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.,.... . .. SG CERTHOLDER COPY STATE COMPE;NSATION INSURANCE FUND P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-01-2005 GROUP: POLICY NUMBER, 1478601-2005 CERTIFICATE 10: 12 CERTIFICATE EXPIRES: 03-01-2006 03-01-2005/03-01-2006 CITY OF SANTA ANA SG PARKS RECREATION & COMMUNITY SERVICES 888 W. SANTA ANA BLVD. 2ND FLOOR SANTA ANA CA 92701 JOB: This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of }nsurance is not an insurance policy and does not amend. extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement. term. or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusIons and conditions of such policies. ~ ,d~C ~ AUTHORIZED REPRESE/IIT A TIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.000.000.00 PER OCCURRENCE, ENDO.RSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER LEGAL NAME TRAILS 4 ALL PO BOX 4048 SANTA ANA CA 92702 TRAILS 4 ALL (A NON-PROFIT CORP)