BLIND CHILDREN'S LEARNING 3 - 2006

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CERTHllLDER COPY c ~ <. SP STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-01-2007 GROUP: 000469 POLICY NUMBER: 0003587- 2006 CERTIFICATE 10: 3 CERTIFICATE EXPIRES: 03-01-2008 03-01-2007/03-01-2008 CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 CIVIC CENTER PLAZA M25 SANTA ANA CA 92702 SP k d.-OOV-- 09,:}..-D03 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 tocanceltation by the Fund except upon 10 days advance written notice to th~ employer. We will also give you 10 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. Notwithstanding 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. tREPRESENTATI EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: ~ PRESIDENT $1,000,000 PER OCCURRENCE. EMPLOYER 1"..>--,,- >~." BLIND CHILORENS LEARNING CENTER 18542 VANDERLIP AVE STE B SANTA ANA CA 92705 SP ~q "\'.. '--"., ".....'. M0408 fREV.2-051 PRINTED 02-17-2007