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- - APR 27 '98 03:47PM SCIF FRESNO CERTIFICATES <br /> 1 <br /> STATE P.O. BOX 420807,SAN FRANCISCO,CA 94142-0807 <br /> COMPENSATION <br /> I N S U R A N C E <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> APRIL 27, 1998 POLICYNUMBER: 1411787 - 97 <br /> CERTIFICATE EXPIRES: 10-1-98 <br /> F- <br /> .SOUTHLAND CORPORATION <br /> ATTN ZIo^A <br /> 5820 STONERIDGE MALL RD #310 <br /> PLEASANTON CA 94588 <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 subject to cancellation by the Fund except upon ten days'advance written notice to the employer. <br /> We will also give you TEN 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. <br /> AUTHORIZED REPRESENTATIVE PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 81,000,000 PER OCCURRENCE. <br /> T his is a 'Faxed' copes <br /> The Gilginal ,Document <br /> Wk, follow in the Mao. <br /> EMPLOYER <br /> W BANKS MOORE INC <br /> DBA BANKS & CO <br /> 2403 E BELMONT <br /> FRESNO CA 93701 <br /> DOCUMENT, <br /> D <br />