TOWNSEND PUBLIC AFFAIRS (1ST AMEND 2004) - EXPIRED

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SG CERTHOLDER COPY STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 11-10-2005 GROUP: POLICY NUMBER: 1547622-2005 CERTIFICATE ID: 12 CERTIFICATE EXPIRES: 04-01-2006 04-01-2005/04-01-2006 CITY OF SANTA ANA ALMA FLORES P 0 60X 1988 SANTA ANA CA 92701 SG ",-i'HlS ~~~5- 63 Pc" This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the C;Jliforn;a Insurance Commissioner to the employer named below for t"e policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstandin~ any requirement, term or condition of any contract or other document with respect to which this certificate of Insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms. exclusions. and conditions. of such policy. ~ ~~c &L AUTHORIZED REPRESENT A TIVE EMPLOYER'S LIABILITY LIMIT PRESIDENT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - CHRISTOPHER ~ TOWNSEND - EXCLUDED. EMPLOYER ~ TOWNSEND PUBLIC AFFAIRS, INC. 2699 WHITE RO STE 251 IRVINE CA 92614 SG (REV.2-05J PRINTED [JRG,SC] 11-10-2005