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POLICYHOLDER CONY <br />P.O. Box <br />7, SAN FRANCISCO,CA 94142-0807 <br />SK <br />CERTIFICATE <br />ISSUE DATE: 07-01-2010 <br />r <br />SANTA ANA POLICE DEPARTMENT <br />FISCAL DEPARTMENT DIVISION M-97 <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-LOBO <br />This is to cwtiry that we have Issued a valid <br />California Insurance Commissioner to the emc <br />This policy is not aublcot to cenrallation by tiro <br />We will also give you 10 days advance notice <br />WORKERS' COMPENSATION INSURANCE <br />GROt1P: 0005iZ7 <br />POLICY NUMBER: 0000483-201o <br />CERTIFICATE ID: a <br />CERTIFICATE EXPIRES: 07-01-2011 <br />07-01-2010/07-01-2011 <br />SK <br />era' Compensation insuranee policy in a form approved by the <br />named below for the policy period indicated, <br />except upon 10 days advance written notice to the employer. <br />this Policy be Caneetled orlor to Or 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 ank contract or other doeurnont <br />with respect W which this certificate or insurancelmay be issued or to which it may pertain, the insurance <br />afforded by the Policy described herein is Subject Ito all the terms, exclusions, and conditions, of such policy. <br />tl% <br />thnriaAA Rpnreeentative interim President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />P 0 E AS TO FORM <br />Iv Id <br />n Hodge <br />-Id??Put?4 City Attorney <br />EMPLOYER <br />ADLERMRCT INTERNATIONAL, INC. DYA: AOL RMORST <br />POLICE K-9 KENNEL <br />3951 VERNON AVE <br />RIVERSIDE CA 92509 <br />[AMJ.CNI <br />(REV.1-2010) PRINTED : 07-29-2010