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NA <br /> CERTHOLDER COPY <br /> <br /> P.O. BOX 807. SAN FRANCISCO,CA 94142-0807 <br /> <br /> N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> <br />rSSUE DATE: 07-OI-2003 CROUP: <br /> POLICY NUMBER: 1548613-2003 <br /> CERTIF CATE ID: 8 <br /> CERTIFICATE EXPtRES: 07"OI-2004 <br /> 07-O1-2003/07-01-2004 <br /> <br /> CITY OF REDWOOD CITY NA <br /> BLDG'. INSP~. DEpT, <br /> lO17 MIDDLEFIELD RD. <br /> REDWOOD-CITY CA 9406,3 <br /> <br />This is to certify that we have issued a valid ~W~orkers' Compensat on nsurance policy in a form approved by the <br />Ca lorn a nsurance Commissioner to the amp oyer named be ow for me po ~cy period indicated <br /> <br />This poricy i8 not subjec[ to cancellation by the Fund except upon 30oars' advance written notice to [ne ertlplOyer. <br />We wlrl alSO give you 30 days' advance notice should this policy oe cancelled prior to its normal expiratior~ <br /> <br />This certifiCate,of insurance is not an insurance policy and does no[ amend, extend or alter the coverage afforded <br />by the p, olicies lis{ed hereln. N(~tvvithstanding any requirement term or condition of any contract Or other <br />with respect to which this certificate Of insura?~ce ~lay be issued or may pertain, the nsuran?e afforded by the <br />policies ;described heren s subject to a the t~rn3s~' ~×Custon~ and condtons of such po c es <br /> <br />AUTHORIZED REPRESENTATIVE PRESIDENT <br /> <br /> $I,. 000,000. O0 PER. OCCURRENCE. <br /> <br />ENDOESEM~N'r #2085 ENT~TTI~ED CERTXFZCATE HOLDERS' NOTZCE EFFECTZVE 07-0"J-2003 IS ATTACHED TO AND <br />i~ORMs A PART OF TH];~ POLICY7 <br /> <br /> EMPLOYER LEGAL NAME <br /> <br /> PENINSULA CONFLICT RESOLUT ON PENZNSULA CONFLICT <br /> CENTER iA NON-PROFZT CORP. <br /> 520 S EL CA~INQREAL STE 640 <br /> SAN RATEO CA 9~402 <br /> <br /> <br />