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PU- <br />UR('X)F. <br />PU <br />f <br />lhiil% i%i tia cartify that we hava issue, d a vzlt4 WOrkors' Citm)qnWilon unswanqe pQNcy irlrw a fc)rm sMoved oy the <br />CxfifVnia InSurencq (:CyrrmiSSJrOnqr to the enip$over namod bie$,ovo Ice, the powcy perioilij indut,-,ated <br />thilis poliley is not gLbjec'l lo can eellattoo by the and can Loan 30 days, advance wvriillAarN motior to the employer. <br />We wqb *so givo you 10 dw, s advance notice should thil pollicy be awilavillied prtof to dt nofmal expoilaticA <br />than cartifiticante of 4%44wance is not wl h7sucance pollicy wid does ru)t amend, ox4and Or ahor the covorape, alfwdod <br />by tarn pohicy liswi herom, Nwwi*s'tjndiiirtany requieomomt, term or condktion ot ave cA)mracl or atber domonoM <br />wlith ril to whion taus t,0rVfi0*t,6 of imuremice " The liSwod lew to which. nt milloy rw%A%i% the <br />affordod by Ina Pollwy dioscrilibed herein is subject to j0 tho Urrm, exciiuown, arut 4',,.iandi1Jam of pukriv, <br />author ixiod Rep asentowal Presildent and CE0 <br />EMPLOYER'S LIABILITY LIMIT IINCLUDING DEFENSE 00STS. $1,000,00OPER OCCURRENCE. <br />qfM11, 111 11115 101, 11111 11,11 , 4 A <br />47aweC1#N M,1ur <br />FW)L('Tyr,',R <br />R� <br />RENEWED & APPROVED BY.- <br />P" V4" <br />IPRINTIED 919-91 F WR R4sk Management Anali <br />