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1:3516r5?63C VERONIQUE PAGE 02/02 <br />POLICYHOLDER COPY <br />SK <br />ISSUE DATE; 07 -01 -2010 <br />P.O. Box <br />CERTIFICATE <br />9 <br />SANTA ANA POLICE DEPARTMENT <br />FISCAL DEPARTMENT DIVISION M -97 <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 92701 -+tmo <br />SAN FRANCISCO,CA 94142 -0807 <br />WORKERS' COMPENSATION INSURANCE <br />GROUP: 000527 <br />POLICY NUM8ER: 0000383 -2010 <br />CERTIFICATE 10; s <br />CERTIFICATE EXPIRES: 07 -01 -2011 <br />07-01-2010/07-01-2011 <br />0 <br />This is to cratiry that we have Issued a valid Wor�ors' 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 po?iey i¢ not subject to aenccliation uy the Fimd exec t <br />P upon *10 days advance Written notice to the empluyer, <br />We will also give you 10 days advance notice sht <br />This certificate of Insurance is not an Insurance p <br />by the policy listed herein, Notwithstanding any ref <br />with respect to which this Cernficate or rnsuranca <br />afforded by the Policy described herein is subject <br />thnrirnA aepresentotive <br />EMPLOYER'S LIABILITY LIMIT INCLUDING C <br />EMPLOYER <br />ADLERHORCT INTERNATIONAL, xNC. DOA: AOLI <br />POLICE K -9 KENNEL t <br />3951 VERNON AVE <br />RIVERSIDE CA 44509 <br />this policy be C celled Drlor to its normal emPiration. <br />r and does not amend, extend or after the coverage afforded <br />Iment. term or condition of any Contract Or other docurnant <br />V be issued or to which it may pertain, the insurance <br />Oil the terms, exclusions, and Conditions, of such policy. <br />') &�4 t4ZUt <br />Interim President and CEO <br />COSTS: $1,000.000 PER OCCURRENCE, <br />TO FORM <br />Kyat yodge I t <br />uty Ci#Y Attorney <br />[AMJ.CNI <br />tat[v.t zoto! I PRINTED : 07 -29 -2010 <br />