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This is to certify that; <br />CERTIFICATE OF SELF-INSURANCE <br />The -Salvation. .Army.. . .. _.. _.. . ._., <br />NAME OF FBLMNSUREP <br />30840 Hawthorne Boulevard, Rancho Palos Verde, California 00275 <br />Awme, ORY, STATE, 4P <br />has been approved as a Self -Insurer under the California Compulsory Financial Responsibility <br />Law and assigned Self -Insurance #, 202 pursuant to Section 16053 of the California <br />Uohfcle Code for the period Auguot 19, 2019 through August 18, 2020 <br />MANAGER <br />Financial Responsibility Unit <br />Department of Motor Vehicles <br />OR 27 (REV 10100) UN <br />REVIEWED & APPROVED <br />By Risk MANAGEWNT DivisioN <br />�YOLCR <br />FRANCINE R. VILLAREAln <br />