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<br />08/04/2004 WED 09:07
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<br />FAX 714+565
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<br />4020 CITY OF SANTA ANA
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<br />141 005/005
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<br />CERTIf:ICATE',,':Ø,f; W,O,~Ea~' '"CqM~E~~A TlpN\INSLJRA:~C,E , ,,'\,
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<br />" :"",1>'; ":. ' ': :'POLt'CY NUMBER:. ':"1' 'Qo11~85-2Ö04
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<br />-i' ':,':";'1,,,',' " ':;"':CERTiFICA TE',ÉXPIRES;: '0~-O1-2005.
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<br />" 1O'OO:'["SANTA "NA. BLVD 300' '" " r: \qi"",.,""" ,
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<br />,,:" ",:,'i; , ~'Tn'is i$ :to certify th~~ ~e, I hsve" ;s5ued ,~", va;id ~or~e~~'" C~mp¡~sJ~~i~~' i~S~~~':~8 ,~o~~'~ ' i'n":~' ""~:~:~'~' '¡~pr~V'èd' by th~'
<br />,California' Insur¡nc8 Commis'Sioner to tne: ernPloy.er named: Þel~)or,~e ::pôlicy ~~dod'jrid¡clÌj;ëd.,,: ' , ,',.',
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<br />0e : ~iU '~,I~O give ~o~ 30:"~~;~ '~dvanç ~otice should, th~s :p~1i ~~ be" c~~eJlBd',,:'prjor )0' 'itS:. :~~~~;'1e~'Þirati'on::' .. I,; "
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<br />,This. certificate: ',~f:) in5,¡¡rcin:c~" is~ l1öt,.,: ìh ,ip~~an'ce policy,' ,al:l~' dd~~ ,,:,oi;¡.~e,~q, ,lIx'!ënd' or . álter;.~~he, ,~.Ç?,v,~r~~~: ~fforded
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<br />ISSUE, ,DATE:
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<br />02-01-20,04 . '.'
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