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<br />CERTHOLDER COpy <br /> <br />so <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: 01-20-2006 <br /> <br />GROUP, <br />POLICY NUMBER: 1767300-2006 <br />CERTIFICATE 10: 224 <br />CERTIFICATE EXPIRES: 01-01-2007 <br />01_01_2006/01-01-2007 <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA CA 92701 <br /> <br />so <br /> <br />dOB:MAIN STREET ARCHWAY SIGNAGE <br /> <br />This is to certify that we have issued a valid Workers' Compensation insurance poliCY in a form approved bv the <br />California Insurance Commissioner to the employer named below for the policy period indicated. <br /> <br />Tnis; policy is; not subject to c::roncellation by the Fund e:x:cept upon30 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 />Q:::RE:=:a <br /> <br />EMPLOYER'S LIABILITY LIMIT INCLUOING <br /> <br />~. <br /> <br />PRESIDENT <br />OEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2004 IS <br />ATTACHEO TO ANO FORMS A PART OF THIS POLICY. <br /> <br />of:)' (,-12 "'-<:)'1 <br /> <br />EMPLOYER <br /> <br />GRAPHIC SOLUTIONS LTD. (A CORP) <br />2952 MAIN ST <br />SAN DIEGO CA 92113 <br /> <br />SO <br /> <br />PRINTED <br /> <br />[818.501 <br />01-20-2006 <br /> <br />(REV,2-05) <br />