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<br />~ <br /> <br />-08-07;08:05AM; <br /> <br />;7147771641 <br /> <br /># 6/ 7 <br /> <br />STATE <br />COMPIENSATION <br />INSUAANCE <br />FUND <br /> <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANce <br /> <br />ISSUE DATE: 01-01-2007 <br /> <br />GI10UP: <br />POLICY NUMSEI1: 0803615-2007 <br />CERTIFICATE 10: 62 <br />CERTIFICATe EXPII1ES: 01-01-2008 <br />01-01-2007/01-01-2008 <br /> <br />CITY DF SANTA AHA <br />2D CIVIC CENTER PLAZA <br />SANTA ANA CA 82701 <br /> <br />SG <br /> <br />This is to certify that we have Issued .. v~lIlid Workers' Compensation insurMlce pOIiCV in a form .."proved by the <br />California Insurance Commissioner to the employer "Imad below 'or the POlicy period indicated. <br /> <br />ThiS pOllcV is nor: subjt!ct to cancellation bV the Fund excepr Uj:lon 30 days i1dv.-"ce written notice to the em~lgyer. <br /> <br />We will also give you 30 days advance notice should this policV be cancelled prior to ItS normal expiration. <br /> <br />ThiS certificate of insurance is not an insurance pOlicy and does not amend. extend or alter the coverige afforded <br />by the l:Iolicy listed her.do. Notwithstanding MY requirement, term or condItion of Mly contract or other document <br />With respect to which this certIficate of insurlncB may be issued or [0 which It may pertain, the Insurance' <br />afforded by the POliCY described herein is subjed to all the terms, exclusions. and condItions. of such pOlicy. <br /> <br />tl1EPI1ESENTATI <br />EMPLOYER'S LIABILITV LIMIT INCLUDING DEFENSE CDSTS: <br />ENDORSEMENT #1600 - ROGER FRANK, PRES - EXCLUDED. <br />ENDORSEMENT #1600 - ALAN FRANK,S, T - EXCLUDED. <br />ENDDRSEMENT #20B5 ENTITLED CERTIFICATE HOLDERS' NOTICE ,EFFECTIVE 01-01-2002 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> <br /> <br />~ <br /> <br />PRESIOENT <br />51,000,000 PER OCCURRENCE. <br /> <br />. /J~-:} <br />t/~~7 <br /> <br />./ <br /> <br />EMPLOYER <br /> <br />"'DHNSON-FIlANK & ASSDCUTES (A CDRP) AND/ SG <br />DBA:"'OHNSQN-FRANK & ASSOCIATES <br />5150 E HUNTER AVE <br />ANAHEIM CA 92807 <br /> <br />!RiV.2.0'fi} <br /> <br />PRINTED <br /> <br />12-15-2006 <br /> <br />1010410 <br /> <br />