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A _3~~-~~s_ of <br />POLICYHOLDER COPY <br />SK <br />STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />COMPENSATION <br />INSURANCE <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 07-10-2008 GROUP: <br />POLICY NUMBER: 0645891-2008 <br />CERTIFICATE ID: 38 <br />CERTIFICATE EXPIRES: 07-01-2009 <br />07-01-2008/07-01-2009 <br />SANTA ANA POLICE DEPARTMENT SK <br />FISCAL DEPARTMENT DIVISION M-97 <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 82701-4060 <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 indicated. <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />We will also give you 30 days 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 requiremen4 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 all the terms, exclusions, and conditions, of such policy. <br />THORIZED REPRESENTATI ((TT PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT N2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-1989 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />7"~ <br />~ >;- /~ <br />i l/ <br />f <br />c <br />EMPLOYER <br />ADLERHORST INTERNATIONAL, INC. DBA: ADLERHORST <br />POLICE K-9 KENNEL <br />3857 VERNON AVE <br />RIVERSIDE CA 92509 <br />[RCD,CN] <br />PRINTED 07-10-2008 <br />IREV.Y-051 <br />