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STATE__ _ - - - - --- - <br /> P.O. BOX 807,SAN FRANCISCO,CALIFORNIA 94101-0807 <br /> � <br /> IN6URwA,NCL'U v D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> MARCH 18. 1988 <br /> POLICY NUMBER: 0491318 — 88 <br /> CERTIFICATE EXPIRES: 4-1-89 <br /> r <br /> COUNTY OF._SAN JOAQUI N <br /> BUILDING DEPARTMENT <br /> 1810 E HAZELTON STREET <br /> STOCKTON <br /> CA 95205 <br /> L <br /> his is to certify that woner to the have issued aemployvalid <br /> Worked ers' Corr the�ol cn insurance Policy in a form a <br /> P Y period indicated. approved by the California <br /> This Policy is not subject to cancellation by the Fund except upon t4n)days'advance written notice to the employer. <br /> 30 <br /> We will also give you TDWays'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 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. <br /> X V" <br /> PRESIDENT <br /> ENDORSEMENT #2065 ENTITLED CERTIFICSTE HOLDERS' NOTICE EFFECTIVE <br /> 04/01 /88 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> - <br /> i <br /> EMPLOYEIR <br /> r <br /> DELTA SIGNS & CRANE SERVICE <br /> 2100 SANGUINETTI LANE <br /> STOCKTON <br /> CA 95205 <br /> L <br /> — SCF 10262(REV.10-86) COPY FOR INSURED'S FILE <br /> ---'-- OLD 262A <br />