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<br />May-16-02 04:2BP <br /> <br />P.03 <br /> <br />'-' <br /> <br />...,; <br /> <br />SP <br /> <br />STATE po. BOX 8()7, SAN FRANCISCO,CA 94101-0l!lO7 <br />C;OM...NSATION <br />INSUAAN'CS <br />FU N D CERTIFICATE QF ,WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 05-01-02 <br /> <br />POl.lCY NUMBER lIuns - 02 <br />CERTIFICATE EXPIRES. 015-01-03 <br /> <br />THE CITY OF SANTA ANA <br />ATTN KATIE MONTGOMERY <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br /> <br />This it to c;:ertlfy thlt wtI ha.... i,.ued , vllid Worker~' ComPtinHtion insurance polic;v 11"1 I form appravf,!d by the <br />Califorhi.. In,ur"'C8 Commi$sioner 10 the employer r"Iam.cI below Tor th_ poli~y period indicated. <br /> <br />Thi$ policy is. not subjllllc:l to Cill1cellation by the Fl,Ind except upon 30 dolY$' ~vance written noli!;:e 1'0 lhe employer. <br /> <br />We will also give YOlJ 30 diVS' advlnce notie9 shQLIld UlIl ~oHey b. eane.U.d prior 10 its norl'i"\al explr.ation, <br /> <br />This: cer1ifie,ate of ,..lns...,.~"ce is not., in$ur..ce poHey ...d do... not ."t1n~ extend or aller Lhe cO\terl~e .ffora.,d <br />by tne pali(!iH /istt;l!d herein. NotwithstmdinQ .,y r~l"Iirement term. or condition af ..n~ ocnlrac:l or other doCUMent <br />With respect toO which lhl$ ce}tificl'hl of': inlwrance ~av be issued or I'N'y perulI"_ tn. in.urance aHorded by the. <br />policies dHcrlbed htlH"ein 1.$ SlJbject to aU 1;ho t.ms, exclus.ionl and condition&. of such polieie'S. <br /> <br />Yd~ <br /> <br />'~SIDENT <br /> <br />E"LOYEIlI ' $., LIABILITY LIIIIT INCLUDINci II!~!NSE COSTS, $1,000.000.00 PEIlIOcaJRREtCE. <br /> <br />ENDOR$EIIENT, ofa0ll5 ENTITLED Cl!RTlFICATE HlILD1Il1S' IllOTICI! EFfECTIVe 01/01/02 IS AtTACHED TO AND <br />fOR115 A PARt Or'THJ5 POLiCY., <br /> <br />APPROVED /"I.:' l'd ; OR1"j <br /> <br />EMPlOYER <br /> <br /> <br />LtGAL NAIll <br /> <br />~ <br /> <br />THE'REvNOLDS GROUP <br />250 EL CAlli NO REAL ;STE 204 <br />TUSTIN CA 92780 <br /> <br />THE UYNlILDS laIIOUP (A CORP. ) <br /> <br /> <br />PRtNTE1Q; ~-!7'02 P0410 <br />..I~II"''''JjJjl.(I..;''J.'IIlWl.:I..I_:l.t_..:tt'I:I''U'n..~--=[.l.I'.. .1 -._.----.b. <br />