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South San Joaquin Irrigation• <br />RE: Deferred Premium District <br />Collection Plan <br />Page 3 of 3 <br />SECTION FIVE <br />CHOICE OF LAWS <br />This Note shall be governed by and construed in <br />accordance with laws of the State of California in all <br />respects, including matters of construction, validity, and <br />performance. <br />SECTION <br />ACKNOWLEDGMENT OF RECEIPT OF NOTE <br />Maker acknowledges receipt of a true copy of this Note <br />and certifies that all blank spaces herein were completed <br />and filled in before it was signed. <br />*Under California law it is unlawful for an insurer to <br />promise the future payment of dividends under an unexpired <br />workers' compensation policy or to misrepresent the <br />conditions for dividend payment. Dividends are payable only <br />Pursuant to conditions determined by the Board of Directors <br />or other Governing Board of the company following policy <br />expiration. It is a misdemeanor for any insurer or officer <br />or agent thereof, or any insurance broker or solicitor, to <br />promise the payment of futuro workers' compensation <br />dividends. Past dividend performance is no guarantee of an <br />insurer's future dividend performance. <br />(signature of maker) <br />._„ President <br />Title <br />August 4 19 <br />of signature) (date�— <br />1/85 V <br />STATcar.; r^ _,,. ;IOL iPU�`� V <br />r�;au;ti...�lce: <br />1275 MARKET STREET • SAN FnANCISCO, CALIFORNIA 94103 <br />coir innoo rni rynr in. �-ry <br />