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POLICYHOLDER -`PY NJ <br /> STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> COMPENSATION <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 10-01-2008 GROUP: 000713 <br /> POLICY NUMBER: 0007639-2008 <br /> CERTIFICATE ID: 2 <br /> CERTIFICATE EXPIRES: 10-01-2009 <br /> 10-01-2008/10-01-2009 <br /> CONTRACTORS STATE LICENSE BOARD NJ LICENSE NUMBER:#768938 <br /> WORKERS COMP UNIT INCEPTION DATE:10-01-2008 <br /> P 0 BOX 26000 DO:NJ <br /> SACRAMENTO CA 95826 <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 belovv for the policy period indicated. <br /> This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br /> We will also give you 30 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 policy 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 to which it may pertain, the insurance <br /> afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br /> tTH ( J <br /> ORIZED REPRESENTATI PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> ENDORSEMENT #1600 - VENDEIRO, MARK, P - EXCLUDED. <br /> ENDORSEMENT #1600 - VENDEIRO, LAURA CHRISTINE, S,T - EXCLUDED. <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2005 IS <br /> ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> EMPLOYER <br /> MVP PETROLEUM ENGINEERING INC DBA:MVP NJ <br /> PETROLEUM ENGINEERING INC <br /> PO BOX 281 <br /> FOLSOM CA 95763 <br /> M0409 <br /> (RE V.2-05) <br /> PRINTED : 09-17-2008 <br />