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CERTHOLDER COPY SP STATE COM.PENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142.-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 02-14-2006 GROUP: POLICY NUMBER: 1610814-2006 CERTIFICATE 10: 76 CERTIFICATE EXPIRES: 03-28-2007 03-28-2006/03-28-2007 CITY OF SANTA ANA ATTN: MIKE LINARES ESQ-CDA PO BOX 19BB M-25 SANTA ANA CA 92705 SP ~DB:ALL CALIFORNIA OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form ~pproved 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 upon30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an Insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstandinl;l any requIrement, term or condition of any contract or other document with respect to which this certificate of Insurance may be issued or to which it may pertain. the insurance afforded by the policy described herein is subject to all the terms. exclusions, and conditions. of such policy. a:::-REPRESENTATI EMPLOYER'S LIABILITY LIMIT ~ PRESIDENT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-28-2006 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER WOMEN'S TRANSITIONAL LIVING CENTER, INC SP PO BOX 6103 ORANGE CA 92863 IREV.2-05J PRINTED ISt.C,SP] 02-14-2006