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<br />Ja~~3 04 08:44a <br /> <br />JAN-22-2004 <br /> <br />1'5:35 <br /> <br />Tllagl <br />SPECTRUM RISK MGMT <br /> <br />p.l <br /> <br />. WH,'. <br /> <br />.... ""'" - ~ .. <br /> <br />P. 0'5/Ø'5 <br /> <br />STATE <br />C;O"''''EN.AT'ON <br />¡Þl5V8"'Nca <br />I=UNÞ <br /> <br />PO~ICYHO~OER CO~y <br />P.O. BOX 420807. SAN FAANCISCO, CA 9L 1'~.0801 <br /> <br />" <br /> <br />CERTIFICAT~ OF WORKERS' COMPI!NSATION INSURANCE <br />I <br /> <br />D~CXI!aØ 1:1. }OD) <br /> <br />aROIJP: <br />POLtC~ NUMII~: ~1s.n~-'GO¡ <br />CERTIFICoIoTE I . n <br />C~RT1PIColotl PIREi: 0" Q' .210' <br />OT~Ot-aOð1/0'.Olw20ft~ <br /> <br />TRE <;ITY or SANTA I\IU. <br />lIS ~~;T FO"TH '~E~. 2D1 <br />S~~ ANA ~ g~'Ql <br /> <br />Ni:. STUJ1 CLIAI' , ,US$UKE !UlIK <br />snVl0U AT 'lK& o",err AT UII'I'Jo - <br />1000 I. IANTA "'A8~VII. _A AlIA. <br />~ <br /> <br />This i. 10 c.llily 11111 "" hlJ\l8 ¡mea I "QlIt! Worurg c:_uan In.url!lC8 Dolley In I 'oM>lIppr...' Þy 1/11 ClRromia <br />I",ur¡n~. COl1\rllllI'O/1If '0 In. ''''P'OYW n....d ....... lor'" polioy pi.ed ind1ot1oi1. <br /> <br />T"1t peli<y ,. .......o .~ 10 _lalto. by 1111 ~und _PI U lonl0 d'1/1'- wrillt.lIOIiç, 10 1/1. _lore', <br /> <br />w. "jil '''0 gtv. Y"wlO dlY' -1ICt 'IeIÍOe >hOuIcI1h1f oalley b. CInoAtIcd prior 1D lis nonnol erOltolion, <br /> <br />Thll ..nllicalt of "su_ls not,," iMII"",el POIIoY II1d do" nOl_GJ _ncI 01 alltl tilt COI/t",.IIIf~tlllIy ,"a <br />o........liII.04 horoln. _....."";",,"\1 ..qu,""""nl. ...... or <onllltloll.. any conne! or -........ whh <br />flsøea ,. ....uctI "'" <8n111cat. 0110..- "",y lie ¡o.woe! or ""!1 PIIIIIn. ... in~~"'" .~.rdH by lhe p.¡¡e,.1 <br />doscriÞod he,... II aubita 10 .n lhe 1'-, alCl",lonl. 1ft' <andMIO/IJ. of""¡' lIOIiGill. <br /> <br />~ <br /> <br />""'''''CII!KD''I.IIIItf.K''ff''TN'1 <br /> <br />At4" ~. e. BL <br /> <br />...u"., <br /> <br />rMPLOYER'S LIABILITY LIMIT INCLUDIUC OrPEW'¡ COSTI, 81,000.000 JEà OCCVRREN~ <br />SNCORnMSIIT C2085 ~"'nn.¡;tI CR"T¡rtCAn KOLOUS' NOTICI! E~pECTIVt Q7-0.-.003 XS <br />R'I'I'ACHEO !o AIIC rolUolS " PAR'!' OF ':HIS POLICY. <br /> <br />'WLO"'¡;R <br /> <br />TS~ CORP <br />111S1 QgT~ oT ST2 lot <br />HUNTIWC1,. 'eM CR '2C48 <br /> <br />~?¿¡/y <br /> <br />SCIF 'oaOIl <br /> <br />Œ~..vl:"\ <br />TOTAL P.04 <br /> <br />TOT~ P.Ø'5 <br />