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r <br /> j <br /> CERTHOLDER COPY <br /> SC <br /> STATE P.O. BOX 420807, SAN FRANCISCO,CA 84142-0807 <br /> COMPENSATION <br /> INSURNCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 01-01-2009 GROUP: 000339 <br /> POLICY NUMBER: 0002851-2008 <br /> CERTIFICATE ID: 50 <br /> CERTIFICATE EXPIRES.-01-01-2010 <br /> 01-01-2009/01-01-2010 <br /> SC <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 3o 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 /> I <br /> This certificate of insurance Is not an insurance pollcy and does not amend, extend or alter the coverage afforded <br /> f by the policy 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 to which it may pertain, the insurance <br /> afforded by the policy described herein is'subject to all the terms, exclusions, and conditions, of such policy. <br /> g��- vt-a-,� <br /> tHORIZED REPRE5ENTATI PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> ENDORSEMENT #1500 - FRED PELL, TREASURER,CFO - EXCLUDED. <br /> ENDORSEMENT #1500 - ROBERT SCOTT, PRESIDENT - EXCLUDED. <br /> ENDORSEMENT #1500 - JAMES SCOTT, SEC,V.P. - EXCLUDED. <br /> ENDORSEMENT #2055 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2008 IS <br /> ATTACHED TO AND FORMS A PART OF THIS POLICY, <br /> EMPLOYER <br /> ENVIRONMENTAL RECOVERY SERVICES INC SC <br /> DSA:ENVIROSERV <br /> 15902 S MAIN ST <br /> GARDENA CA 90248 <br /> IBIX,SCj <br /> (REV.2-05) PRINTED : 01-05-2009 <br />