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<br />. , <br /> <br />.,,\',, <br /> <br />1" <br /> <br />~Lc' <br /> <br />('," <br /> <br />;ERTHOLDEFfCOPY <br /> <br />STATE PO. sox 807, SAN FRANCISCO.CA 9,4142...Q'807 <br />COMPI;NS""T10N <br />INSURANCE; <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 02-01-200~ <br /> <br />GROUP: <br />POLICY.NUMBER: 1414358"2005 <br />qERTI~!CATE,lb: 282 <br />CERTIFICATE ,eXPIRES: 02.-.01-2006 <br />02-01"2005/02-01-2006 <br /> <br />THE COMM REDEV A,GENCY OF tHE C I TV OF <br />SANTA ANA rlOUS I NG & hiE I GHBORHOOO DEVE L <br />PO BOX 1988M-26 " <br />SANTA ANA CA 9:1:701 <br /> <br />JOB: <br /> <br />, .......' <br />This is to certify that we have issued a valid YV:orkers' Compens;atfoninS4('".Ii?Ce policy in a Jorm a'pproved by the <br />California Insurance Commissioner to the employer.named below for thep.9J1cy,period indica!ed. <br /> <br />This policy is not sub ject to cancellation by tn~ Fund except upon 30days'~dvance writt~n notics',to the emp]oxer. <br /> <br />We will also give you 30days'aclyanya nofice should this policy be cancelled pri()f toit~..normal'expiration, <br /> <br />This certifjc~te of jnsura~CEl_, is n~tal1 insun~nce policy and does not arnfmd!extend:,'-otalter the c9verageMtorde,9 <br />by the policies listE!;d herein",NqtlA'jthstandin9;:anY~Elquir~rnent, term,or co-pd:itlorlof ..my COr1tCiilctorothElrdocumen~ <br />with respect to:which this certif.icateOf'insurance"JTi~Y ,be:j~sued or may?er:til~n'"the\n_surance afforde9by th~ <br />policies described herein IS subject to all the terms" excl!J~,jOr1S q,nd conditj,?ns af s:uch po\iCles. <br /> <br />~ <br /> <br />J1~t! <br /> <br />~ <br /> <br />AUTHORIZED REPRESENTATIVE PRESIDENT <br /> <br />EMPLonR'~ LcIABILcITY UMIT Ili/CLUDING DEFENSE COSTS; $1.000,000,1)0 PER OCCUR$ENCE. <br /> <br />,.'. ....:.. '" "'.. .,', <br />HOLDERS' NOnCE EFFECTIVE 02-01 -20Q5 IS ATTACHE!) TO <br /> <br />ENDORSEMENT #2065 EIiITITLcEb CERTIFICATE <br />FO$MS A PART OF THIS POLICY <br /> <br />EMPLOYER <br /> <br />,"NAME <br /> <br /> <br />".'-.-t,,; <br /> <br />APPROVED AS TO POL <br />, \'\ <br /> <br /> <br />R I NeON <br />790E SANTA <br />VENTURA CA <br /> <br /> <br />,RI1'!CON ~ON5I/L T~TS. rNc' .,'" <br /> <br />"i0: <br /> <br />~eV,3-03J <br /> <br />ooi~'tr"t:m-.. <br /> <br />01/19/a,0015 <br />