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<br />CERTHOLDER COPY <br /> <br />SL <br /> <br />STATE <br />COMF'ENSATION <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: 01-10-2007 <br /> <br />GROUP: <br />POLICY NUMBER: 1414076-2006 <br />CERTIFICATE ID 92 <br />CERTIFICATE EXPIRES- 12-01-2007 <br />12-01-2006/12-01-2007 <br /> <br />CITY OF SANTA ANA <br />CLERK OF THE CITY COUNCIL <br />20 CIVIC CENTER PLZ M-30 <br />SANTA ANA CA 92701-4058 <br /> <br />SL <br /> <br />ThiS is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by 1he <br />California insurance Commissioner 10 the employer named below for the policy period indicated. <br /> <br />ThiS poLey is not subject to cancellation by the Fund except upon30 days ildv.mce written nolice to the employer. <br /> <br />'vVe will also give you 30 days advance nolice should this policy be cancelled pI-jar to its normill expiriltion <br /> <br />This certifiCilte 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. tile insur<lnce <br />atforded by the policy described herein is subject to all the terms. exclusions, and conditions, of such policy. <br /> <br />tREPRESENTATI <br />EMPLOYER'S LIABILITY LIMIT <br /> <br /> <br />~ <br /> <br />PRESIDENT <br />INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #1600 - GERALD NEWFARMER PRES CEO SEC - EXCLUDED. <br /> <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2002 IS <br />------ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> <br />EMPLOYER <br /> <br />~, <br /> <br />MANAGEMENT PARTNERS, INC <br />1730 MADISON RD <br />CINCINNATI OH 45206 <br /> <br />SL <br /> <br />RF\!2.05) <br /> <br />{JC1,SC] <br />PRINTED : 01-10-2007 <br />