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STATE <br />COMPENSATION <br />INSURANCE <br />FUND IN REPLY REFER TO: <br />MAY 12, 2008 <br />CITY OF SANTA ANA <br />220 S DAISY AVE M -85 <br />SANTA ANA CA 92703 -4334 <br />CERTIFICATE OF WORKERS' <br />----------------------- <br />COMPENSATION INSURANCE <br />---------------------- <br />CANCELLATION /CONVERSION NOTICE <br />-------------- ---------- - - - - -- <br />RE: CERTIFICATE DATED APRIL 12, 2007 <br />THE WORKERS' COMPENSATION COVERAGE PROVIDED UNDER THE <br />POLICY LISTED BELOW IS BEING CONVERTED TO A NEW POLICY <br />EFFECTIVE MAY 1, 2008. THE NEW POLICY WILL PROVIDE <br />UNINTERRUPTED COVERAGE. <br />YOU WILL RECEIVE A NEW CERTIFICATE OF INSURANCE UNDER <br />THE NEW POLICY NUMBER: 238- 0009520 -08. <br />IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE CUSTOMER <br />SERVICES UNIT AT THE NUMBER LISTED BELOW. <br />EMPLOYER: <br />PAULUS ENGINEERING, INC. <br />2871 E CORONADO ST <br />ANAHEIM, CA 92806 <br />POLICY 046 - 0013230 -07 <br />POLICYHOLDER SERVICES <br />SANTA ANA DISTRICT OFFICE <br />(714) 565 -5995 <br />1 275 Market Street - San Francisco, CA 94103— 1410 <br />Mailing Address: P.O. Box 420807 • San Francisco, CA 94142 -0807 <br />SCIF 19102 <br />