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ADLERHORST INTERNATIONAL, INC. 2C - 2011
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ADLERHORST INTERNATIONAL, INC. 2C - 2011
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Last modified
1/5/2016 11:10:07 AM
Creation date
1/10/2012 5:17:18 PM
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Contracts
Company Name
Adlerhorst International, Inc.
Contract #
A-2010-177-01
Agency
Police
Expiration Date
9/30/2012
Insurance Exp Date
8/8/2012
Destruction Year
2018
Notes
Amends A-2008-257, A-2009-145, A-2010-177 Amended by A-2010-177-02
Document Relationships
ADLERHORST INTERNATIONAL INC. 2B - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
ADLERHORST INTERNATIONAL, INC. 2 - 2008
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
ADLERHORST INTERNATIONAL, INC. 2A - 2009
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
ADLERHORST INTERNATIONAL, INC. 2D - 2012
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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CERTHOLDER COPY SK <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807 <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 07 -01 -2012 GROUP: <br />POLICY NUMBER: 9017352 -2012 <br />CERTIFICATE ID: 5 <br />0 1 CERTIFICATE EXPIRES: 07 -01 -2013 <br />07 -01- 2012/07 -01 -2013 <br />SANTA ANA POLICE DEPARTMENT SK <br />FISCAL DEPARTMENT DIVISION M -97 <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 92701 -4060 <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 />Authorized Representative President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07 -01 -2012 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />APPROVED AS TO FORM <br />E ESA L. JUDD <br />nt City Attorney <br />EMPLOYER <br />ADLERHORST INTERNATIONAL, INC. DBA: ADLERHORST <br />POLICE K -9 KENNEL <br />3951 VERNON AVE <br />RIVERSIDE CA 92509 <br />i <br />M0408 <br />(REV.8 -2010) PRINTED : 07-11-2012 <br />
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