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05/16/2006 TUE 08:51 FAX Z002 <br /> ' s $ �c'3jt11 ©>=j.13fS:iTlc'rtl' I±:t1t I ''i II i'utatiti•py(i�ct<i: n '_`ut;l:,?amort` I <br /> S:cr .Joar,L[in CU�ayytY f;nvilt7i1;11tn4 i h <br /> JQB <br /> C 14- <br /> 3 D F'C I-R I tATIQ N <br /> I tteleby affjFmthat I aril tj'ress'�ci 141'j"l2ndr%:'� license-Min full Fotct�nd. fTUCt- with �t cti 11 �pOU)c,i Utw�i:;(,:tn <br /> 3 of the 13Usiness Mad F r 7f <br /> i 0 tJ Yip•-atbin I7atG: <br /> I_ic(mse <br /> b�1 -_�'� Gc�ntraate <br /> prtnrodYf,atsEts: — — <br /> WORK R8' C0MVL- 15AT1 pcCLA RATION <br /> of the tQll0Win <br /> <me. �ct c;l�zr dons: <br /> (CHECK oi�E <br /> !IxrrF�by affrhn under iwlal�of Geri�Y <br /> I-i ve and will rnalntairi a certificatL ht corisenI W t;u f�inFurs for wurkers'car"Pe+�sa{ian,as _5 C deG fti� <br /> by Secti[m 33'00 c+f the 1.3E[or Coda. fiat the I)rrfGr�Tsa�[cx-of the work forwhit ti this pt3tthil. is i.sued. <br /> e Labor <br /> Oon <br /> I have-and will maiNIAI WOCk'ef"' c n`l ch thhs pe1ml t i is ued r�MYlw i*prred by scmMpen 3700 tiontir su-aric-c;ronr, <br /> for the Pervom�ance of*,a work <br /> u3nise071 r4fcry.numb <br /> Pollcy rjuni'.x4r: . <br /> I Certify that in the{�crfarmance of-the work for which this pc�it is issued,I shah clot eFnplatY arty persol l in <br /> �t tY t„annct m3=wt.?1,orn�ite :�utilcsc! to ttl0 Warken'compellsatiun I3wa of�a{ifornio, and egr�o that i4'i <br /> chnuld ht—mate sUt ieot to if le workers conlpens4on provisions ut��„,tt;roo of u,a Libnr('nYia,1;.hill <br /> forthwith r-oniply'with thou p[uvisiunF-. <br /> Date. <br /> ,WARNING.FAILURE TO SGCURE VJORkERS' Core pEN-,ATlOt4(,-QVERAC+GIs uKL_AVVY:Ut_, A <br /> D 's'HALt.Slie'3.i1"G i <br /> ,4N GNiP►QYER TO cE:lttlUlAL p)rI4AAL TIF=3 AND GIVIL FIND Ur'TO O't`ic:HUNDRED THOUSiNNO COLLARS <br /> IN ADDITIO14lQ THE COST OF OOMPENSATiotd,lnilirFtEST,A}�Qt�FIEY''S rE�s, r�wn f3QNiArC>1' <br /> p f{OVID�D FOP,IN$ECTICIN 37.AG dF THO <br /> TIH( f [ �C 6 `Q 6�j. ' THAN C-51 S,IGNIFDG PE�til��F 1�.�>ni�6`�.�t`E'IOI� <br /> ”' r' s -� ' - - (Slig�ld6ur:c .67 lit- wcjlf"-.�5'•tq zRd ruf.rl`:eto Aki�g), <br /> � _ �,.t i ti 1�j;e.:a•v;', '•;t tt-!r ti4•it8il r�SI�t➢H::.Il4C+:. ti ':<.'l:n'.�'1,;. I <br /> [ +;r :[;s[ti 4i[y; •Ln ,tn,,-•�;li . .C4a5,��' .�i 5 eYle�i F t <br /> ,t� �r 1i,n% 1 i'•L, ,i;'i, `JYil1:Y4IiF4hv l• - , Ci` '.:,:Ti::. t.��l.;�i•;•,;, <br />