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<br />STATE <br />COMPEN SAT'ON <br />INSURANCE <br />I=UND <br /> <br />IN REPLY REFER TO: <br /> <br />APRIL 5, 2010 <br /> <br />SAN MATEO COUNTY DEPT OF HEALTH SERVICES <br />CONTRACT ADMIN DEPT <br />225 37TH AVE <br />SAN MATEO CA 94403-4324 <br /> <br />CERTIFICATE OF WORKERS' <br /> <br />COMPENSATION INSURANCE <br /> <br />CANCELLATION WITHDRAWAL NOTICE <br /> <br />RE: CERTIFICATE DATED JUNE 25, 2008 <br /> <br />THE CANCELLATION HAS BEEN WITHDRAWN FOR THE WORKERS' COMPENSATION <br /> <br />INSURANCE POLICY FOR THE EMPLOYER NAMED BELOW. THIS LETTER SUPERSEDES <br /> <br />THE NOTICE OF CANCELLATION SENT TO YOU ON AUGUST 22, 2008. <br /> <br />THIS EMPLOYER'S WORKERS' COMPENSATION INSURANCE COVERAGE CONTINUED <br /> <br />UNINTERRUPTED. <br /> <br />EMPLOYER: <br /> <br />TRAINING AND HEALTH EDUCATION CTR <br />FOR YOUTH <br />751 LAUREL ST PMB 544 <br />SAN CARLOS, CA 94070 <br />POLICY 1517586-08 <br /> <br />CUSTOMER SERVICE REPRESENTATIVE <br />CUSTOMER SERVICE CENTER <br />(877) 405-4545 <br /> <br />5860 Owens Drive. Pleasanton, CA 94588-3900 <br />Mailing Address: P.O. Box 8192. Pleasanton. CA 94588-9682 <br /> <br />selF 19102 <br />