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�20807, FRF.5A NCISGo,.bA 94142 0&07 <br /> conn��Ns.4iio,ii ``�•- l. . <br /> CERTIFICATEQF WORKFiS` MP.1=NSATIC],IV.INSURAIVCIw :. <br /> �tI tNG .'f � 102 <br /> POLfCY NUMBERt`fldjk'� <br /> v <br /> CERTiFIATE EXPIRES <br /> .tfk C-IKTGW.. CA 915.2'y> <br /> L <br /> This'is to certify that we have issued e'valid Workers' Co rim ensation insurance policy in ,a form approved by the California ' <br /> to{the employer names[below for th, policy period indicated. <br /> Ihsurance Commissioner T _ <br /> This policy is not subject to cancellation by the Fund except tan`ten days'advance written notice:tootle employer. ' <br /> We v 111 also give you TEN days'�dvanoe netice should this.pallcy be can:;erfed_prior fo its nor 'M. <br /> This cerfifie to ofrinsurance.is not an Insufance policy and, oes not amend extend are alter the coverage afforded by the. <br /> policies listed herein- Ki:btwlthstt n4ri6 ahy fiequirement. rin, or conditlah- f any'confracf"'pr other document with <br /> respect to=which;this certificaf'eQai Insurance may be '.iss ed.or may'pertrn 'fhe`insurance afford edi by,the poficies, <br /> described herein,is subject to aH the l�rms,'eklusiQns.and conditions of such'policies. <br /> t <br /> S <br /> "_- AU-tHC)AIZ�D`..REPRESENT-ATIVE"'' PHESiDENT • - <br /> f }'9=}. f 's 3 :EF,7.t#.k.:%11 lsi:€! .j 93"t C :►'hf Uij Ctlti n 3:.,#� -1 <br /> l iilr,){.�f�`_'1:.PI'EM, t$€1f 1-5 F,I.t I i. €:I E}i �1I}�ak� xfk�1 Vit. TfS�it �EECi t.:l�i''l CF,1'l� t. liC:E Ikrt <br /> 3 rr'1 '/0.2 1:` [l�"..I"#'�C:)'II a3 `(ig ��ti�„�ftC�ri�i' A f�'�'iFrj' Cly' I`{'If: PO :l Gyn <br /> t`;f7I;L. �'l= i=tL�3i�:':3.L)h.i�E,, ?:Fd�l.}Cay..})� �"I:'T't` CF�' ?:�I'i1Cl<'f`t!$•(. <br /> Vo <br /> ry. , <br /> EMPLOYER d.' <br /> 4 a.ik <br /> fir l <br /> 7. 4. r. <br /> i t , 1'.0 CA <br /> Y - <br />