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<br />CERTHO~DER COpy <br /> <br />c.. . J! SP <br /> <br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />P.O BOX 420807, SAN FRANCISCO,CA 94142-0807 _ <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE OATE: 03-01-2007 <br /> <br />GROUP: <br />POLICY NUMBER: 1731310-2007 <br />CERTIFICATE 10: 1 <br />CERTIFICATE EXPIRES: 03-01-200a <br />03-01-2007/03-01-2008 <br /> <br />CITY 0 F SANTA ANA SP <br />COMM OEV AGENCY M-25 ATTN: FRANK HERNANOEZ <br />20 CIVIC CENTER P~AZA <br />SANTA ANA CA 92701 <br /> <br />~OB:A~~ CA~IFORNIA OPERATIONS <br /> <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />Catjfornia Insurance Commissioner to the employer named below for t/1e policy period indicated. <br /> <br />This policy is not subject to cancellation by the Fund except upon 10 d.ys .dvanc::e written notice to the employer. <br /> <br />We will also give you 10 days advance notice should this pollev be cancelled prior to its normal expiration. <br /> <br />This certificate of insurance is not ;m insurince 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 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 /> <br />CREPRESENTATI <br />EMPLOYER'S ~IABI~ITY ~IMIT INC~UDING DEFENSE COSTS: <br /> <br /> <br />~ <br /> <br />PRESIDENT <br />$1,000.000 PER OCCURRENCE. <br /> <br />f/75 <br /> <br />EMPLOYER <br /> <br />PAINT YOUR HEART OUT ANAHEIM, INC AND (A SP <br />NON-PROFIT CORP) <br />1209 W ~INCO~N AVE <br />ANAHEIM CA 92a05 <br /> <br />M0408 <br /> <br />IAEV.2-0m <br /> <br />PRINTED <br /> <br />02-17-2007 <br />