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April 09, 2012 <br />DEKRA-LITE INDUSTRIES INC. <br />3102 W ALTON AVE <br />SANTA ANA, CA 92704-6817 <br />AHwan Remo Mwwgaa Conpaay <br />Re: Barrett Business Services, Inc. ("BBSI") <br />Letter of Self-Insurance for Workers' Compensation Coverage <br />Self <br />As the named addressee of this Letter, your company's required workers' compensation coverage is provided <br />through BBSI's state approved Self-Insured Workers' Compensation Plan by way of your co-employment <br />contract with BBSI. BBSI's California customers can also verify BBSI's state certification at <br />htto://www.dir.ca.gov./SIP/sip.html; next, click on "Self Insured Employers"; then "Rosters"; then scroll down to <br />Barrett (the list is alphabetical by company name). Additional information is as follows: <br />2246 <br />Washington: <br />Delaware: <br />Maryland: <br />Number: <br />Other Comments (place an "X" if applicable): <br />® Named "Letter Holder": Santa Ana Downtown Development P.O. Box 1988 M25 Santa Ana, CA 92702 <br />0 Other: <br />Additionally, BBSI's self-insured program is further supported by an excess workers' compensation insurance policy with <br />National Union Fire Insurance Company of Pittsburgh, PA. Copy of certificate is available upon request. <br />For additional information, please contact your local BBSI office at: (909) 605-6862 . <br />Very truly yours, <br />Michael L. F_lich BBSI Office: ONTARIO <br />President and Chief Executive Officer <br />dog: Lost-2 <br />8100 NE Parkway Drive, Suite 200 Vancouver, Washington 98662 800.4945669 360.828.0100 Fax 360.828.0701 www.harrelthusiiiess.com <br />PARTNERS IN PROFITA81LITY <br />LISA E. STORCK <br />Assistant City Attorney dl-l.