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<br />STATE <br />COMPEN:5-ATIOH <br />INSURANCE <br />I=UND <br /> <br />IN RCfI'L Y RCFE'R TO: <br /> <br />APRIL 16, 2007 <br /> <br />CITY OF SANTA ANA <br /> <br />1801 E CHESTNUT AVE <br />SANTA ANA CA 92701-5001 <br /> <br />CERTIFICATE OF WORKERS' <br /> <br />----------------------- <br /> <br />COMPENSATION INSURANCE <br /> <br />---------------------- <br /> <br />C~CELLATION/CONVERSION NOTICE <br /> <br />------------------------------ <br /> <br />RE: CERTIFICATE DATED APRIL 11, 2006 <br /> <br />THE WORKERS' COMPENSATION COVERAGE PROVIDED UNDER THE <br />POLICY LISTED BELOW IS BeING CONVERTED TO A NEW POLICY <br /> <br />EFFECTIVE APRIL 1, 2007. <br />UNINTERRUPTED COVERAGE. <br /> <br />THE NEW POLICY WILL PROVIDE <br /> <br />YOU WILL RECEIVE A NEW CERTIFICATE or INSORANCE UNDER <br />THE NEW POLICY NUMBER: 541-0000424-06. <br /> <br />IF '!!OU I-l..VE ANY QUESTIONS, PL~SE CONTACT THE CUSTO-v.ER <br /> <br />SERVICE CENTER AT THE NUMBER LISTED BELOW. <br /> <br />EMPLOYER: <br /> <br />DIAGNOSTIC VETERINARY LABRTRS, INC <br />1401 E SOUTH ST <br />LONG BEACH, CA 90805 <br />POLICY 1845779-06 <br /> <br />CUSTOMER SERVICE REPRESENTATIVE <br />CUSTOMER SERVICE CENTER <br />(877) 405-4545 <br /> <br />1275 Miwkol Slreot . San Francisco, CA 94103-1410 <br />Mail;ng Addro...; P.O. Bex 420801 . San Francisco. CA 94142-0807 <br /> <br />~CIF l',lClZ <br /> <br />, <br />