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STATE P.O. BOX 420807,SAN FRANCISCO, CA 94142-0807 <br /> COMPENSATION <br /> INSURANCE <br /> FUNDC <br /> CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> i'iAY 2Gi 194b - POLICY NUMBERI 3`4 40 5 96 <br /> r CERTIFICATE EXPIRES: <br /> SAN JOAQUID COJ'^.'TY <br /> PUBLIC HEALTH Sa RV« CES <br /> P.O. 64X 3oge 314 W. WESuE? n'V'v"•u <br /> STOCKTONi CA "»201 -0383 JO: : ALL OP=RATIONS <br /> L <br /> This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California <br /> Insurance Commissioner to the employer named below for the policy period indicated. <br /> This policy is not subject to cancellation by the Fund except upon ten daysadvance 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 insuranceafforded, by the policies <br /> described herein is subject to all the terms,exclusions and conditions of such policies. <br /> X. <br /> PRESIDENT <br /> Ei•iPLOYER' S LIA ?ILITY LI'VIT INCLIJD1W.- 'U--- F--NSE C,'STS . ilrCOCiJ'JU PER OCCURRENCE <br /> EMPLOYER <br /> CNS & ASSOCIATESA ' INC . <br /> 13942 DALL LANE <br /> SANTA ANAs CA 92705 <br /> S DOCUMENT HAS A BLUE PATTERNED : <br /> i <br />