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<br />11/28/2666 12:36 <br /> <br />7145715276 <br /> <br />LEGAL SOCIETY OF 0 C <br /> <br />POLICYHOLDER COO'( <br /> <br />STATE <br />c:oMP"t!NSATION <br />INSUI'tANCE <br />FUND <br /> <br />P.o. BOX 420807, SAN FRANCI$CO.CA 94142.-0807 <br /> <br />CERTlFJCATE OF WORKERs' COMPENSATION INSURANCE. <br /> <br />:J:SSUE DATE.: 11-oa-~ <br /> <br />GROUP: <br />POLley NUMBeR: 0778318-2008 <br />CERTIFICATE ID: 113 <br />CEFmFICA TE EXPIRES: 09 -01-2007 <br />09-01-2008/09-01-2007 <br /> <br />CITY Of' SANTA ANA <br />SLOG INSPECTION DEPT <br />20 CXVIC CENTER ~LZ <br />.SANTA ANA CA 82'701-4058 <br /> <br />SP <br /> <br />~B:ALL CALIFORNIA OPERATIONS <br /> <br />This is to certIfy that w. IJ.we 1t$Ultd a ...arld Woriterll' Coml'8n$etiOl'1 inllUf:nce policy ill ~ form IlpptQYod by 'It'a <br />Ca/ifomi:il Insut:ll'lCl!l CommIssioner to the emp1oyor named bolow for tM .policy PerIod lndiest~d. <br /> <br />lhi: pOHcy is not lIl/bieet to C111lcollation by tba Fund e:ll:eept upon30 dJIYS D::lnCll written notlee to the emplrlyet. <br /> <br />We will 11I$0 gi?1I 'fOU ao days .l!dv:ilne8 notice should this policy be cmc&IIed prior to Its normal (llq:lir4ltlon. <br /> <br />This certi1i~ of insurance ill not an lns\Jr.llnc8 pOlicy ..."d d04lS not Bmlll)d, extend or .Iter tha cOYer..ge a1for.led <br />bv the poflcy listed Mt'ftin. NQtw~andlnSl ""I requirement, term or condition 01 IIlT'f eo"tl'Il~ or other docume"rt <br />with rellpe<;t to whfch thi3 certifl~. of InIlurlll'lt:tl may be issued or to which it rrIlIy peruln. the insurance <br />afforded by ,"e policy described herein is subject to .1111 ~ terms, IIxelLlllions, .'IMd conditir;ms, of suc:h Policy. <br /> <br />Q::-~ <br /> <br />~ <br /> <br />PRESIDENT <br />!MPLDYER'S LIABILITY LIMIT INCWDINQ DfFENSE eosTS: $1 J 000,000 PER OCQJRRENCE. <br />ENOORSEHENT "2085 tm"ITLED CEItTIFICATE HOI.DERS I NOTICE EFFECT1V~ 08-01- f9!tO IS <br />AnACH!;D TO AND FORMS A PART OF THIS POUCY. <br /> <br />- <br /> <br />- <br /> <br />AS 'TO FoRM <br />APPROVED ~ <br />1/g;2....., <br />.~.,./7/ <br />/-' Stitt SneedY <br />~ura. C't)' A.ttorney <br />~sistaD.t · <br /> <br /> <br />EMPI.OYEFl <br /> <br />LE~ AXD SOCII!TY Of' O/WlfeE COUNTy (A sp <br />NDN-PROF1~ CORP.) <br />2101 N TUSTIN AVE <br />SANTA ANA CA 9%705 <br /> <br />/REV.2-OS1 <br /> <br />[SLC,SPJ <br />11-08-2608 <br /> <br />PRINTED <br /> <br />PAGE 02/02 <br /> <br />SP <br /> <br />cJ.. <br />