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<br />CERTHOLDER COPY <br /> <br />SK <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142.-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 08-24-2006 <br /> <br />GROUP: <br />POLICY NUMBER: 0645891-2006 <br />CERTIFICATE ID: 26 <br />CERTIFICATE EXPIRES: 07-01-2007 <br />07-01-2006/07-01-2007 <br /> <br />SANTA ANA POLICE DEPARTMENT <br />DIVISION M-97 <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4060 <br /> <br />SK <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 30 days advance written notice to the employer. <br /> <br />We will also give you 30 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 />C1::-REPRESENTATI <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE <br /> <br /> <br />~ <br /> <br />PRESIDENT <br />COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-1989 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> <br />~4 <br /> <br />EMPLOYER <br /> <br />ADLERHORST INTERNATIONAL, INC. <br />3951 VERNON AVE <br />RIVERSIDE CA 92509 <br /> <br />SK <br /> <br />IREV.2-05) <br /> <br />PRINTED <br /> <br />[RG1,CS] <br />08-24-2006 <br />