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<br />CERTIFICATE OF . WåRKERS'COMPENSATIÖN'INSl,JRANêE
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<br />ISSUE DATE:
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<br />07-01-2004
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<br />POI..ICY NUMBER:. .0643808-20.04
<br />'CERTIFICATE.ID: .' 69 .
<br />. CERTIFICATE EXPIRES:. 07:-01-2005' .
<br />. 0.7-0.1,20.0.4/0.7-0.1-20.0.5
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<br />Thiiis to c;ert¡'fy thà't ~e h1ve issued a'valid ~prkérs' :Ç;òmp~ris'atïon, insurance poJi~y in à -..f,or~ .approved by Ù~~.'.-
<br />Ca!,ifornia J,r:.syrance Commissioner to th~ employ,è.f .na~.~~ b~.l.o,~~:for. ttw p~U¿y period indic,êI.ted., :-,
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<br />This -policy .~s~ot sÚbje.ct. to c~ncellation".by the Fund' ~xc~Pt ü'¡)on 30'days'advancé .written noticE;!, to the employer::
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<br />We.will'a¡-~ò,,'givé'y~~'ig"days'"'~dvancé"'nótiCe sh;;'lJlci:~his:'pólicÝ ,be ,éance!l~d prior- too-its nòr.mál;~è"Pi.ration.
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<br />This .c,ertifi,çate._~df:;j'ri~J(ëÍhçe,ï~:'-"_dt ',tan ìri~l1rahèe, þolicy '-:~!1~_ØO~S n6't:'a~~nd.- è~,terid,~~or,:aIÙ9r the",~civE!ra_g~_- ~affo"rd~d ,:'
<br />by ,hie, polic,ie's:, listed, her:eh'.;,No_tvvìthstan¡jiI19 àf1Y' _r:equif,é-filent.~erm, -or ,cÒ.r;dìtion' of:ány- ,contract,'Qr. ,"other, dc)currient ::'; :-','
<br />wi,~h, .resp~é:t~: ~o,~~rch -thls--:~c:~t;tjJ¡ca~e 'o~:íl1sur~n"c'e"TI'1at.-'be,-;..is,sued or may'.~per_~~in.;the ìnsuranç:,e -àffor'~_~~ ..-by :!tpe" 0:"::"~L,':_~>'
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<br />AUTHPRIZEò~¡j~~~s,~,NT~rIVE. PRESI.D.Erj'
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<br />EM~L~YER'~L~~~dTYLIMH INCLUDING ~EFÈ~~EiCeST$\: $1.000,??"..()OPERDCCURRENCE:. ..,<
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<br />ENDMsEMENTY#2~5'ENTITLED CERTIFICATE HOLDERS' . NòncE'EFi'EcTÌYE 07-01-2004';IS ÀnÀCHED.,TÓ'AND','
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<br />LEGAL NAME
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<br />EMPLOYER
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<br />MEXICAN. AMERICAN OPPORTUNITY
<br />CLAUDIA GUTIERREZ-RUFINO'
<br />401 N GARFIELD AVE
<br />MONTEBELLO CA 90640
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<br />MEXICAN AMERICAN OPPo.RTUNITY FDUNDATIo.N
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