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STATE P.O.BOX 420807,SAN FRANCISCO,CA 94142-0807 <br /> COMPENSATION <br /> I IV SU R A N C! <br /> FUND CERTIFICATE OF WORKERS'COMPENSATION INSURANCE <br /> 8, Iq)6 POLICY NUMBER: :17?—?r., <br /> CERTIFICATE EXPIRES: 10—o i W q6 <br /> r <br /> SAN IOAquIr' COUNTY <br /> ttFA,TH DIV SION <br /> 80Z 38P <br /> L <br /> This Is to certify that we have Issued a valid Workers'Cnmpensatlon 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 canceiletion 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 emend, 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. "OV— <br /> PRESIDENT <br /> VX. <br /> PRESIDENT <br /> E:n'LOYritr. L:A?IL.LTY i.I:'••. INCLIM."iC <br /> Individual E.^.�.:'o7ars and Ilusband <br /> and Wife Employers are not eligible <br /> for benefits as employees under <br /> this polity, <br /> EMPLOYER THIS IS A "FAXED" <br /> THE ORIGINAL DOCUMENT <br /> I— SCHREDER, SEWARD LEE WILL FOLLOW IN THE MAIL, <br /> DBA: SEWARD L. SCHREDER CONSTRUCTION <br /> P. 0. BOX 7785 <br /> CHICO, CA 95927 <br /> L — <br /> 22'd ADI-IOd 9NIM36 AIDS WUTS:TT 96, 80 <br />