TOWNSEND PUBLIC AFFAIRS, INC. (3RD AMEND 2004) - EXPIRED

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10/30/2006 MON 10:48 FAX 949 476 8215 Townsend ' " ilIJ004/004 POLICYHOLDER ~r.y SG STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 . ISSUE DATE: 04-01-2006 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE GROUP, POLICY NUMBER: 1547B22-200B CERTIFICATE ID: 12 CERTIFICATE EXPIRES: 04-01-2007 04-01-2006/04-01-2007 CITY OF SANTA ANA AlMA FLORES POBOX 1988 SANTA ANA CA 92701 SG This is to certify that we l1.iwe 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 10 days advance written notice to the empioyer. We will also give you 10 days advance notice should this policy be Ca'lcelled prior to its normaj expiration. This certificate of insurance IS not an insurance policy and does not amend, extend or alt~r the coverage afforded by the policy listed herein. Notwithstanding al'ly requirement, term or condftion of any contract or other dOCLm81'lt with respect to which this certificate of insurance may be issued or to which it may pert.ain, the insur8l1ce afforded by the policy described herein Is sub jeet to all the terms. exclusions. and conditions, of such policy, Q::-REPRESENTATI EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: ~ PRESIDENT $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - CHRISTOPHER y TOWNSEND _ EXCLUDED. - - -------------------------------~.._---,._- -~-------------- EMPLOYER ~ 7 TOWNSEND PUBLIC AFFAIRS, INC. 2699 WHITE RD STE 251 IRVINE CA 92614 SG fREV.2,-05} PRINTED 03-18-2006 M0410