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5YAIEW4LLFOYJAA <br />OFPIII, WWItl! ACAEN <br />A Public Service Agency <br />This is to certify that: <br />CERTIFICATE OF SELF-INSURANCE <br />The Salvation Army <br />NAME OF SELF -INSURER <br />30840 Hawthorne Boulevard, Rancho Palos Verde., California 90275 <br />ADDRESS, CITY, STATE, ZIP <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 />Vehicle Code for the period August 19, 2021 through August 18, 2022 <br />wam' <br />MAN ER <br />Financial Responsibility Unit <br />Department of Motor Vehicles <br />SR 27 (REV. W199) UH <br />�r �, RtekMatw.ganenEDtWelon <br />B�IS/Qo, REVIEWED&APPRavED By., <br />�`1;; �aa4tYM�f � ffNAad.� <br />�� Rtsh Management Analyst <br />