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-08-07;08:05AM; <br />;7147771641 # 6/ 7 <br />STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />COMPENSATION <br />IPA SURAN CE <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 01-01-2007 GROUP: <br />POLICY NUMBER: 0803615-2007 <br />CERTIFICATE 10: 62 <br />CERTIFICATE EXPIRES: 01-01-2008 <br />01-01-2007/01-01-2008 <br />CITY OF SANTA ANA SG <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 82701 <br />This is to certify that we have Issued a valid Workers' Compensation insurance policy in a form approved by the <br />California Insurance Commissioner to the employer named below for the policy period indicated. <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 30 days advance notice should this policy be cancelled prior to Its normal expiratlon. <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 any requirement, term or condition of any contract or other document <br />with respect to which this oertlflCate 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 Condlzions. of such policy. <br />tT?7,11ZEI REPRESENTATI <br />PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 51,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1600 - ROGER FRANK, PRIES - EXCLUDED. <br />ENDORSEMENT #1600 - ALAN FRANK, S,T - EXCLUDED. <br />ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE 'EFFECTIVE 01-01-2002 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />JOHNSON-FRANK & ASSOCIATES (A CORP) AND/ SG <br />OBA:UDHNSON-FRANK & ASSOCIATES <br />5150 E HUNTER AVE <br />ANAHEIM CA 92807 <br /> <br />M0410 <br />IFEV.7.051 PRINTED 72-15-2006