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<br />AUG-t7-200" <br /> <br />11:"7 <br /> <br />SPECTRUM RISK MGMT <br /> <br />P.0"/0" <br /> <br />. <br /> <br />P,Q. BOX 420807, SAN FRANCISCO, CA 94142-0807 <br /> <br />STATE <br />eOM III8NSATION <br />INSURANC;I! <br />FUND <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />xSSUB nLTB. 08-17-200& <br /> <br />GROUP: <br />POLICY NUMBER: 1750075~;¡00' <br />CERTIFICATE ID: 106 <br />CERTIFICATE S;PIRES: 07-01-2005 <br />07-01-200&/07-01-2005 <br /> <br />C:I'l'!' OJ' SARTI. IIi I. <br />::10 cmc cØTD pLAC!I <br />P.O. BOX U88 <br />pæA IIi I. CA92702 <br /> <br />Tliis Is to certify that we have issuad a valid Worker's Companaallon insurance polley in a !orm approved ÞY Ilia Callfomie <br />Insuranca Commissioner to the employør named below for Ihe policy period IndlCØled. <br /> <br />This policy is nol subjact 10 clll1cellalion by,lhaFund excapt upon 30 d~ aØvarn;e written. notICe 10 the employer. <br /> <br />We will also gtve you 30 days advance nOtice sliould this policy be cancillled,PrionollS normal, expiration. <br /> <br />This certificate of insurance is not an insurance policy and does nOl amend, eJrtend ,or alter the covarage afforded by the <br />policy listed herein, II1Þtwithstandlngany I9quiremOl1l;le~or condition gf anycontraclor otharclocument with <br />respect to whicli this ce~ificate of insurance may be Issued or to whlQh ¡¡may pertain, the Insurance aflorded by the poliCy <br />described herein is subjêctto alllheterme, exclusions;and~ondltions.oI sueh"pollcY; <br /> <br />~ <br /> <br />AUTHORI~ED AEPAE$EN!ATIVE <br /> <br />,d;d..~ # <br /> <br />c f:JL. <br /> <br />PIIESIDENT <br /> <br />IDIPLOUR'9 LIUU.:r'l'!' LIKI'.r DlCLUD:l:HG mlJ'BlTSB coSTS. $1,000,000 PD C)CCtJRRBIIICK. <br />IDIDOR9_.t '1600 - DKGIIØT PAP.Al\1O, PRl:SIDBØT SJCCUTDY ... aC¡.OÐIID. <br /> <br />BIIDOIUIIIIIDI't 111600 - rRMØ: PUI'AIIO, v::tCII I1U9IDIDI'1' - BZCLUDBD. <br /> <br />ZRÐORSEIIIIN'l' 12065 IIII'1'ITLBD CIU\'1'IJ':I:CA'1'II BOLDBII8' NOTI!:B BJ'~'1'IVII 07-0:1,-2003 IS <br />A'1"1'AC:IIIID '1'0 AlII) II'ORIIS A PDor OJ' THIS POLIc:Y. <br /> <br />~¡2vz~ <br /> <br />EWPLDYEA <br /> <br />'1'801 COD <br />18281 GQœRARD ST 9'1'& 109 <br />IIUlII'rIIIIIi'l'Ii ØCllCA ,al568 <br />