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Sc <br /> 'LICYHOLDER COPY <br /> STATE P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 <br /> COMPENSATION <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 01-01-2004 GROUP: <br /> POLICY NUMBER: 1541150-2004 <br /> CERTIFICATE ID: 11 <br /> CERTIFICATE EXPIRES: 01-01-2005 <br /> 01-01-2004/01-01-2005 <br /> BP WEST COAST PRODUCTS LLC SUBSIDARIES, AGENTS JOB: <br /> IT' S SUBSIDARIES, AGENTS, UNDERWRITERS, & INS. CO. <br /> P 0 BOX 2020 <br /> CONWAY AR 72033 <br /> This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br /> California 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 30 days' advance written notice to the employer. <br /> We will also give you 30 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 <br /> by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document <br /> with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the <br /> policies described herein is subject to all the terms, exclusions and conditions of such policies. <br /> c . 6V-4-L <br /> AUTHORIZED REPRESENTATIVE PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2004 IS ATTACHED TO AND <br /> FORMS A PART OF THIS POLICY. <br /> EMPLOYER LEGAL NAME <br /> TLM PETRO LABOR FORCE TLM PETRO LABOR FORCE, INC <br /> 9165 BAYSINGER ST <br /> DOWNEY CA 90241 <br /> (REV.3703) 12-17-2003 P0409 <br /> DOCUMENTr iloykoraww - <br />