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Mar I1 08 03:05p Public Works 7146473345 <br />'. ~ -2 a D7~-2~7 CERTNOLDER COPY <br />~~~TE ~'.O. 80X 420807, SAN FRANGtSCC,CA $4142-0807 <br />COMPHNSATIGN <br />trtSLJRpNCIit <br />Q csartFtcA7'E OF WoRKEi~S' caNw~~rSarloty INSURAN <br />GE <br />ISSUE DATE; 01-01-2008 <br />GROUP: <br />POLICY NUMBER: 1676328-2008 <br />CERTIFICATE iD: t 1 <br />CERTlFlCATE EXPiRES:01-01-yppg <br />01-01-2008/01-01-2009 <br />CITY OF SANTA ANA SG <br />BLDG INSPECTION ~EP7 <br />ZO CIYIC CENTER PLY <br />SANTA ANA CA 92701-4058 <br />This is to certify that we have issued a valid Workers' Cnmpensa[ion insurance policy in a form approved by the <br />California Insurance Conxnissioner to the employer named below for the policy period indicated. <br />This policy is not subject tO cancellation by the Fund except upon 10 days advance written notice to the employer. <br />We will also give you 10 days advances notice should this policy be cancelled prior to its norrnaf expiration. <br />This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage afforded <br />w~th aspect tos whi brth s cart fi ate of g ~ ~c~,~,r,~, ekissued oor tonwh;ch t ma <br />afforded b tfie anY contract or other document <br />Y policy described herein is subject to a!i the terms, exclusions. and conditionsmof isuc policy. <br />~~ <br />THORITEb REI'RESENTATI <br />EMpt,.aYER'S LIABILITY LIMIT INCLUaINO DEFENSE CDSTSRES~~ ~0,~ PER OCCURRENCE. <br />_ ._ d 3'i~J ~J <br />EMPLpYER <br />I MATER INC. <br />i t 1ilARCONI STk A <br />IRVINE CA 92918 <br />~v. z-as! <br />SG <br />I5A5,CS] <br />PRINTED 03-11-2008 <br />p.2 <br />5G <br />