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<br />, <br /> <br />CERTHOLDER COpy <br />e <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />e <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 07-01-2006 <br /> <br />GROUP: 000834 <br />POLICY NUMBER: 0000870-2006 <br />CERTIFICATE ID: 3 <br />CERTIFICATE EXPIRES: 07-01-2007 <br />07-01-2006/07-01-2007 <br /> <br />CITY OF SANTA ANA, SANTA ANA CITY JAIL SP <br />ATTN CHRIS LAUGENAUR <br />62 CIVICS CENTER PLAZA <br />SANTA ANA CA 92702 <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 10 days advance written notice to the employer. <br /> <br />We will also give you 10 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 policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document <br />with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br /> <br />a:::- REPAl'SENT ATI <br />EMPLOYER1S LIABILITY LIMIT INCLUDING DEFENSE COSTS: <br /> <br /> <br />~ <br /> <br />PRESIDENT <br />$1,000,000 PER OCCURRENCE. <br /> <br />EMPLOYER <br /> <br />~ ' <br />~r, <br />~'~ <br /> <br />CORRECTIONAL MANAGED CARE <br />4211 E LA PALMA AVE <br />ANAHEIM CA 92807 <br /> <br />SP <br /> <br />(REV.2-05) <br /> <br />PRINTED <br /> <br />06-19-2006 <br /> <br />SP <br /> <br />M0408 <br />