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<br />From:ALL CITY MANAGEMENT SERVICES <br /> <br />310 202 8325 <br /> <br />05/21/2008 12.28 <br /> <br />n07 P.003/007 <br /> <br />N-;;lQO 7-0 oY; <br />POLICYHOLDER COpy <br /> <br />SC <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: 05-21-2008 <br /> <br />GROUP: 000780 <br />POLICY NUMBER: 0000227-2007 <br />CERTIFICATE I[}, 257 <br />CERTIFICATE EXPIRES, 10-01-2008 <br />10-01-2007/10-01-2008 <br /> <br />SANTA ANA POLICE OEPARTMENT <br />LINOA FLORES <br />GO CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4060 <br /> <br />SC <br /> <br />This is to certify thait we have issued a valid Workers' Compensation insurance policy in a form appro....ed by the <br />Catiforni,a jr"lSUrMCe CommisSioner to the employer named below for the policy period indicated. <br /> <br />This policy 1$ not subject to cancellation by the Fund except upon 30 days ad....ance written notice to the employer. <br /> <br />We wHI also give YOiJ 30 days advJlnce notice should this policy be cancelled prior to its normar 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 herem is subject to all the terms. exclusions, and conditions, of such pOlicy. <br /> <br />~REPRESENTATI <br />EMPLOYER'S LIABILITY LIMIT <br /> <br /> <br />~~ <br /> <br />PRESIDENT <br />INCLUDING OEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENOORSEMENT #20B5 ENTITLED CERTIFICATE HOLOERS' NOTICE EFFECTIVE 10-01-2007 IS <br />ATTACHED TO ANO FORMS A PART OF THIS POLICY. <br /> <br />, ~, <br />...J" <br /> <br />, <br /> <br />y>6 <br /> <br />EMPLOYER <br /> <br />ALL CITY MANAGEMENT INC <br />1749 S LA CIENEGA BLVO <br />LOS ANGELES CA 90035 <br /> <br />SC <br /> <br />IBI3.SCI <br /> <br />lREV.2-05l <br /> <br />PRINTED 05-21-2008 <br />