Laserfiche WebLink
POLICYHOLDER COPY NB <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: 07-01-2006 GROUP: <br /> POLICY NUMBER: 1633813-2006 <br /> CERTIFICATE ID: 2 <br /> CERTIFICATE EXPIRES: 07-01-2007 <br /> 07-01-2006/07-01-2007 <br /> CONTRACTOR'S STATE LICENSE BOARD NB LICENSE NUMBER:LIC #624461 <br /> WORKERS COMP. UNIT INCEPTION DATE:07-01-2006 <br /> P.O. BOX 26000 DO:NB <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 below for the policy period indicated. <br /> This policy is not subject to cancellation by the Fund except upon 10 days 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 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 /> �THORIZEDREPRESENTATI PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> EMPLOYER <br /> THE AUGER GROUP NB <br /> 229 TEWKSBURY AVE <br /> RICHMOND CA 94801 <br /> M0410 <br /> (REV.2-05) "RINTED : 06-19-2006 <br />