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SELF - INSURANCE PLANS <br />2265 Watt Avenue, Suite I <br />Sicramento, CA 95825 <br />Phone No. (916) 483 -3392 <br />FAX (9I6) 483 -1535 <br />CERTIFICATION OF SELF - INSURANCE <br />OF WORKERS' COMPENSATION <br />TO WHOM IT MAY CONCERN: <br />This certifies that Certificate of Consent to Self- Insure <br />No. 2082 was issued by the Director of Industrial Relations <br />to: <br />JOHNSON CONTROLS, INC. <br />under the provisions of Section 3700, Labor Code of <br />California, on December 1, 1987. The Certificate is now and <br />.has been in full force and effective since that date. <br />Dated at Sacramento, California <br />This 17`" day of December, 2001 <br />MARK B. A'S^HCRAFT, <br />Self Insurance P] <br />Orig: Phyllis N. Doane <br />Paralegal Assistant <br />Ned L. Gaylord & Associates <br />3530 Atlantic Ave., Suite 210 <br />Long Beach, CA 90807 <br />CC: Kathleen E. Theisen <br />Vice President <br />Marsh USA, Inc. <br />411 E. Wisconsin Ave., #900 <br />Milwaukee, WI 53202 <br />I o) ) ; 0I11*v7 <br />