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NK <br /> STATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 <br /> COMPENSATION <br /> IFUND <br /> N SURANCE <br /> r U N ® CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> POLICY NUMBER: 1312649 - 97 <br /> ISSUE DATE: 10-01-97 CERTIFICATE EXPIRES: 10-01-98 <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 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 whit^ this certificate of insurance may be issued or may pertain, the insurance afforded by the <br /> pclic:es described 'herein Is subject to all the terms, exclusions and conditions of such policies. <br /> ti <br /> PSESICE:N7 <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 51 ,000,000.00 PER OCCURRENCE. <br /> ENDORSEMENT , 2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10/01/97 IS ATTACHED TO AND <br /> FORMS A PART OF THIS POLICY. <br /> EG:L NAME <br /> klC '4RIOrT ENV:RCNMEN.- SZRV:.._. :NC. <br /> 4-0 COMMERCIAL DR. - <br /> R;C'! Ea i" <br />