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Mar ii 09 03:05p Putrlic 4lork~ 7146473345 p.3 <br />~q ,nom,, -~J ~ ~ / / ~ POLICYHOLDER COPY <br />' STA~"~ <br />coNrpl~rrSArloN P-0. 80X 420807, SAN FRANCISCO,CA 94142-0807 <br />lavsuaAHCt~ <br />~~~ ~ CBRTiFICAT'E OF 1NORKERS' COMpEi~SAI'ION INSURANCE <br />ISSUE DATE: 41-81.2008 Gftt~Up: <br />POLICY NUMBER: tti7lf32rs-2008 <br />CERTIFICATE ID: 11 <br />CERTIFICATE EXPIRES:Oi-Oi-204ai <br />01-01-2008/01-01-2009 <br />clTr of swaTa AIVA <br />BLDG INSPFCTIl7N DEPT <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 02701-4058 <br />SG <br />This is to certify that we have issued a valid Workers' Compensation Insurance policy in ~ form approved by the <br />Catlfornia Insurance Commissioner to fire employer named below for the policy period indicated <br />This policy is not subject to cancellation by the Fund except upon 10 days advanoe written notice to the employer, <br />We will also give you 10 days advance notice should this policy be cancelfed 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 any requirement term or condition of any contract or other document <br />with respect to which this certificate of insurance may be issued or io which it may pertain, the insurance <br />afforded by the policy described herein is subject to all tha terms, exclusions, and conditions, of such pOElcy. <br />~~~ <br />THORIZED REPRESENTATI PRESIDENT <br />EMPLOYER'S LIABILITY LIIi[IT INCLUDING DEFENSE CDSTS: =4,000,000 PER OCtxRtttENCE, <br />EMPLOYER <br />I MATER INC. <br />ti MARCOWI STE A <br />IRVINE CA 92818 <br />sv.2-osl <br />[5A5,CS] <br />PRINTED : 03-1i-2008 <br />SG <br />f~ h~ 1 `'':~ - <br />SG C•'iTcilb t,tty At~OS:,EV <br />r:.. ~- <br />