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f STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 <br /> I <br /> COMPENSATION <br /> I N S U R A N C E <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> NOVEMBER 18, 1994 POLICY NUMBER: 1238793-94 <br /> CERTIFICATE EXPIRES: 2-1-95 <br /> SAN JOAQUIN COUNTY <br /> BUILDING DEPARTMENT <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CA 95205-6232 <br /> JOB: CONT. LIC. NO. 241733 <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 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. /�• ��r!�w <br /> - PRESIDENT <br /> t <br /> a i <br /> ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE <br /> 11%18/94 IS ATTACHED TO.AND FORMS A PART OF THIS POLICY. <br /> NAME OF ADDITIONAL INSURED: SAN JOAQUIN COUNTY BUILDING.DEPARTMENT. <br /> EMPLOYER <br /> TELSTAR ENGINEERING, INC. <br /> 5301 OFFICE PARK DRIVE, #125." <br /> BAKERSFIELD, CA 93309 <br />