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V PEP-% I = P.O. BOX 8 <br />IN 6 U R A NCE 10AN FRANCISCO, CALIFORNIA 94101.0800, <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />CTL E <br />POLICY NUMBER: <br />I— CERTIFICATE EXPIRES- <br />+ <11 <br />ia•, cAc�,l <br />�A J4 JT= <br />L <br />UNIT 0002318 <br />10-1-3g <br />108; 4638-A EAST IIATERLOC <br />464C—A EAST +SAT RLOC o^AD <br />This is to certify that we, have issued a valid Workers' Com 4 ^- 4 1 2— A EAST w A T `_RLC G <br />Insurance Commissioner to the employer named below for the Policy 4648 E w A T z R L O U S T 00 : T; y <br />Compensation insurance policy in a form approved by the California <br />This policy is not subject to cancellation b y period indicated. <br />y the Fund except upon ten days' advance written notice to the employer. <br />We will alio 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 cover <br />Policies listed herein. Notwithstanding any requirement, term, or condition of an <br />respect to which this certificate age afforded by the <br />described herein is subject to all the terms insurance may be issued or Y contract or other document with <br />exclusions and conditions of such Policies. Insurance afforded by the policies <br />"0,;(— <br />PRESIDENT <br />OLD 262A <br />