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POLICYHOLDER' COPY <br />STATE P.O. BOX 420807, SAN fRANCISCO,CA 94142-0807 <br />COMPENSATION <br />INSURANCE- <br />9F V N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE. 01-01-2006 GROUP: <br />POLICY NUMBER: 0803615-2006 <br />CERTIFICATE ID: 62 <br />CERTIFICATE EXPIRES: 01-01-2007 <br />01-01-2006/01-01-2007 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br />s0 <br />f... This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />,+. Califomis Insurance Commissioner to the employer named below. for the policy period indicated. <br />s <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />We will also give you 90 days advance notice should this policy be cancelled prior to its normal expiration. <br />This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded <br />by the policy listed herein Notwithstanding am requiremem;.term or condition of any contract or other document. <br />with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br />c <br />Ailm\ X,, <br />AUTHORIZED REPRESENTATIVE PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: .91,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1800 ROGER. FRANK, PRBS -.EXCLUDED. <br />ENDORSEMENT #1600 - ALAN FRANK,.S,T - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE-01-01-2002 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />O WOHNSON-FRANK 8 ASSOCIATES (A CORP) AND/ SO <br />BA:JOHNSON-FRANK 8 ASSOCIATES <br />5180 E HUNTER AVE <br />ANAHEIM CA 92807 <br />SO <br />M0410 <br />(aEV.2-05) PRINTED : 12-17-2005