Laserfiche WebLink
<br />CERTHOLDER COpy <br /> <br />SP <br /> <br />STATE <br />COMP.NSATlON <br />INSU..ANC. <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 04-28-2008 <br /> <br />GROUP: 000824 <br />POLICY NUMBER: 0001006-2007 <br />CERTlFICA TE 10: 110 <br />CERTIFICATE EXPIRES: 04-01-200' <br />04-01-2008/04-01-2001 <br /> <br />CITY OF SMTA MA <br />20 CIZI CENTER PLAZA <br />PO BOX 1.88 <br />SANTA ANA CA 12702-1'88 <br /> <br />SP <br /> <br />This is to certifv thllt we hava issued a valid Work.er.' Compens.tlon InsurlnCe policy in a form approved by the <br />C.liforni. Insurance Commissioner to the employer rwned below for the policy period indic.ted. <br /> <br />This policy is not subject to cancellnlon bV the Fund except upon 30 days adv.-.ce written notice to tNt employer. <br /> <br />We will also give you 30 days ICIvtnce notice should this policy be cancelled prior to its normal expiration. <br /> <br />This certlflcat. of insurance is not In insurance policy .,d does not amend. extend or alter the cover.;e afforded <br />bV tile policy listed herein. Notwith$tandi~ ..v requirement term or condition of any contr~t or other document <br />with respect to which this certificate of Insu-ance m8V be Issued or to which it mlY Ptlftain. tile Insurance <br />afforded by the policy described herein is subject to all the terms. exclusions. and conditions. of such policy. <br /> <br /> <br /> <br />6::R~ ~~ <br /> <br />E.LOYER'S LIABILITY UMIT INCLUDING DEFENSE COSTS: $1.000,000 PER OCCURRENCE. <br />EN)QRSEMENT 12085 ENTITLED C!RTlI'ICATE HOLDERS' NOTICE EFFECTIVE 04-01-2008 IS <br />ATTA04I!D TO AND FORMS A PART or THJS POLlCY. <br /> <br />~/ <br /> <br />EMPLOYER <br /> <br />ECONDLITE TRAFFIC EIGI . MAIN. INC. AND/OR <br />SAFETRAN TRAFfIC SYSTIDIS. INC. <br />3380 E LA PAUlA AYE <br />ANAHEIM CA 12808c <br />[B17.50] <br />PRINTED 04-28-2008 <br /> <br />lRev.2-0II1 <br />