Laserfiche WebLink
CERTHOLDER COPY <br /> tM6 <br /> STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> cotr pumamnoN <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 04-01-2009 GPOUP: 000281 <br /> POLICY NUNWR 0009069-2009 <br /> CERTIFICATE Q 299 <br /> CERTIFICATE EXPIRES-04-01-2010 <br /> 04-01-2009/04-01-2010 <br /> EVIDZI= OF COV&RAM N6 <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 cancelistlon by the Fund except upon 20 days advance written notice to the ernploysr. <br /> We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. <br /> This certificate of Insurance Is not an insurance policy std does not amend extend or alter the coverpe afforded <br /> by the policy listed herein Notwithstandi_ any rsqulrarnaot, term or condition of any contract or other document <br /> with respect to which this certificate of�urance may be Issued or to which it may pertalr% the Insurance <br /> afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br /> IZ'ED REPRF�IWTATI PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OOF MBNCE. <br /> ENDDRSENENT f1000 - JEFF RYAN PRIES, SEC TREAS - EXCLUDED. <br /> ENDORSEMENT ,12006 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04-01-2006 IS <br /> ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> aETTLER-RYAN. INC AND/OR GEDSTRATEGIES, INC <br /> AM/OR OR PETROLELIN SERVICES, INC AND/OR MPDS <br /> SERVICES, INC ET AL <br /> 6747 SIERRA CT STE J <br /> OMIN CA 04B69 <br /> [B11,NAI <br /> WEV.2-051 PRINTED 04-15-20011 <br />