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<br />CERTHOLOER COPY <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE OATE: 04-01-2006 <br /> <br />GROUP: <br />POLICY NUMBER: 1547622-2006 <br />CERTIFICATE ID: 12 <br />CERTIFICATE EXPIRES: 04-01-2007 <br />04-01-2006/04-01-2007 <br /> <br />,+ _ \\ S <br />J\.?--f/) \55 <br />f'- 5- <br />c-cC' <br />~/ <br /> <br />CITY OF SANTA ANA <br />ALMA FLORES <br />POBOX 1988 <br />SANTA ANA CA 92701 <br /> <br />SG <br /> <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California 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 10 days advance written 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 coverage afforded <br />by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document <br />with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br /> <br />fr:::-REPRESENTATI <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: <br /> <br /> <br />~ <br /> <br />PRESIDENT <br />$1,000,000 PER OCCURRENCE. <br /> <br />ENOORSEMENT #1600 - CHRISTOPHER ~ TOWNSEND - EXCLUOEO. <br /> <br />EMPLOYER <br /> <br />TOWNSENO PU8LIC AFFAIRS, INC. <br />2699 WHITE RD STE 251 <br />IRVINE CA 92614 <br /> <br />SG <br /> <br />(REV.2-05) <br /> <br />PRINTEO <br /> <br />03-18-2006 <br /> <br />SG <br /> <br />M040S <br />