ALL CITY MANAGEMENT SERVICES, INC. 2 - 2006

Home Browse Search

CERTHOLDER COPY SC STATE COMPENSATION INSURANCE FUND PO. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 05-10-2006 GROUP: POLICY NUMBER: 1805826-2005 CERTIFICATE ID: 170 CERTIFICATE EXPIRES: 10-01-2006 10-01-2005/10-01-2006 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE # 169 DATED 02-23-2006 THE CITY DF SANTA ANA 60 CIVIC CENTER PLZ SANTA ANA CA 92701-4060 SC 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 canceiiation oy the Fund except upon30 days advanc.:> written notice to the empluyer. We will also give you 30 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. Notwithstanding 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. d::::- REPRESENT A TI EMPLDYER'S LIABILITY LIMIT ~ PRESIDENT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDDRSEMENT #1600 - RONALD FARWELL PRESIDENT - EXCLUDED. ENDORSEMENT #1600 - BARON FARWELL SEC,TRES - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NDTICE EFFECTIVE 10-01-2005 IS ATTACHED TD AND FORMS A PART DF THIS POLICY. ,. '1',\,) IORM EMPLOYER n':)' ! __/6tt'..2C :l1-C :- ~:~li~l~ ,'~ ~y -" ;.",,~\ i~t<' .1: rT', ALL CITY MANAGEMENT INC 1749 S LA CIENEGA BLVD LDS ANGELES CA 90035 SC lREV.2-05l ') " C )A, PRINTED [B14,SC] 05-10-2006