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31Qb4bl14n TONTO — SACRAMENTO PAGE 02 <br /> AT <br /> cgh�tr�MSATtt�a P.D.fIC?f 420807,SAN FRANCISCO,CA 94142•Q9O7 ' <br /> lNoUpAr4eale <br /> FUND <br /> CERTIFICATE OF WORK COMPENSATION INSUfti4NCE <br /> *Rll, .1, 1944 It <br /> rvucvtuUr.tgt:w i 242Zt3 94 <br /> ci:+#riFlr:�rrr ExPlnt:s <br /> J <br /> ( AlJT4�!tI !ED <br /> Yhis it To terrify that we have issued a valid Workers'Compenw;on insurrnce policy in g lorm apoiu-,eKi by the Cal4prn4 <br /> insurance Cgmmissioner to the amptover Ranted below!er thr AQii;V Oeriod indicated. <br /> 'fhit pQi CV is glut svbprtt to egnc0lation 4V are Fund except upon q>ti d*yr,advanttr written notice to The emprovar <br /> Wr wall alio give you days'aduaneG notigt should'thit policy be cancelled prior to normal emo:ratlon <br /> This cartificatr of incutance is not an ins rFinco poticy end does not omind,extend or alter the co%wa9t 0101tfed by 1hw <br /> Palicies lined•herein. Notwilhstending any requirement, term, or condition of any contract or ollvr de-cument witty <br /> MPeCt to Whizft Thif CVrt.f.Cate Of insurahca may �* issued pr mly pertain, the insurance aifcrded by tha p9tio41 <br /> dt:irr,bed heroin ie subiect to all east terms,exclusions and conditions of such pofitiel. <br /> pRF$3 bFNT <br /> E3�PLCYEI?tS LIASILITY lIMIT: $3PD00, O00 PER OCCURRENCE. <br /> E`aDJASEM"Pal 02C65 EMTITLEO CERTIFICATE HDLCERSa NOTICE EFFECTIVE <br /> ""1/94 1/94 IS ATTACHED TO AND FORMS A PART OF THIS FCLICV. <br /> ENDORSE-;ENT #2570 ENTITLED WAIVER OF SUOROQAT;CN 'EFFECI [v= <br /> C411]1 i44 IS ATIACHFD TC Atio FORK$ k -PART Of THIS POLICY. <br /> r4140 PARTY NAS EZ CITY ATTCRNEY�o INSURANCE AND BONDS <br /> b <br /> EMPLOYFfl <br /> S—R IAi ERAA,T,TC NAIL INIC <br /> D?A: IONTO ENVIRONXENTAL DRILLI&6 INC <br /> P-C. f0A 1567 <br /> EVi RGIRcE'l C�2 544134 <br /> i <br /> !_ <br /> Y <br /> . i <br /> i <br />