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STATE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101 <br /> COMPENSATION <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> MAY 20v 1988 POLICYNUMBER: 571-87 UNIT 0005039 <br /> CERTIFICATE EXPIRES: 10-1-88 <br /> c Cr r ��n t3rw <br /> r �J <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT !�- <br /> ATTN: HARLIN KNOLL,-- <br /> P <br /> NOLL%P 0 BOX 2009 <br /> STOCKTON JOB: TANK REMOVAL <br /> CA 95201 SEBASTIANI VINEYARDS <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 /> This policy is not subjjeecc]t to cancellation by the Fund except uporktWi days'advance written notice to the employer. <br /> 7EN <br /> We will also give you 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 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. X. <br /> PRESIDENT <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE <br /> 10/01 /87 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> EMPLOYER <br /> r <br /> CLAUDE C WOOD CO <br /> P 0 BOX 599 <br /> LODI <br /> CA 95241 <br /> L <br /> SCIF 10262 (REV. 10-86) OLD 262A <br />