTIFICATE EXPIRES: 0'7-01~2004 <br /> 07-24 2003/07-01-2004 <br /> <br />JOB: ALL CALIFORNIA OPERATIONS <br /> <br />This is to certify that we have issued a valid Worker's Cor~pensation insurance policy in a form approved by the California <br />Insurance Commissioner to the employer named below for the policy period indicated. <br /> <br />This policy is not subject to cancellation by the Fund except upon 1D days advance wdtten notice to the employer. <br /> <br />We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. <br /> <br />This certificate of insurance is not an Insurance policy and does not amend extend or alter the coverag~ afforded by the <br />policies listed herein. Notwithstanding any requirement, term er condition of any contract or other document with <br />respoc~ to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies <br />described herein is subjact to all the terms, exclusions, and conditions, of such policies. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />EMPLOYER'S LIABILITY LIHIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />EMPLOYER <br /> <br />CORDAX, INC <br />6430 OAK CNYN DR ~ 250 <br />IRVINE CA 92618 <br /> <br />SCIF 10262E <br /> <br />LN,SG <br /> <br />S''4 S~,EEL~,S%,IL s~do~9 o~Iqn~ eL%,:80 EO IO oa[I <br /> <br /> <br />
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