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Feb 21 07 05:23p Delhi Center RccountingHR (714)481-9698 <br />POLICYHOLDER COPY <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: 11-01-2006 GROUP.• <br />POLICY NUMBER: 1528708-2006 <br />CERTIFICATE ID: 34 <br />CERTIFICATE EXPIRES: 11-01-2007 <br />11-01-2006/11-01-2007 <br />CITY OF SANTA ANA SIP <br />COMMUNITY DEVELOPMENT AGENCY <br />20 CIVIC CENTER PLAZA M-21 <br />SANTA ANA CA 92702 <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 10 days advance written notice to the employer. <br />We will also give you 10 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 atforded <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 herein is subject to all the terms, exclusions, and conditions, of such policy. <br />tlllll�ZED REPRESENTATI PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE <br />EMPLOYER <br />DELHI CENTER (NON-PROFIT CORPORATION) <br />505 E CENTRAL AVE <br />SANTA ANA CA 02707 <br />(RE V. 2-051 <br />SP <br />M041 <br />PRINTED _ 10-17-2006 <br />F 2 C�.r <br />SP <br />