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STATE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101-0807 <br />COMPENSATION <br />INSURANCE <br />FUND CERTIFICATE OF WORKERS' COMPENSAMON INSURANCE <br />JILT [: i i'iK POLICYNUMBER: 435-87 UNIT 0000108 <br />CERTIFICATE EXPIRES: 1 ,J-1— 3P <br />�AVil Case-�, <br />lc]]l F. i'AZELTn,f 4v../ P.C. ACX > <br />STJC •TJ`, <br />CM <br />L <br />This is to certify That we have issued a valid Workers' Compensation insurance policy in a form approved by the Cali omia <br />insurance (ommissioner to the emnln,.,^, nnmad heln.w fns the pal;" no.; ! in !iratcr! <br />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 normal expiration. <br />This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the <br />policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with <br />respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies <br />described herein is subject to all the terms, exclusions and conditions of such policies. X. <br />PRESIDENT <br />r <br />AUG 1 <br />EMPLOYER ENVIROMENTAL HEALTH <br />PERMIT/SERVICES <br />I— <br />RICH LEH"RAN EXCAVATING INC. <br />P.O. Sox 1239 <br />RED BLUFF <br />CA 96080 <br />L <br />SCIF 10262 iREV. tn_29% �r n%r 1C^0 LUeIIDEMIC CII C OLD 262A <br />