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STATE <br />OOMPL*NSATION <br />'Nat./FIANCE <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />MARCH 8. 1996 I iJuisv rJUIJILiLFi 14$6018 96 <br />�•LF91 II ICA "1 f.: t'XPIf1L s. I "1 0." 9 7 <br />ENVIRONMENTAL DEVELOP, SERV* <br />1554 SOUTH SEPULVEDA BLVD <br />LOS ANGELES CA 90015 <br />This iS to C:C+rlify Inat wo have Iss i(id vtitin Workers COmpensition insu'1ncc policy �n a torrn af�prq ed trya�1 ry�lito.r <br />1'iSgU�Firtig tornmisskmor to *tit a name b elow for the policy period Indicated. <br />Yh's polic it loot subject to cancellation, oy the Fund except upon ten days' advance written notice to the crnployr:r. <br />WO will cIP^ ()kit; you TEN days' advance notices Should this policy bo cancelled prior to its normal expiration. <br />CVrtIIICcl(' of InsLrancc, is not an int::ir!+nue policy Find does not emend, extend or altar the coverage hffordtsd by oho <br />policies listed herein. Notwithstanding any requirement, terra, or condition or any contract or other document with <br />rcit;pe ct to whir:11 ti,is certificate of insurmIco may he Issuod or may portaln, the Insurance afforded by the policies <br />described heroin ifi suUiect to all the terms, exclusions and conditions of such policies. <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.000.000 PER OCCUkkE <br />C tJlr•LOYt:ri <br />PALMER, JERRY <br />DBAt CAL -TEMP SERVICES <br />2464 SOUTH UNION AVENUE <br />BAKERSFIELD CA 93307 <br />P.O. BOX 420807, SAN FRANCISCO, CA 9:142 -0807 <br />/1044- <br />STANDARD F.XCIUSI(MN: INDIVIDUAL. EMPLOYERS AND <br />HUScHAND M., wirf LMPLOYF.RS ARE NOT ELIGIBLE <br />FOR F3ENE.i ITS lc:• f MP1 GYEES UNt)E12 THIS POLICY. <br />THIS DOCUMENT HAS A BLUE-PATTERNED BACKGROUND <br />6Ciri0262 (r1LV.. <br />