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12-28-07;08:36AM; ;7147771641 # 2/ 3 <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: 01-01-200a CROUP: <br />POLICY NUMBER: 0803e15-2008 <br />CERTIFICATE ID: e2 <br />CERTIFICATE EXPIRES: 01-01-2008 <br />01-01-2008/01-01-2008 <br />CITY OF SANTA ANA SG <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <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 90 days advance written notice to the employer. <br />We will also give you 30 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 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 />THORIZED REPRESENTATI PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: s1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #IeOO - ROGER FRANK, PRES - EXCLUDED. <br />ENDORSEMENT #1600 - ALAN FRANK, S,T - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS" NOTICE EFFECTIVE 01-01-2002 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />JOHNSON-FRANK & ASSOCIATES (A CORP) AND/ SG <br />DBA: JOHNSON- FRANK & ASSOCIATES <br />5150 E HUNTER AVE <br />ANAHEIM CA 92807 <br />M0410 <br />IREV_2-051 PRINTED : 12-15-2007