Laserfiche WebLink
<br />0~!~bIL8~L lS:33 <br /> <br />5625947417 <br /> <br />....... <br /> <br />HOTLINE SO. CALIF. PAGE 02 <br />f+- - 200 d ~ iJO")_ 0 <br /> <br />PO'!!!!fyHOLDER COPY <br /> <br />STATE P.O. 80)(420807, SAN FRANCISCO, CA 94142'()807 <br />(:OM~.NMTlON <br />IN*U~"N(;:. <br />FU N 0 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />APRIL 18, 2002 <br /> <br />GROUP; <br />POUCYNUMBER: 13"651.200' <br />CERTIFICATE 10: 1 <br />CERTIFICATEEXPfRES: 03-0,.12003 <br />03-01-200'/03-01~'003 <br />, <br /> <br />CITY OF SJlNTA ANA <br />ATTN, LUCY FLORES <br />20 CIVIC CENTER PLAZA <br />SAlITA ANA CA 92702 <br /> <br />PO BOX 1960 <br /> <br />TIll. il; to cerllly that we have ItoS"eoJ a vafi~ Wol1<..... COmpensation insurance policy 10 a form apprnveC by tl18 California <br />Insurance Comrni8~icn&r to the employer named befow for the poliey period indi(:sled. <br />This policy Is not subjecl 10 cancallation by the Fund e><eopl upon 10 d"YS advano. writton nollce 10 the employa,. <br />We will 81"" give you 10 days advance ootllle sl10uld lt1is policy bD cancelled priorI<> its normaleJ<piratlon. <br />Thi. certificate of Inaurance is not an im.ranee policy snd does not emend, extend or _the cOverage allotdod by'tI1ie <br />polloi... \i9te<j h....iII. NolWhhsl8nding any ...quI...men~ term at condilion of ""Y mnIraot Of _ document w.h :. <br />nospecl to which !his ""rti~oate oIlneut'IlMe may be issulld Qf may per\aln, t~e Ineunlnce al'lorded by t~e policies . <br />d"",,"bed herein Is subject to all th" terms, ".oluGio09, and oondition.. Df ouoo policies. <br /> <br />-d <br />/ft... ~ <br /> <br />I(~o- Lt.i_ <br /> <br />PRESIDENT <br /> <br />AUrnORllEIl REPRESENTII llVE <br /> <br />EMPLOYER'S LIABrLrT~ LIMIT INCLODIN~ DEF~SB COSTS, $1,000,000 PER OCCURRENdE <br /> <br />E~~OY!JI <br /> <br />ROTLINE OF S=N CALIFORNIA (A NON-PROFIT CORP.) <br />PO BOX 32 <br />LOS ALAMITOS CA 90720 <br /> <br />SCIF 102" IEPF-UI: DIll <br />