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04/10/2007 12:52 FA% STATE COMP INSURANCE Z002 <br />POLICYHOLDER COPY Sp <br />STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807 <br />COMPENSATION <br />INSURAANCIE a.O <br />FUND CERTIFICATE OF WORKERS' COMPENSAT�I,&LRVAtNdu 4.24 <br />ISSUE DATE: 03 -16 -2007 (iROI�l�P�tt��: 00056 AA <br />POLdO'(rMJUMBER: =54 N2e0e <br />CE-RT , 01- IL <br />CERTp t Ip. EXPIRES: O2 -2006 <br />02- 01- 2007/02 -01 -2006 <br />CITY OF SANTA ANA SP <br />20 CIVIC CENTER PLZ <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 Indicared <br />This policy is rot subject to cancellation by the Fund except upon30 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 expiration. <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 whicn this certiflwte Of insurance may be issued or to which it may pertain, the insurance <br />afforded by the pulley described herein Is subject to all the terms, exclusions, and conditions, of such policy. <br />V <br />70RIZEDREPWRESENTATIA0 PRESiOENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 51,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1600 - REZAI, MAFMD00 P,S T - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03- 16-2007 IS <br />— ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />INFOSEND INC. SP <br />1041 S PLACENTIA AVE <br />FULLERTON CA 92881 <br />IJTT,CS1 <br />PRINTED : 03 -16 -2007 <br />aEm: -051 <br />