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i <br /> STATE OF CALIFORNIA Edmund G.Brown Jr.,Governor <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> OFFICE OF SELF-INSURANCE PLANS <br /> 11050 Olson]drive,Suite 230 <br /> Rancho Cordova,CA 95670 <br /> Phone No.(916)464-7000 <br /> FAX(916)464-7007 <br /> CERTIFICATION OF SELF-INSURANCE OF WORKERS'COMPENSATION <br /> TO WHOM IT MAY CONCERN: <br /> This certifies that Certificate of Consent to Self-Insure No.7431 was issued by the Director of Industrial Relations to; <br /> Orange County Fire Authority <br /> under the provisions of Section 3700,Labor Code of California with an effective date of March 1,1995. The certificate is <br /> currently in full force and effective. <br /> Dated at Sacramento,California <br /> This day the 15th of March 2017 <br /> Lyn Asio Booz,Chief <br /> ORIG: Rhonda Haynes <br /> Human Resources,We Program Manager <br /> Orange County Fire Authority <br /> 1 Fire Authority Rd.Building 1 a <br /> Irvine,Ca 92602-0125 <br />