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STATE P.O.BOX 420807,SAN FRANCISCO,CA 94142-0807 <br /> COMPENSATION <br /> I NSU RANCC <br /> FUND CERTIFICATE OF WORKERS'COMPENSATION INSURANCE <br /> APSE. E, 1296 POLICY NUMBER: <br /> CERTIFICATE EXPIRES: <br /> F- <br /> SAV IOAQIJ'.' COCNT'T •:"'A'- <br /> tiF,A TI ! DIV_EION <br /> T. J. 80i: 38E <br /> T ;CSTGr:, -::i 9`i.i i`•�.��J.. <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 /> T This policy Is not subject to cancellation by the Fund except upon ten daysadvance 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 atter this 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 cartli 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. X Si <br /> PRESIDENT <br /> trr.nua'r ..t. 9II,ITy TI:" i::l':,,.p:"iq n? '.. F.Y. LJ._ r: 1 ,�'.]n,OP'1 ;7 ^f•^li htii.Ci. <br /> Individual E�)zloyell% and lidsband <br /> and Wife Employers ate not eligible <br /> for benefits as employees under <br /> this polity. <br /> EMPLOYER THIS IS A "FAXED" COPY. <br /> THE ORIGINAL DOCUMENT <br /> SCHREDER, SEWARD LEE WILL FOLLOW IN THE MAIL, <br /> DHA: SEWARD L. SCHREDER CONSTRUCTION <br /> P. 0. BOX 7785 <br /> CHICO, CA 95927 <br /> L — <br /> „�•-I 1,0I30d 5WIaG3d AIDS Wdlq:ii 96. 90 Hdb +^• <br />