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ENDORSEMENT AGREEMENT <br /> TAT' I <br /> CERTIFICATE HOLDERS' NOTICE <br /> 9066578-13 <br /> RENEWAL <br /> NF j <br /> HOME OFFICE 5-57-86-98 <br /> SAN FRANCISCO EFFECTIVE AUGUST 2, 2013 AT 12.01 A.M. PAGE 1 OF 1 <br /> I <br /> ALL EFFECTIVE DATES ARE <br /> AT 12;01 AM PACIFIC <br /> STANDARD TIME OR THE <br /> TIME INDICATED AT <br /> PACIFIC STANDARD TIME <br /> G S EXPLORATION <br /> 3383 FITZGERALD RD STE A <br /> RANCHO CORDOVA, CA 95742 <br /> ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, <br /> IT IS AGREED THAT THIS POLICY SHALL NOT BE CANCELLED UNTIL, <br /> 30 DAYS <br /> AFTER WRITTEN NOTICE OF SUCH CANCELLATION HAS BEEN PLACED <br /> IN THE MAIL BY STATE FUND TO CURRENT HOLDERS OF <br /> CERTIFICATE OF WORKERS' COMPENSATION INSURANCE. <br /> I <br /> NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br /> OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br /> POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br /> HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br /> LIMITATIONS OF THIS ENDORSEMENT. <br /> COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: JULY 31, 2013 n <br /> I /117�ti"rr i vw// <br /> `I � <br /> AUTHORIZED REPRESENTA IVE PRESIDENT AND CEO 2065OLD OF 217 <br /> SCIF FORM 10217(REV.1-2012) <br />