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it-owut A•-at ��' • Mailing Addresin - (•� - 211111 ARDEN WAY, SUITE lab w- Certificate No. ._x9k7--------_------- SACRAMENTO, CA 951125 STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS Office of the Director SACRAMENTO, CALIFORNIA (SELF-INSURANCE) RIDER ? Increase or Decrease i ; t WHEREAS, In accordance with Condition(3)of Surety Bond Na_________BND____210 3___ 4 _77--------__________________ University of the Pacific naming------------------------------------------------------------------ 3601 Pacific Avenue STock ton, California 95211 ---------------------- ------ --- --------- ---------------- ----- ---------------- (hereinafter called Principal)and......._The Continental Insurance Company as Surety;and y ] Y;iPX j WHEREAS, The Director of Industrial Relations has called for an increase in the penal sum of said bond in the i amount of at least___Ninety-five_Thousand____________________ Dollars(S__ 95,000.____). NOW, THEREFORE, In accordance with the provisions of said bond, the penal sum thereof is hereby increased to -___Four-hundred_Eleven_Thousand__ ------------- Dollars($__411 e000.___);and 711;i7FX"XX :i IT IS UNDERSTOOD AND AGREED, That said increase shall be effective in accordance with the terms, provi- sions and limitations of said bond for all past,present,existing and potential liability of said principal,as a self-insurer, without regard to specific injuries,date or dates of injuries,happenings or events;and IT IS FURTHER UNDERSTOOD AND AGREED, That this rider shall be attached to andform apart of said bond. SUBSCRIBED AND SEALED at ---------, California......this_ 2nd__dayof___june __Ig96_, I 1 Att est: AL] University of the Pacific -- I Pacific clpal x i Chairman Board of Regents I - y - --- R. M. Eberhardt - 'T'Ik SUBSCRIBED AND SEALED at________________________ _ this_________dayof------------l9_____- Attest: Uni-v-ersity--of_ the_Pacific__-_--_---_- _ EAL) Princip By:Financial Vicermcipel _ President Robert R. Winterbe $ f T"'� If the affixed corporate seal sets forth the corporate name of the principal and the state and date of its incorporation,signature of an executive officer of the principal need not be acknowledged before a notary.See Section 1193-California Corporations Code.Otherwise it must be. SUBSCRIBED AND SEALED at Rancho_Cordova,_Ca "California this l5th___dayof!!#Y-------19Q6__. 1-lite Continental_ Insurance_Company____ - surely By:--- _______ Arfe V-n-Fact___ Alan S. TierTrffy "The bond must be subscribed for the surety In Californiaby•California Ntmney-In-fact. If the corporate solo the rarely rets fmlh the name d die surety and the slate and data of its incorpondon, no other evidence of the attorney's authority is required.Otherwise there mint he attached to the hind a certificate under the surely's corporate seal duly attested by a secretary or assistant secretary shrwing(1)the attorney-indacYs authority to rxaavle the hand artd(2)that the authority was,in force on the date of subscription by the anornry-in-fad. ® assor"