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POLICYHOLDER COPY <br />P.©. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />CC+MPENSATtON <br />INSURANCE <br />CERT1FlCATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 03-18-2008 GROUP: 000562 <br />POLICY NUMBER: 0001424-2007 <br />CERTIFICATE ID: 18 <br />CERTIFICATE EXPIRES: 02-01-2009 <br />02-o1-aoo8to2-o1-2009 <br />CITY OF SANTA ANA SP <br />PO BOX 1964 <br />SANTA ANA CA 92702-1964 <br />This. is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California insurance Commis+oner 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 />VVe will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. <br />Ti;is 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 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 />~k~~,~..c.,~/ ~/ <br />THORIZED REPRESENTATI PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1600 - REZAI, MANHOOD P,S T - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS` NOTICE EFFECTIVE 02-01-2008 YS <br />--~-- ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />INFOSEND INC. SP <br />1041 S PLACENTIA AVE <br />FULLERTON CA 92831 <br />ev.2-oel % PRINTED 03-18-2008 <br />SP <br />