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SP . .- ...... '.....; STATE COMPENSATION INSURANcE FUND P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 09-30-02 POLICY NUMBER: 1354969 - 02 CERTIFICATE EXPIRES: 09-30-03 CITY OF SANTA ANA COMMUNITY REDEVELOPMENT AGENCY P.O. BOX 1988 SANTA ANA, CA 92]02 uOB: ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer. We will also give you 10 days'advance notice should this policy be cancelled prior to its normal expirortion. This certificate:of.insurance is not an i~surance policy and does not amend, extend or alter the coverage afforded by the policies. listed herein. Notwithstanding any requirf3:rTlent, term, or condition of any contract or other documeflt with respect to which this certificate at insurance may be -issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. ~IDE~ EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000,00 PER OCCURRENCE. Al'PROVED AS TO FORM ~-YVY cC:; ;lc;[tura'":i.Jhccdy .. Dr,puty City Attorney EMPLOYER LEGAL NAME NEIGHBORHOOO HOUSING SERVICES NEIGHBORHOOO HOUSING SERVICES OF 0 C INC OF O. C. , INC, INC 198 W LINCOLN AVE FL 2 (A NON-PROFIT CORP,) ANAHEIM CA 92805 08~19-02 PRINTED: PO 408 , ,THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND . selF '0265 (REV 2.")