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Apr 07 08 04:18p WISEPIace <br />17145423653 <br />POLICYHOLDER COPY <br />STATE p,0, BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />COMPENSATION <br />INSURANCE <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 08-15-2007 GROUP: 000488 <br />POLICY NUMBER: 0000678-2007 <br />CERTIFICATE ID: 1 <br />CERTIFICATE EXPIRES: 08-15-2008 <br />08-15-2007/08-15-2008 <br />CXTY OF SANTA ANA <br />HOUSING DEPARTMENT - M26 <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92702 <br />SP <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 far th&.polioy period indicated - <br />This policy is not subject to cancellation by the Fund except upon 10 days advance written notico to the employer. <br />We will also give you 10 days advanco notice should this policy be cancelled prior to its normal expiration <br />This certificate of insurance is not an insurance policy and does not amond, 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 tho policy described heroin is subject to all the terms, exclusions, and conditions, of such policy. <br />�THORIZGDREP'RESENTATI&i PRESIDENT <br />EMPLOYER'S LIABILITY LINXT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />EMPLOYER <br />WISEPLACE, A CA CORP <br />1411 N BROADWAY <br />SANTA MIA CA 82706 <br />SP <br />p.2 <br />140409 <br />PRINTED : 07-17-2007 <br />(REV.2.05) <br />SP <br />