REACH EMPLOYEE ASSISTANCE, INC. 1B -2002

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CERTHOLOER COPY STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCQ,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE OATE: 03-01-2007 GROUP, POLICY NUMBER 1555105-2007 CERTIFICATE ID, 11 CERTIFICATE EXPIRES, 03-01-2008 03-01-2007/03-01-2008 . , " CITY DF SANTA ANA BENEFITS DEPT 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SP This is to certify that we have 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 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement. term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain. the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. G:::-REPRESENT A TI EMPLOYER'S LIABILITY LIMIT INCLUDING OEFENSE COSTS: ~ PRESIDENT $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - MARCUS D DAYHOFF, PRESIDENT CEO - EXCLUDED. ENDORSEMENT #1600 - LETICIA A DAYHOFF, SECRETARY TREASURER - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2000 IS ATTACHEO TO AND FORMS A PART OF THIS POLICY. A:' PRO,! L) {-,,:, EMPLOYER i~ ----- ... , REACH EMPLOYEE ASSISTANCE, INC 101 E LINCOLN AVE STE 230 ANAHEIM CA 92805 SP (REV.2~05) PRINTED 02-17-2007 SP M0408