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POLICYHOLDER COPY <br /> STATE <br /> COMREN9ATION P 0, BOX 8192, PLEASANTON, CA 94588 <br /> INSURANCE <br /> FUND <br /> --i I CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 01-01-2015 GROUP: <br /> POLICY NUMBER: 9082967-2015 <br /> CERTIFICATE IC: I <br /> CERTIFICATE EXPIRES: 01-01-2016 <br /> 01-01-2015/01-01-2016 <br /> CONTRACTORS STATE LICENSE BOARD SC LIC PERMIT#: 484288 <br /> WORKERS COMPENSATION UNIT INCEPTION DATE:01-01-2015 <br /> PO BOX 26000 00:SC <br /> SACRAMENTO CA 95826-0026 <br /> This is to CertitY that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br /> California Insurance Commissioner to the employer named below for the policy period indicated, <br /> This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer <br /> We will also give You 30 days advance notice should this policy be cancelled prior to its normal expiration. <br /> This certificate of insurance is not an insurance policy and does not amend, extend or after 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 /> Authorized Representative President and CEO <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1 ,000,000 PER OCCURRENCE. <br /> ENDORSEMENT #1600 - MCCALL, BRUCE, P,S T - EXCLUDED. <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2015 IS <br /> ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> EMPLOYER <br /> EXPLORATION GEOSERVICES, INC. SC <br /> 1535 INDUSTRIAL AVE <br /> SAN JOSE CA 95112 <br /> M0409 <br /> PRINTED : 12-17-2014 <br /> (REV.7-2014) <br />