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FIRE DISTRICTS ASSOCIATION OF CALIFORNIA <br /> FIRE ASSOCIATION SELF INSURANCE SYSTEM <br /> FDAC-FASIS Darrell Heppner, Program Director <br /> P.O. Box 958, San Leandro, CA 94577-0105 <br /> 510-632-2200 FAX 510-632-2475 <br /> 800-662-8469 <br /> 0 <br /> N - <br /> O <br /> C� <br /> W <br /> 'O <br /> October 29, 2002 n? <br /> N <br /> �D <br /> Doug Wilson, Environmental Health Department <br /> San Joaquin County <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202-2708 <br /> Liberty Rural County Fire Protection District is a member of FDAC-FASIS (Fire Districts <br /> Association of California-Fire Association Self Insurance System), ajoint powers authority. Each member <br /> of FDAC-FASIS is self-insured. Workers'Compensation benefits are provided for each member of FDAC- <br /> FASIS including program and claims administration. <br /> As defined by GASB Statement No. 10, FDAC-FASIS is"a risk-sharing pool". <br /> A copy of the State of California Affiliate Certificate of Consent To Self-Insure number 5404-110 is <br /> provided for your records. <br /> Should you have any further questions regarding workers'compensation for Liberty Rural,please contact <br /> our office. <br /> Ve ul yours, <br /> ar ell eppner <br /> DH s <br /> enclosures (vrs.) <br /> Serving the Workers'Compensation Insurance Needs for Fire Districts in California Since 1984 <br />