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HomeMy WebLinkAboutECONOLITE CONTROL - INSURANCE CERTIFICATECERTHOLDER COPY SP STATE P O BOX 420807 SAN FRANCISCO CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS COMPENSATION INSURANCE ISSUE DATE 04-01-2008 GROUP 000824 POLICY NUMBER 0001005-2007 CERTIFICATE ID 78 CERTIFICATE EXPIRES O4-01-2009 04-01-2008/04-01-2009 CITY OF FORT COLLINS P 0 BOX 580 FORT COLLINS CO 80522 SP JOB ALL CALIFORNIA OPERATIONS This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain the insurance afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy tTHORIDZEaD REPRESENTATI PRESIDENT EMPLOYERS LIABILITY LIMIT INCLUDING DEFENSE COSTS $1 000 000 PER OCCURRENCE EMPLOYER ECONOLITE GROUP INC PRODUCTS INC 3360 E LA PALMA AVE ANAHEIM CA 92808 DBA ECONOLITE CONTROL M0408 (REV 2 05) PRINTED 03-18-2008