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CERTHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 10-01-2007 GROUP: POLICY NUMBER: 1462781-2007 CERTIFICATE ID: B CERTIFICATE EXPIRES: 10-01-2008 10-01-2007/10-01-2008 CITY OF SANTA ANA SO JDB:ALL OPERATIONS COMUNITY DEVELOPMENT AGENCY PO BOX 1998 SANTA ANA CA $2702-1988 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California insurance Commissioner to the employer named below for the policy period indicated. This Pollcv is not subject to cancellation by the Fund except upon 3O days advance written notice to the employer. We will Also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Tr10RIZED REPRESENTATI IIJJ PRESIDENT d EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 41,000,000 PER OCCURRENCE ENDORSEMENT 00015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2007-10-01 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF SANTA ANA ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER WOMEN HELPING WOMEN (A NON-PROFIT PUBLIC SG BENEFIT CORP.) 711 W 17TH ST STE AID COSTA MESA CA 92627 M0408 PRINTED : 09-17-2007 (REV.2-05) SG