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<br />~~:e:, 9t26/2005 Time: 3:47 PM To; vinh_Nquyen @ 6415616 <br /> <br />From = /ArmstrongRobitaille Pagel 009-009 <br /> <br />SP <br /> <br />CERTHOLDER COPY <br /> <br />STATE <br />COMPENSATION <br />INSUptANC. <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO.CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 07-21-2006 <br /> <br />GROUP, <br />POLICY NUMBER: 180...."2005 <br />CERTIFICATE 10: 15. <br />CERTIFICATE EXPIRES: 00-01-2008 <br />00"01-2005/00-01"2008 <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P,O. BOX "88 <br />SANTA ANA CA .2702 <br /> <br />SP <br /> <br />This is to c.r-tity th..t w. have issued. valid Work.ers' Compens.tion insur'*'Ce policy In 8 form approved by tho. <br />CalltornJe Inllurance Commissioner to the employer JW'Y\8d below for the polley period indicated. <br /> <br />This polic;:y is not subject to caDeaU.tlon by the Fund except upon 30 days advance wrltt$l1 notice to 1118 eJr4)l(lysr. <br /> <br />We will .Isa give you 30 days .mr.il\Ctl notiCCl ShOuld this policy be c..oceUed prior to its normal e)(pJration. <br /> <br />This certjfje.1tte of Ins\Xal"ee' is nat .n inslJI'2l"tCe policy and does not 'monG. extend Qf alter tt'!. coverage .ffordtMi <br />by the pOliCY hled herein. NotwJd'lsundlng ~ r.quirement. term or condition of ItW contrlK:t Of other document <br />with ,esp.ct to which thl& certificate of insur.-,ce may be Issued Dr to which It rNY perlllln. tI1e insuranc. <br />afforded by the policy d.scrlbttd herein Is. SlUbjecC to all the terms, exeluslom, IJ1d conditions. of such policy. <br /> <br />~ <br /> <br />J~c,~ <br /> <br />AUTHORIZED REPRESENTATIVE PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEPENSE COSTS, $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #2065 ENTITLED CERTIfICATE HOLDERS' NlTlCE EffECTIVE 04-01-2004 IS <br />ATTACHED TO AND fDRIIS A PART DF THIS POLlCY, <br /> <br />\ ['PROV 101) ^S 1'0 lO,., <br /> <br />EMPlOYER <br /> <br />/,1 ( <br />/ Vi: -"/ <br />----'-"~-:~'~.(. "",.1-' <br />j,'Ic;ld1?1'U ,j],,-,-,l.j <br />,1:,I~i:/ C:\:, <br /> <br />ECONllLlTE CONTROL PRODUCTS INC _lOR <br />ECONllLITE TRAFFIC ENlINEERING . MINT. INC <br />3380 E LA PALMA AYE <br />AIWlElM CA 82806 <br /> <br />SP <br /> <br />PRINTED <br /> <br />IB17,SPJ <br />08-28-200& <br /> <br />[REV.2~QSI <br /> <br />