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<br />CERTHOLDER ,.r,-9Y <br /> <br />SP <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 12-01-2008 <br /> <br />GROUP: <br />POLICY NUMBER: 1572188-2008 <br />CERTIFICATE 10: 2 <br />CERTIFICATE EXPIRES: 12-01-2007 <br />12-01-2006/12-01-2007 <br /> <br />CITY OF SANTA ANA SP <br />COMMUNITY DEVELOPMENT a BLOQ( GRANT DORIS TURLE <br />20 CIVIC CENTER PLAZA <br />SANTA ANA <br />CALIFORNIA .2701 <br /> <br />dOB:ALL OPERATIONS <br /> <br />This is to certify that we have issued a valid Workers' Compens<rtion insurance policy in a form approved by the <br />Califomi.1 Insurance Commissioner to the employer named below for the policy period indicated <br /> <br />This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. <br /> <br />We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. <br /> <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. Notwi~ any requirement term or condition of any contract or other docunent <br />with respect to which this certificate of Insurllnce 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 /> <br />a:::~ <br /> <br /> <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: <br /> <br />~ <br /> <br />PRESIDENT <br />$1 .000.000 PER DCaJRRENcE. <br /> <br />~..-/" -~. ~~ ~ :. <br />-~ ...;. '...J_'.._ '.'~, <br /> <br /> <br />EMPLOYER <br /> <br />~-.2 ~~ ~):.,rE5 <br /> <br />.......i~s <br /> <br />TO POlt& <br /> <br />KIDSINGERS (A NON-PROFIT CORP) <br />3947 E LA PALMA AVE <br />ANAHEIM CA 92807 <br /> <br />SP <br /> <br />. .t, <br /> <br />... if;.- <br /> <br />, -~~:;;---- <br /> <br />'-'i.i ~er!je}" <br /> <br />M0408 <br /> <br />fREV.2-051 <br /> <br />PRINTED : 11-17-2006 <br />