C J TECH CONSTRUCTION INC - Laserfiche WebLink

Home

CERTHOLDER COpy SC STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE CITY OF RIVERSIDE 3900 MAIN ST RIVERSIDE CA 92522-0001 SCANNED JAN 16 200E sc GROUP: POLICY NUMBER: 1852330-2008 CERTIFICATE ID: 36 CERTIFICATE EXPIRES: 01-01-2009 01-01-2008/01-01-2009 ISSUE DATE: 01-01-2008 r ,r,:;F'~OVi.:D AS TO FORM Finance/Risk Mgmt t';u,~ ~,16 f)(II~ (08 . AISKMANAGER. 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 30 days advance written notice to the employer. We will also give you 30 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. d::;:-REPRESENTATI EMPLOYER'S LIABILITY LIMIT ~~ PRESIDENT INCLUDING DEFENSE COSTS: $1.000,000 PER OCCURRENCE, ENDORSEMENT #1600 - ~EMYUN CHOI, PRES,TRES,SEC - EXCLUDED, ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2006 IS ATTACHED TO AND FORMS A PART OF THIS POLICY, EMPLOYER C.~. TECH CONSTRUCTION, INC, 3850 WILSHIRE BLVD STE 385 LOS ANGELES CA 90010 SC M0408 (REV.2-05) PRINTED 12-15-2007