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POLICYHOLDER COPY <br />F'Iy <br />P.O. BOX 8192, PLEASANTON, CA 94588 <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 08-01-2022 <br />CITY OF SANTA ANA RISK MANAGEMENT DIVISIO SC <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4058 <br />GROUP: <br />POLICY NUMBER: 1476939-2022 <br />CERTIFICATE ID: 32 <br />CERTIFICATE EXPIRES: 08-01-2023 <br />08-01-2022/08-01-2023 <br />JOB:COMPUTERIZED ACCOUNTING <br />41E FOOTHILL BLVD 201 <br />ARCADIA <br />CA 91006-2361 <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 <br />policy described herein is subject to all the terms. exclusions, and conditions, of such policy. <br />i�.f�^ <br />Authorized Representative President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT N2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-01-2021 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />THE ACCOUNTING ANNEX INC. <br />41 E FOOTHILL BLVD STE 201 <br />ARCADIA CA 91006 <br />(REV.7-2014) <br />Fri <br />PRINTED <br />RiakMarugzntmtDivrelan ;- <br />o%";. REviewEo&AraRovEO Bv: <br />Air Aavek <br />®' Risk Management Spedelist <br />