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Jan 31 11 01:24p <br />ISSUE DATE: <br />Reliable PetroieumA <br />209-845-8953 p.2 <br />POLICYHOLDER COPY NK <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />■ CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />-2010 GROUP 000713 <br />POLICY NUMBER. 0030676-2009 <br />CERTIFICATE ID: 2 <br />CERTIFICATE EXPIRES: 03-01-2011 <br />03-01-2010/03-01-2011 <br />JOB:ALL OPERATIONS <br />This is to certify that) we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California Insurance CII,mmissioner to the employer named below fpr 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 yoq 30 days advance notice should this policy be cancelled prior to its normal expiration. <br />This certificate of ins rance 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 whic this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded by the polio described herein is subject to all the terms, exclusions, and conditions, of such policy. <br />ZStTGRIZED REP ESENTA-1 FF PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT 61600 - ROBERT BARNHART, PRESIDENT - EXCLUDED, <br />ENDORSEMENT #1600 - GUADALUPE SANCHEZ, VICEPRESIDENT - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE MOLDERS' NOTICE EFFECTIVE 03-01-2010 IS <br />ATTACHED TO AND F RMS A PART OF THiIS POLICY. <br />RELIABLE PLTROLEUlfI SERVICES INC <br />521 BRANDING IRON ST <br />OAKDALE CA 95361 <br />NK <br />M0409 <br />CREV_2-051 I PRINTED : 02-17-2010 <br />