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ENDORSEMENT AGREEMENT <br />CERTIFICATE HOLDERS' NOTICE <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE MARCH 15, 2023 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />SUPERIOR HOT TAPPING <br />7923 OLD OAK CT <br />RIVERSIDE, CA 92506 <br />9334957-23 <br />NEW <br />NE <br />8-56-62-27 <br />PAGE 1 OF <br />ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, <br />IT IS AGREED THAT THIS POLICY SHALL NOT BE CANCELLED UNTIL, <br />30 DAYS <br />AFTER WRITTEN NOTICE OF SUCH CANCELLATION HAS BEEN PLACED <br />IN THE MAIL BY STATE FUND TO CURRENT HOLDERS OF <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE. <br />NOTHING• TO OR <br />ANY OF THE TERMS, CONDITIONS, a OF THIS POLICY <br />s*-�ICf <br />HELD TO VARY, ALTER, WAIVE f • LIMIT THE TERMS, CONDITIONS, <br />ENDORSEMENT.LIMITATIONS IN THIS <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br />2065 AUTHORIZED REPRESENT /IVE <br />SCIF FORM 10217 (REV.4-2018) <br />MARCH 14, 2023 <br />1 <br />F Risk Mouganent DMsiun <br />�+ REVIEWED & APPROVED BY. <br />A-s-g�e Acevedo <br />;� Risk Management Specialist <br />PRESIDENT AND CEO <br />