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ECONOLITE TRAFFIC ENGINEERING 1 -2005
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ECONOLITE TRAFFIC ENGINEERING 1 -2005
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Entry Properties
Last modified
3/28/2017 11:50:22 AM
Creation date
9/23/2005 3:14:55 PM
Metadata
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Template:
Contracts
Company Name
Team Econolite
Contract #
A-2005-200
Agency
Public Works
Council Approval Date
8/1/2005
Expiration Date
8/31/2008
Insurance Exp Date
4/27/2009
Destruction Year
2013
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<br />fI- -;2oofi,-;J...-oo <br />CERTHOLDER COPY <br /> <br />SP <br /> <br />STATE <br />COMPENSATION <br />INSU..ANCE <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 04-28-2008 <br /> <br />GROUP: 000824 <br />POLICY NUMBER: DOOl005-2007 <br />CERTIFICATE 10: 110 <br />CERTIFICATE EXPIRES: 04-01 -2009 <br />04-01-2008/04-01-2009 <br /> <br />CITY Of SANTA ANA <br />20 CIZI CENTER PLAZA <br />PO BOX 1988 <br />SANTA ANA CA 92702-1988 <br /> <br />SP <br /> <br />This is to certify that we have issued a valid Workers' Compensation insur.,ce policy in a form approved by the <br />California Insurance Commissioner to the employer nlmed below for the policy period indicated. <br /> <br />This policy is not subject to cancellation by the Fund except upon 30 days adv.,ce written notice to the employer. <br /> <br />We will also give you 30 days adv.,ce notice should this pOlicy be cancelled prior to its normal expiration. <br /> <br />This certificate of insurNlce is not an insur.-.ce policy and does not .-nand. extend or alter the coverage afforded <br />by the policy listed herein. Notwithstanding any requirement term or condition of any cantrEt or other doCl.l'T1ent <br />with respect to which this certificate of insurance may be issued or to which it may pertain. the insurance <br />afforded by the policy described herein is subject to III the terms. exclusions. and conditions. of such policy. <br /> <br />(t:-REP~ ~E~ <br /> <br /> <br /> <br />EMPLOYER'S LIABILITY LIMIT INCLUOING DEfENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT #2085 ENTITLEO CERTIFICATE HOLDERS' NOTICE EffECTIVE 04-01-2008 IS <br />ATTACHED TO AND fORMS A PART Of THIS POLICY. <br /> <br />~/ <br /> <br />EMPLOYER <br /> <br />ECDNOLITE TRAFFIC ENGI & MAIN, <br />SAfETRAN TRAffiC SYSTEMS. INC. <br />3380 E LA PALMA AVE <br />ANAHEIM CA 92808 <br /> <br />INC. ANDIOR <br /> <br />PRINTED <br /> <br />[B17,SD] <br />04-28-2008 <br /> <br />(REV.2-0!1 <br />
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