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STATE P 0 BOX 807,SAN FRANCISCO, CA 94101 0807 <br /> COMPENSATION <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> JANUARY 12, 1990 POLICY 1 % r T9LO� <br /> CERTIFICATE Ifl� 1-41 I-, <br /> 1 <br /> F-SANJOAQUIN LOCAL HEALTH DISTRICT �//� JAN 1 6 1no"0 <br /> P 0 BOX 2009EN' ALHEALTH <br /> STOCKTON CA 95201 + ; ENuIRONM <br /> ,,fi J � PERMiT/.r- �;,'JlC�S <br /> J r <br /> L 'y N <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 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 <br /> PRESIDENT <br /> 1-4 <br /> %z— <br /> JAN <br /> `—� <br /> JAN 161990 <br /> :AN JOAQUIN COUNTY <br /> EMPLOYER <br /> PUBLIC HEALTH SERVICES <br /> I— <br /> OSTERBERG & STEWART. , INC <br /> 2523 RIVER RD <br /> MODESTO CA 95351 <br /> L <br /> SCIF 14262(REV 10-86) 01 n 5'A2A <br />