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<br />. 'STATE
<br />.~COMPEN..S"'T10N
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<br />'F=UND
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<br />P.O. BOX 420807. SAN FRANCISCO. CA 94142-<J807
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<br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE.
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<br />CER1)FlcAT,e eXPIRES:
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<br />>>,;" ..".~Ib~~Ik\.~ haVEl iSll\illc:j !' Vlllid Workers' Compensation insuranGe poliGY in a lorm approved by the Calilornia
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<br />This 'policy Is 'I\otsublect to canceiiationby the Fund except upon" days' advance written notiG" to the employer.
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<br />We wiii aiso 'g'lve you'lfllN days' advance notice should this poliGy be cancelled prior to its normal expiration.
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<br />This GertiliGate 01 insuranGe is 'not an insurance policy and does not.amend, extend or a~er the Goverage aflorded by the
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<br />pOIiGies listed herein. Notwithstanding any requirement, term, or Gondition 01 any Gontract or other dOGument with
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<br />respect to which fhis FertiliGste 01 insurllnGe may pe: is$uiOd ,or may pertain. .the insuranG$ afforded by the policies
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<br />described herein is subjec:t to aii the umj1s,exclusiOn$ ard conditloQ's Of sueh policies. ' .,.
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