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<br />05/08/2005 14:01 <br /> <br />0000000000 <br /> <br />POLICYHOLDER COpy <br /> <br />STATE <br />COMPENSATION <br />INSURANCe <br />I=UND <br /> <br />P.O. BOX 420807, SAN FRANCfSCQ,CA 94142.-0807 <br /> <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />ISSUE DATE: 06-08-200& <br /> <br />GROUP: <br />POL.ICY NUMBER: 18S121B-2006 <br />CERTII"JCATf 10: 20 <br />C;l!;RTIFICATE EX!)IRes, 05-01-2007 <br />05-01-2008/05-01-2007 <br /> <br />CITY OF REDWOOD CITY <br />1017 MIDOLEFIELD RD <br />PO BOX 391 <br />REDWDOD CITY CA 94084-038' <br /> <br />NA <br /> <br />This is to certify that we have Issued Ii valid Workers' Compensation insurance policv in Ii form apl)roved by the <br />Callfornis Insurance Commissioner to the employer named below for the pollcv J)eriod indicated. <br /> <br />This policy is not subject to cancellation by the Fund except upon30 days advance written notice to the employer. <br /> <br />We will also give you 30 days Idvanee notice !>hould this policy be eancelled prig!" to its normal expiration. <br /> <br />ihi$ certifiCllte of insurance is not an Inwrat'lce policy and does not amend. extend or lIlter the cOllerage afforded <br />by the policy listed herein. Notwltl'lstanding any requirement, term or condition of any contract or other document <br />with respsct to which this certificate of insurance may be issued or to whjch it may pertain, the inl>urance <br />afforded by the policy described !lerein is subject to ;11 the terms, exclusiol1$. lIl'Id condition!>. of such ponc~. <br /> <br />d::::- _'.'NTATI <br />EMPLOYER'S LIABt.LITV. LIMIT. <br /> <br /> <br />~ <br /> <br />PR!;SIOE;NT <br />INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> <br />ENDORSEMENT" #208$-ENfI'TLED CERTIFICATE HOLDERS' NDTICE EFFECTIVE 06-08-2006 IS <br />ATTAOHED TO AND FORMS A PART OF THIS PDLICY. <br /> <br />EMPLOYER <br /> <br />LA RAZA CENTRO LEGAL, INC <br />474 VALENCIA ST #285 <br />SAN FRANCISCO CA 94103 <br /> <br />NA <br /> <br />(REII.2-05t <br /> <br />IJ04,CN] <br />PRINTED 08-08-2006 <br /> <br />PAGE 12/17 <br /> <br />HA. <br />