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A-20084 37 <br />CERTHOLDER COPY <br />SG <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: 07-15-2008 GROUP: <br />POLICY NUMBER: 1332285-2007 <br />CERTIFICATE ID: 97 <br />CERTIFICATE EXPIRES: 10-01-2008 <br />10-01-2007/10-01-2008 <br />CITY OF SANTA ANA PLANNING DIVISION SG <br />ATTN: BILL APPLE <br />PO BOX 1988 <br />SANTA ANA CA 92702-1988 <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 30 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 />00TH=RIZEDREPRESENTATI C.l PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1800 - PETER TEMPLETON, PRES SEC TRES - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-1996 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />TEMPLETON PLANNING GROUP, INC. SG <br />1470 JAMBOREE RD STE 200 <br />NEWPORT BEACH CA 92880 <br />[CGY,CS] <br />PRINTED : 07-15-2008 <br />IREV.2-051 <br />