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NF <br /> NATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 <br /> COMPENSATION <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> POLICY NUMBER: 692-98 UNIT 0002107 <br /> ISSUE DATE: 10-01-98 CERTIFICATE EXPIRES: 10-01-99 <br /> DEPARTMENT OF CONSUMER AFFAIRS JOB: LIC x736987 <br /> CONTRACTORS STATE LICENSE BOARD INCEPTION DATE: 10-01-98 <br /> WORKERS COMPENSATION - UNIT 0.0. : 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 10days' advance written notice to the 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 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 /> PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. <br /> EMPLOYER LEGAL NAME <br /> PRE CONSTRUCTION PILE, JOHN KELLY (PARTNER) <br /> P.O. BOX 29388 PILE, LORINDA AMI (PARTNER) <br /> SACRAMENTO CA 95829 <br />