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"" ~-3? -2`~OS 09 ~ 53 AM MASTER LANDSCAPE & MA I NT 714 531 4816 ~~ - ~ ~ ~ ~ ~~ i f ~ P. 2 <br />PgLICYNOLD~R COPY 5a <br />'!°'~`~ L'~~a:a P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />a; `°° tl,e,~ ~ "~ 1~.~ CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />. _ __ ~,•-^~~-RC03 GROUP: 000290 <br />POLICY NUMBER: 0002003-2008 <br />CERTIFICATE ID: 18 <br />CERTiFICA~-0 P100t3/04-Ot-2009 <br />--Tv nr SANTA ANA SG <br />~. ,,.. ;~~7L3-•i988 <br />`a `.: C9rtIfV that we have Issued a valid Workers COmpen6ation insurance poliCY in a form approved by the <br />~-- - '--~-a•,ca Commissioner to the employer named below for the policy period Indicated, <br />'s Kelley is not subject to caneellatlon ny the Fund except upon 10 days advance written v,otioo to the employer. <br />ti. ~ aiso glue Yoe 10 days advance notice should thl9 policy be cancelled prior to its normal explratipn. <br />-, ~ ~o.n pf Ins~ranoe is not an insurance p011Cy and does not amend, extend or alter the Coverage afforded <br />- - - -_ r.;qw '~:•rel~. Notwithstanding any requirement, term Or Condition of any contract or other document <br />- - th 6 certifleate of msurance may be Issued Or to which it may pertain, the Insurance <br />- .p~'p • daserided herein is sublect to ail the terms. exclusions, and conditions, of such policy. <br />= - :^'':?i~Tl',, T PRESIDENT <br />'.. '_iAC"l.I:T'~ LIF{IT INCLUDING D!rlNSE CDSTS: S1,000,000 PEI2 OCCl1RR1:NC1!. <br />='~SP'_rjYEii <br />_^:?~:5CA2E & MAINTENANCE, INC. SG <br />--:ANPTD^I AVM <br />" _, CA Baa83 <br />~~ .. i• <br />`, <br />M0409 <br />PRINTED 03-78-2008 <br />me V.2.0liV <br />