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<br />'.J..~-:1V:;:!-.J..:1.J..V <br /> <br />CERTHOLDER COpy <br /> <br />STATE <br />COMPENSATIO>l <br />INSURANCE <br />FUND <br /> <br />P,O. BOX 420807, SAN FRANCISCQ,CA 94142,-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSU~ DATE: 12-05-2D06 <br /> <br />GROUP: <br />POLICY NUMBER: 1616641-2006 <br />CERTlF,CA TE ID: 15 <br />CERTIFICATE EXPIRES, 05- 11-2007 <br />05-18-2006/05-11-2007 <br /> <br />CITY OF SANTA ANA <br />CLERK OF THE CITY COUCIL <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4058 <br /> <br />sc <br /> <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form appro\led by the <br />California lnsurance Commissioner to the employer named below fer the policy period indicated. <br /> <br />ThIS policy is not subject to cancell~tion by the Fund except upon30 days advance writien 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 po!iC)' liste-d 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 aft the terms. exclusions, and condItions, of such policy. <br /> <br />Q:::-REPRESENTA TI <br />EMPlOlER'S LIABILITY LIMIT INCLUDING DEFENSE <br /> <br />~ <br /> <br /> <br />PRESIDENT <br />COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #1800 - NIELS OLE STAEHR PRESIDENT - EXCLUDED. <br />ENDORSEMENT #1800 - MARTIN ASKGAARD CFO SECT - EXCLUDED. <br />ENDORSEMENT #1800 - DAVID GARCIA VPRES - EXCLUDED. <br />ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-18-2005 IS <br />ATTACHED TO AND FORMS A PART OF nlIs POLICY. <br /> <br />APrv.\ <br /> <br />TO FORM <br /> <br />l' <br />',}..,'-.<.<.j7'".'. .. <br />__'0_"-" .,UJ <br />^S::ii:.;W,I~ L,lY /,.dtor:-,cy <br /> <br />EMPLOYER <br /> <br />MILLENNIUM ALARM SYSTEMS INC D K SECURITY. INC <br />5777 W CENTURY BLVD STE 1755 <br />LOS ANGELES CA 90045 <br /> <br />ra~~: vV.vV\J~ <br /> <br />SC <br />