Laserfiche WebLink
STATE OI- CALIFORNIA <br />Edmund G. Drown Jr., Governor <br />DEPARTMENT OF INDUSTRIAL RELA <br />OFFICE OF SELF-INSURANCE FLANS <br />It 050 Olson Drive, Suite 230 <br />Rancho Cordova,CA 95670 <br />Plione No. (916) 464-7000 <br />FAX (916) 464-7007 <br />CERTIFICATION OF SELF-INSURANCE OF WORKERS' COMPENSATION <br />TO WHOM IT MAY CONCERN: <br />This certifies that Certificate of Consent to Self -Insure No. 0566 was issued by the Director of Industrial Relations to: <br />The Salvation Army <br />under the provisions of Section 3700, Labor Code of California with an effective date of November 15, 1933, The <br />certificate is currently in fill force and effective. <br />Dated at Sacramento, California <br />This clay the 20di of April 2017 <br />Lyn Asio Booz, Chief <br />ORIG: Craig Nicles <br />Director Of Claims Management <br />The Salvation Army <br />180 Easf Ocean BOUIEvar(l, 10th Floor <br />Long Beach, Ca 90802 <br />�, n' <br />i� �IY '_ <br />Oil <br />ItLvk Mansgnmurabidstatt <br />IiEV1Ea7JE481 eKd'aP+KC/gV/GfJ 9Yp: <br />MA Maneaewnt Analyst <br />