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<br />~ ~jB'iJ3 ' n1 <br /> <br />CERTHOLDER COPY <br /> <br />SC <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />P.o. BOX 420807, SAN FRANCISCQ,CA 94142-0807 <br /> <br />a <br />::> <br />'-' <br />~ <br />Oi <br />M <br />'\T <br />M <br />Oi <br />o <br />"- <br />M <br />o <br />"- <br />M <br />o <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 02-27-2009 <br /> <br />GROUP: 000780 <br />POLICY NUMBER: 0000497-2008 <br />CERTIFICATE ID: 87 <br />CERTIFICATE EXPIRES: 06-01-2009 <br />10-01-2008/06-01-2009 <br /> <br />SANTA ANA POLICE DEPARTMENT <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4060 <br /> <br />SC <br /> <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 /> <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br /> <br />We will also give you 30 days advance notice should this pOlicy be cancelled prior to its normal expiration. <br /> <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 /> <br />d::-REPRESENTATI <br />EMPLOYER'S LIABILITY LIMIT <br /> <br /> <br />~~ <br /> <br />PRESIDENT <br />INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2008 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> <br />EMPLOYER <br /> <br />coR1A <br />~ ~\O ' <br />f',.;' <br />O"P~J C <br />p.,..l'Vv..: <br />:.\leeU~ <br />S\lt' ,\\otl'e~ <br />\-,',).\.\\3. Ctt'j ~ <br />\<.\ ~\\. <br />C>,. :>:>~:> <br /> <br /> <br />ALL CITY MANAGEMENT INC <br />1749 S LA CIENEGA BLVD <br />LOS ANGELES CA 90035 <br /> <br />SC <br /> <br />[ATV,CS] <br /> <br />(REV.2~05) <br /> <br />PRINTED <br /> <br />02-27-2009 <br />