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NW <br />ATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 r �; <br />COMPENSATION <br />INSURANCE <br />` FUND CERTIFICATE OF WORKER5 COMPENSATION IfJURANC� <br />h <br />FEBRUARY 6, 1996 338336 9 <br />POLICY NUMBER <br />± _ CERTIFICATE EXPIRES .� <br />Q 3 <br />NA{/ARRA BROTHER <br />47$ ELEWET^ ROAD <br />` TRACY CA 95376 = `L <br />L <br />This is to certify that we have issued a valid Workers' Compensation Insurance poll In'a form approved by the California:� Insurance Commissioner to the employer named:belowfor the polity padod, indicated�:- <br />4 This Policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer <br />We will also give you TEN days' advance notice should this policy be cancelled prior to Its.nonnal expiration. <br />w This pertificate of Insurance Is not an insurance policy and does not amend,. extend or.Vaithe coyefage aff d by th' <br />gollcleg, listed herein. Notwithstanding any requirement, term, or condition of,"apy,ttwntrpCt OI "gther dQnj wilt <br />R7 resggct.to which this certificate of Insurance may be isaiied or may pertainih9l1��s�u erre ffq�(!ed b?:iPoltclteg <br />h* dWribed herein is subject to all the terms, excluslons.dno'6 nditlons of s Ff poilcie9r' Tel <br />as DE <br />EMPLOYER'S LIABILITY LIMIT I1,9CI;gDiNG< DEF $E. cOs i' QOrdoO tER C <br />`y <br />" J• y 011 <br />,r •�;fir 1 .', <br />t 9 <br />rjE ; <br />EMPLOYER - <br />Q�I$.TZr H. H. AND DIET2r <br />DBA: DIET^ IRP.ICATION <br />$617 ETCHE:'ERRY DR <br />TRACY CA 95376 <br />G RE T,k <br />ENT HAS A BLUE PATTERNED BACKGROUND <br />v <br />., <br />t <br />. <br />itr <br />R r,• <br />ENT HAS A BLUE PATTERNED BACKGROUND <br />v <br />