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CERTHOLDER COPY <br />P.O_ BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />CERTIFICATE OF WtD?KC??'-?11?pE1kSAT10N INSURANCE <br />?F v' ?? <br />ISSUE DATE: OS-31-2011 GROUP: <br />[? j T ?({ _ - POLICY F,I.??IU?yMBER: 1 9 48603-201 1 <br />?t ? f..M1 - G?FiTY?IY..'H'4E ID: 12 <br />L - CR?Fi;TIQ1?ATE EXPIRES: OS-31 -2012 <br />OS?-/31 -201 1 /05-31 -2012 <br />THE CITY OF SANTA ANA SJ ?x ? 0? ? ? ? ? ?'? ?? <br />THE DEPOT OF SANTA ANA <br />1000 EAST SANTA ANA BLVD #108 <br />SANTA ANA CA 92701 <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?e x?c l?usion?s+, and conditions, of such policy. <br />wl'NO? t ??y?? <br />Authorized Representative President and GEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1600 - ZAMAN, KARIM, P,5 T - EXCLUDED_ <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-19-2010 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />l?Pp?U Vy?/Y?AS TU t'C?'a?iv? <br />// y? _ __ <br />aura Stitt S[zccdy <br />Assistan?. City At.orr, e. ? <br />EMPLOYER <br />Z VENTURE CAPITAL FRONTIERS, INC. DBA: THE <br />PAYPHONE COMPANY AND THE ZAMAN GROUP <br />1625 W VERNON AVE <br />LOS ANGELES CA 90062 <br />SJ <br />M0408 <br />(RE V.B-2010) PRINTED 04-15-2011