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<br />Aug.31. 2006 1 :56PM <br /> <br />CERTHOLDE,-~ ( ;opy <br /> <br />SG <br /> <br />STATE <br />. COUPJilN$AT,ON <br />Ul $I,J RAN Cli <br />FUND <br /> <br />P.O. sox 420807, SAN FRANCISCQ,CA 94142.-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE: <br /> <br />ISSUE UATE: 0&-22-2006 <br /> <br />GROU~ 000488 <br />POLICY NUMBER: 0000683 - zooe <br />CE:RTIFICATE 10; 9 <br />CeRTlFlCATE exPIRES: 09-01-2007 <br />09-01-2008/09-01-200, <br /> <br />This is to certify that WIil hllv. IAUad .lI valid Workers' Compensation insurance pQlicy in ~ form approved by the <br />Wilifornia l=urllncll Comml$$lonor to the employer n.ll""iKl belQw for the policy period indica1:t>d. <br /> <br />This policy IS not sub]EM;lt to ~cQll.:itlon by tile funQ &xcept upon 10 d;ys Advanc& wrttten notice to tl':e em"lover <br /> <br />We Will 11150 glVO you 10 cbys ~;r)C. notlco ahould t1ih;: Policy b. cancelled prior to Its normal e.)(.pjr~t:1) 1 <br /> <br />This certificate of InSUfM(:iB 18 not 1In InsUl'~ polley and does not amend. extend or ;)ltElr the ccver~ge ~tfordi'ld <br />by the policy IIst.e<l htlreil"l. r-Io~j1#l$~ing lr.ff requiroment.. term or eondtti,?" ~f iirlY contract or other document <br />wjth resPeQt to which this certificate of Insurat\c. may be IS$ued or to wf1lch It may pertain. the InSl.lf<ll1C:.' <br />~fford.d bey the policy desCl'ibed herein il lubjaet to all th. term:!, excl~ions. and conditions. of such pc:IlC'l <br /> <br />tt::~ <br /> <br /> <br />EMPLOYER'S L~ILJTY LIMIT lNCLUPX~ <br /> <br />~ <br /> <br />PRESIOENT <br />DEFENSE COSTS: $1,000,000 PER OCCURRENCE <br /> <br />- <br /> <br />EMPLOYER <br /> <br />LAUICA 'S HOUSE <br />27129 CALLE A~YO $TE 1822 <br />SAN ..JUAN CAPISTIUNO ~ 92B75 <br /> <br />SG <br /> <br />IIlEV2-ci!5) <br /> <br />PRINTED <br /> <br />[6111.HCj <br />06-22-2006 <br />