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Sep-09-96 09:49A THORNTON & SON 408 946 1015 P.02 <br /> SP <br /> STATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 <br /> ON <br /> NQSUPtANIC@ <br /> FUND CERTIFICATE OF WORKERS CONDENSATION INSURANCE SFp.9 �� t4 <br /> POLICY NU Af9t 133,9549 - 96 /1� <br /> ISSUE DATE: 01-01-96 CERTIFICATE E-XPIFIES: 01-01-97 [J <br /> SOUTHLAND CORPORATION 408: ALL CALIFORNIA OPERATIONS <br /> CITY PLACE CENTER EAST <br /> 2711 N. HASKELL AVENUE <br /> DALLAS, <br /> TEXAS 75204 <br /> This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br /> California 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 10days' advance written notice to the employer. <br /> We will also give you 10 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 <br /> by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document <br /> with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the <br /> policies described herein_is subject to all the terms, exGfusigns and conditions of such policies. <br /> PRESIDENT <br /> EMPLOYER'S LIABILITY LI*17' INICLUDING OEFENSE COSTS: $1,000.000.00 PER OCCURRENCE. <br /> EMPLOYER LEGAL NAME <br /> TEXAS MARATHON BUILDERS, INC MARATHON BUILDERS INC <br /> P 0 BOX 3207 <br /> EDMOND OK 73083 <br /> 13- B_ <br />