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N0.982 P002 <br />10/23/2006, 15 >39 <br />CERTHOLDER COPY <br />STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142, -0807 <br />COMPENSATION <br />IN S U R A N CIE <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />GROUP: 000044 <br />ISSUE DATE: 10 -23 -2006 POLICY NUMBER: 0020381 °2008 <br />CERTIFICATE ID'. 21 <br />CERTIFICATE EXPIRES: 10 -01 -2007 <br />10- 01- 2006/10 -01 -2007 <br />CITY OF SANTA ANA SO JOB:TIERRA DE LAS PAMPAS EXHIBIT AT THE <br />SANTA ANA ZOO <br />20 CIVIC CENTER PLZ =6 <br />SANTA ANA CA 92701 -4058 <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 />This policy is not subject to cancellation by the Furl except up0n30 days advance written notice to the employer. <br />We will also give you 30days advance notice should this policy be cancelled prior to its normal expiratior. <br />This ceruficsie 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 />tHO RIZED REPRESENTATI PRESIDENT <br />UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: <br />THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; <br />CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' <br />COMPENSATION LAW. <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: s1,000,000 PER OCCURRENCE. <br />E AND FORMS <br />ENDORSEMENT ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10 -01 -1996 IS <br />EMPLOYER <br />CHRISTOPH, ANN DBA: ANN CHRISTGPM, LANDSCAPE <br />ARCHITECT, ASLA <br />31713 CDAST HWY <br />LAGLRIA BEACH CA 92661 <br />leev.z•0s1 <br />[BM4,0141 <br />PRINTED : 10 -23 -2006 <br />SG <br />