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JAN -23-2001 10:20 ..dlilmhii. UTATe comPlaNswriaN INSURANCE "1111111111110e Nft.010 DONALD H. MAYNOR P.O. BOX 807, SAN FRANCISCO CA 94101-0807 161 CERTW-ICATE OF ISSUE DAZE CITY OF Huwr i NG-rpp*; EACH P.O. BOX 2740 VMRKMS' COMPENSATION iNsuRAmm, HUNTINGTON BEACH CA 92645 This is to certify that we have issued a valid Workers' Compensation insuranco policy in a form approved by the Ullfomia Insurance Commissioner to the employer named Wow for the policy period indicated P.04 This p31icy 1!; not subject to comeliation by the Fund except upon 30 days' advanced written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its norma! expiration. This certificate of irdsuranoo is rmt an insurance policy and do" not amend, extend or after the coverage afforded by the policies listed herein. Notwithstanding any rewirement, term or condition of any coraract or other document with respect to which this certificate of insurmce may be issued or may partalm the insurance afforded by the policies described herein is subject to all the terms,'excl.usloms and conditions of -such:policies. EMPLOYER'S LIABILITY U1114T, IWI UJDIM MFOOOr" C630--.- 1 '000.. ow. 00-PrA-40=**zNM. 0MRSEMENT 02065 ENTITLED C6RTI FICATE N0LKRS:1;"N0TIC5 EFFECTIVE 04101766 19 ATTACWV TO AND F=G A PART OF THIS POLICY. P�S, To -Fo?vl LISA F-STORCKr}i�Y nt C,IVPtto pss.. Ista TIOL "amr-.102B422 00 I W". EOR41CATO EMnES: ?v-ol-ol HUNTINGTON BEACH CA 92645 This is to certify that we have issued a valid Workers' Compensation insuranco policy in a form approved by the Ullfomia Insurance Commissioner to the employer named Wow for the policy period indicated P.04 This p31icy 1!; not subject to comeliation by the Fund except upon 30 days' advanced written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its norma! expiration. This certificate of irdsuranoo is rmt an insurance policy and do" not amend, extend or after the coverage afforded by the policies listed herein. Notwithstanding any rewirement, term or condition of any coraract or other document with respect to which this certificate of insurmce may be issued or may partalm the insurance afforded by the policies described herein is subject to all the terms,'excl.usloms and conditions of -such:policies. EMPLOYER'S LIABILITY U1114T, IWI UJDIM MFOOOr" C630--.- 1 '000.. ow. 00-PrA-40=**zNM. 0MRSEMENT 02065 ENTITLED C6RTI FICATE N0LKRS:1;"N0TIC5 EFFECTIVE 04101766 19 ATTACWV TO AND F=G A PART OF THIS POLICY. P�S, To -Fo?vl LISA F-STORCKr}i�Y nt C,IVPtto pss.. Ista DONALD H MAYNOR. A -PROF LAW (;ORP MMLD--Ii. KAYWR 235 CATALPA DR A lanrESSIONAL-LAW COMORATIO" TWFRTnu rk 44027 :V DONALD H MAYNOR. A -PROF LAW (;ORP MMLD--Ii. KAYWR 235 CATALPA DR A lanrESSIONAL-LAW COMORATIO" TWFRTnu rk 44027