<br />S~AT
<br />COMPENSA
<br />I '" .~VR I'A N G
<br />'PUND
<br />
<br />8.0,
<br />
<br />SAl\j FRANCISCO, QAQ4142jO$07
<br />
<br />CERTIFICATE OF WORKEHsrCOMPENSATION INSURANCE
<br />
<br />ArRI~ t, 2007
<br />
<br />f"U!.Ii,;Y Nt Hymel"!
<br />C:CH lli-ICATF
<br />
<br />624-06 UNIT 0001000
<br />4-1-138
<br />
<br />CITY QfSMiTA .A~A
<br />?UaLI~'ORKSAGENCY
<br />A1TN : OOWLUm
<br />2~ CIVIC CTRRt;
<br />
<br />
<br />^$SOC,EN(l rRAF;ry PRQJ :AOlUN
<br />SANTA A~A>.CA92702 JOlh ALI,.. CAtlflQRklA OPERATIONS
<br />
<br />'-
<br />
<br />Tills IS to cer:lty tl,at we have is~ue(j a valio WorKers CornJ1cn:,ation insurance> policy 1I H tornl appro'.;!};:! by till) C;aiJlofrlic-\
<br />Insuranc.c tv Ute k)mployer namt:d below for the policy period indicated.
<br />
<br />Tf liS DC1J:V i~; lot ::;ubjC'ct TC C ,ificclli1l'IDn by H-ie Fund cxt;.')pt UpU1 < L:~i' 1.1, It,.., ,:)(jv8nl. e v'JrJt,tc~n }h,;u U :i;.) ! J"')f'.d(;j b'
<br />
<br />VVf~ '>iVl~j
<br />
<br />
<br />Yi)U TEN (jilys advaflc:e
<br />
<br />[his policy b(> uJflce!incl prior to nl)t'fj'lil1
<br />
<br />ThiS ctlrtlflcatf) ot insurapceiS not ;,DII1SUfclnCe !JDlley amJ does not an18I1d, e;dI:JnLi ur allL'! the Ct.JV,,,'i1QD 'lffo",JeiJ t)V tile
<br />DCIIC'''JS listed 1)()f(;ln, N()tvvft!JStandin'g anYieqUlfHnont, term or COlhiiHQi"I i.A anV i;Qfltr:lct Of uU;er c!ocun)"nt With
<br />~'RSPAct 10 WflJCfl thIS cert;fic:atB t)f rnav b(~ !s~~uF~d or pnrlhlin, tht:~ InS(lrrln(,~ affGrd~:~~d by ly)f;Clt~~~;
<br />cU:scnbed herein h ~;uh;C~(". to edl Hv; -terrTls, exrluslons ;,tn:i CO f)r1it I OfY':, :3th~h pnjjcie.:!. '
<br />
<br />ct:~
<br />
<br />\
<br />',- ".-.,..c, -, ...,.... ,', ,", -:- "". r ;.....,..".,. ,
<br />,,>, ~." 'd ",,", . .'.
<br />
<br />
<br />,,'
<br />
<br />
<br />~ l
<br />
<br />EMPLOYER'S LIABILITY LIMlT INCLUDING DEfENSE
<br />
<br />
<br />$1,000.0100 Pfi:R OCCUnRll:J>4Cfl:.
<br />
<br />f MPLOYER
<br />
<br />ECO~O~l1'll: CONTItOL PRODUCTS.'- JNC.ANDiOit
<br />ECONOl.lTE TRAFFICll:N~INE;E;RlNI3&MAIN1'ENANCE. :tNe.
<br />33f>0 E. U,HALliAAVlilklllr
<br />ANAHEIM, CA 92806
<br />
<br />h' THIS DOCUMENT HAS A BLUE:;PA. EANED BACJ<GR UNO'. . :'" . .' selF 10;162 (RIt"'.7'~}~t i
<br />
|