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POLICYHOLDER COPY <br />P.O. BOX 8192, PLEASANTON, CA 94588 <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 10-15-2014 GROUP: <br />POLICY NUMBER: 1888181-2014 <br />CERTIFICATE ID: 8 <br />CERTIFICATE EXPIRES: 01-01-2015 <br />01-01-2014/01-01-2015 <br />CITY OF SANTA ANA SG <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 82701-4058 <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 <br />/dde/scririibbbeeeddd herein is subject to all the terms, exclusions, and conditions, of such policy. <br />Authorised Representative/ President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1600 - ALFREDO ARMENDARIZ PRES,SEC,TRES - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-15-2014 IS <br />-�,.— ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />! e <br />DIGIKON USA, INC. DBA: PROCURE AMERICA SG 2�1G^-1r <br />31103 RANCHO VIEJO RD # D2102 jJ'//,j' <br />SAN JUAN CAPISTRANO CA 925751,1 t <br />[P1 B,SG] <br />(Ray.7-20141 PRINTED 10-15-2014 <br />