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Jan=03-2007 03 : 08 PM Accor '4a 9162311741 1/1 POLICYHOLDER COPY MF STATE F.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COUPWNSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-03-2007 GROUP: 000713 POLICY NUMBER: 0005849-2008 CERTIFICATE 10: 312 CERTIFICATE EXPIRES: 10-01-2007 10-01-2005/10-01-2007 SAN JOAOUIN CO. ENVIROMENTAL HEALTH DEPT NF dOM:PERMIT 304 E WEBER AVE 3RD FL STOCKTON CA 95202-2708 This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upori days advance written notice to the employer. We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an Insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein, Notwithstanding any requirement, term or condition of any contract or other document with respect lc which this certificate of Insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. THORIZEO REPRESENTATI49i PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000.000 PER OCCURRENCE. ENDORSEMENT X1500 - DONALD R. TINSLEY JR. PRESIDENT - EXCLUDED. ENDORSEMENT #1600 - ANGELA J TINSELY VP SEC TRES - EXCLUbEb. ENDORSEMENT #2066 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2001 Is ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER DELTA OILFIELD SERVICES. INC. (A CORP.) MF PO BOX 1875 WUODLAMD CA 95775 (B17,NFJ iREV.2-05r PRINTED : 01-03-2007