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NF <br /> STATE P.O. BOX 807, SAN FRANCISCO,CA 84101-0807 <br /> COAePSNSAITICIN <br /> INSURANCE <br /> FUND CWIVICATE OF WORKERS COMPENSATION INSURANCE <br /> POLICY nAKaIEER-- 602-08 UNIT 0002147 <br /> ISSUE DATE: to-ot-gs CERTIFICATE EXPIRES: to-o/-00 <br /> DEPARTMENT OF CONSUMER AFFAIRS ,as: LIC 0726087 <br /> CONTRACTORS STATE LICENSE BOARD INCEPTION DATE: 10-01-11ill <br /> WORKERS COMPENSATION - UNIT D.O. : SACRAMENTO <br /> P.O. Box 26000 <br /> SACRAMENTO, CA 95826 <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 j0days' advance written notice to " employer. <br /> We will also give you 10 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 coverape 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 pertsIM the insurance afforded by the <br /> policies described herein is subject to all the terms, exclusions and conditions of such policies. <br /> PRESCIENT <br /> EMPLOYEttrS LIASILITY LIMIT INCLUDING OEPENSE COSTS: $1,000,000.00 PER OCCURRENCE. <br /> EMPLOYER LEGAL /MME <br /> PILE CONSTRUCTION PILE, %X*N KELLY (PARTNER) <br /> P.O. BOX 29388 PILE, LORINDA ANN (PARTNER) <br /> SACRAMENTO CA 95829 <br />