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B AND B STEEL INC
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Last modified
6/24/2009 12:37:49 PM
Creation date
12/28/2007 9:13:21 AM
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General
General - Type
Insurance
General 2 - Date
2/19/2009
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CERTHOLDER COPY <br />STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 I <br />COMPENSATION <br />I N S U R A N C E <br />FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 01-01-2009 GROUP: <br />POLICY NUMBER: 3006098-2009 <br />CERTIFICATE ID: 769 <br />CERTIFICATE EXPIRES: 01-01-2010 <br />01-01-2009/01-01-2010 <br />CITY OF RIVERSIDE <br />DEVELOPMENT DEPARTMENT <br />3900 MAIN ST <br />RIVERSIDE CA 92522-0001 <br />SK JOB:RVSD-ARLINGTON BRNCH LIBRARY EXP <br />9665 MAGNOLIA AVE <br />RIVERSIDE <br />CA <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California Insurance Commissioner to the employer named below for the policy period indicated. <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. <br />This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded <br />by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document <br />with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br />THORIZED REPRESENTATI PRESIDENT <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #1600 - BENNETT, GLORIA A, SECRETARY - EXCLUDED. <br />ENDORSEMENT #1600 - BENNETT, JAMES V, PRES,TREAS - EXCLUDED. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2009 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />B & B STEEL, INC. <br />5122 PATTERSON AVE <br />PERRIS CA 92571 <br />SK <br />SK <br />M0408 <br />(REV.2-05) PRINTED : 12-20-2008 <br />
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