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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 /> POLICY NUMBER: 472595-85 <br /> September 16, 1986 CERTIFICATE EXPIRES: 11-23-86 <br /> r <br /> San Joaquin Local Health District <br /> 1601 E. Hazelton Avenue <br /> Stockton, CA <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 /> 30 <br /> This policy is not subject to cancellation by the Fund except upon QKdays'advance written notice to the employer. <br /> 30 <br /> We will also give you TF, clays'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 /> l RESIDENT <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE <br /> HOLDER'S NOTICE EFFECTIVE 11-23-85 <br /> IS ATTACHED TO AND FORMS A PART OF THIS <br /> POLICY <br /> EMPLOYER <br /> r <br /> Calder Building & Wrecking <br /> 6938 Franklin Boulevard #284 <br /> Sacramento, CA 95823 <br /> L <br /> SCIF 10262(REV.8-84) OLD 262A <br />