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<br />SK <br /> <br />CERTHOLDER COpy <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 01-01-2005 <br /> <br />GROUP: <br />POLICY NUMBER: 0409627-2005 <br />CERTIFICATE ID: 19 <br />CERTIFICATE EXPIRES: 01-01-2006 <br />01-01c2005/01-01-2006 <br /> <br />CITY OF SANTA ANA <br />ATTN CITY ATTORNEY <br />PO BOX 1988 <br />SANTA ANA CA 92702-1988 <br /> <br />SK <br />JOSEPH W FLETCHER <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 30 days' advance written notice to the employer. <br /> <br />We wilt also give you 30 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 policies listed herein. Notwithstanding any requirement, term. or condition of any contract or other document <br />with respect to which this certificate of. insurance maybe issued or may pertain. the insurance afforded by the <br />policies described herein is subject to alt the terms. exclusions and conditions of such policies. <br /> <br />~ <br /> <br />J~c; <br /> <br />&L- <br /> <br />AUTHORIZED REPRESENTATIVE PRESIDENT <br /> <br />EMPLOYER'S LIABILITY LIMIT INCLUOING OEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. <br /> <br />ENOORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2005 IS ATTACHED TO AND <br />FORMS A PART OF THIS POLICY. <br /> <br />EMPLOYER <br /> <br />LEGAL NAME <br /> <br />KINKLE, RODIGER, AND SPRIGGS <br />3333 14TH ST STE 200 <br />RIVERSIDE CA 92501 <br /> <br />K~NKLE, ROOIGE!l, AND 5P!lIGGS <br />(A PROF. CORP.) <br /> <br />(REV.3-03) <br /> <br />PRINTED: 12/17/2004 P040B <br /> <br /> <br />.. <br /> <br />: <br /> <br />" <br /> <br />. :. <br /> <br />-. . <br /> <br />, . <br /> <br />