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SP
<br /> 's'=STATS' .. P.O. BOX 80
<br /> 7, SAN FRANCISCOXA 94101-0807 _� e
<br /> COMPENSATION
<br /> INSURANCE.
<br /> FUND CERTIFICATE, OF WORKERS' COMPENSATION INSURANCE
<br /> POLICY.NUMBER 1317474 - 98.
<br /> ISSUE DATE:' 10-01-98 _ .: CERTIFICATE.EXPIRES 10-01-9
<br /> 9
<br /> r
<br /> SAN JOAQUIN COUNTY-PHS JOB: ALL OPERATIONS
<br /> ENVIRONMENTAL DIVISION
<br /> f
<br /> 304 EAST WEBER AVENUE,,- 3RD F100R r ,
<br /> STOCKTON, CALIFORNIA
<br /> 95201-0388
<br /> This is to certify that we have issued a valid VV 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 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 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;.exclusions and conditions of such policies.
<br /> PRESIDENT
<br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
<br /> ENDORSEMENT 12065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10/01/98 IS ATTACHED TO AND
<br /> FORMS A PART OF THIS POLICY.
<br /> EMPLOYER =. LEGAL NAME:'
<br /> ADVANCED GEO ENVIRONMENTAL',,, ADVANCED GEO ENVIRONMENTAL, INC ,
<br /> 3315 E MI RACOMA #117,
<br /> ANAHEIM CA 92806 . , r� }
<br /> w�'y'`'� . 1•., v��7'.���.< �� '4�s�y��' �.�s.�v..��rt+ � �J9`rt.4''4dil� ;�r�t `'� ,�•�'z �, 1.,, 1,�,y.:.� rL�"�,c�^ a ,,,< <
<br /> `+'��may'rR i �' '�t ., r ,,y'tiw'f`. _;s''.�'Yj��p'( •r �y'"f'JF~.r. �'�C, .rr,rM �f_ ,,.,,,•��s�f`4'x-r"`��-q'r-ra 'Y�"Y F r,•_•,. -..
<br /> < .'�I.�k i f. ter.- � 't --�•". �+•`� v' <,!i �l,K J`+l-sr ',a.'s r •,. .. �r 5' w ♦.' _,
<br /> "�'``• PRINTED: 09-18-98 P0410
<br /> THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND
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