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IN REPLY REFER TO: <br />JANUARY 7, 2016 <br />SANTA ANA POLICY DEPARTMENT <br />ATTN: TAYLOR GEIL—CHIEFS OFFICE M-97 <br />60 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4060 <br />Bs `j lL4 CERTIFICATE OF WORKERS' <br />----------------------- <br />COMPENSATION INSURANCE <br />---------------------- <br />CANCELLATION WITHDRAWAL NOTICE <br />------------------------------ <br />RE: CERTIFICATE DATED AUGUST 12, 2015 <br />THE CANCELLATION HAS BEEN WITHDRAWN FOR THE WORKERS' COMPENSATION <br />INSURANCE POLICY FOR THE EMPLOYER NAMED BELOW. THIS LETTER <br />THE NOTICE OF CANCELLATION SENT TO YOU ON JANUARY 6, 2016. <br />THIS EMPLOYER'S WORKERS' COMPENSATION INSURANCE COVERAGE CONTINUED <br />UNINTERRUPTED. <br />EMPLOYER: <br />NANCY K BOHL INC <br />1881 BUS CTR DR STE 11 <br />SAN BERNADINO, CA 92408 <br />POLICY 0702761-15 <br />CUSTOMER SERVICE REPRESENTATIVE <br />CUSTOMER SERVICE CENTER <br />(888) 782-8338 <br />5860 Owens Or Pleasanton, CA 94588-3900 <br />Mailing Address: P.O. Box 8192 - Pleasanton, CA 94588-9682 <br />SCIF 19102 <br />