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POLICYHOLDER COPY <br />P.O. BOX 8192, PLEASANTON, CA 94588 <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 08-12-2015 GROUP: <br />POLICY NUMBER: 0702761-2015 <br />CERTIFICATE ID: 25 <br />CERTIFICATE EXPIRES: 08-12-2016 ✓ <br />08-12-2016/08-12-2018 <br />da <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California Insurance Commissioner to the employer named below for the policy period indicated. <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />we will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. <br />This certificate of insurance is not an insurance policy and does not arrend, extend or atter the coverage afforded <br />by the policy fisted herein. Notwithstanding any requirement, term or condition of any contrabt or other document <br />with respect to which this certificate of insurance may be issued or to which It may pertain, the insurance <br />afforded by the policy described- herein is subject to all the Germs, exclusions and Conditions, of such policy. <br />Authorized Representative President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1500 - NANCY K. SOHL, PRES,SEC,TRES - EXCLUDED. <br />EMPLOYER <br />NANCY K BOHL INC DBA: THE COUNSELING TEAM SP <br />INTERNATIONAL DBA: THE ORGANIZATIONAL NETWORK <br />1881 BUS CTR DR STE 11 <br />SAN BERNAOINO CA 82408 <br />M0410 <br />PRINTED : 07-17-2015 <br />M <br />