Insurance - Ghai's Tree Services and Landscaping - Workers' Comp 2018-12-12P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 12-12-2017
CONTRACTORS STATE LICENSE BOARD
WORKERS COMPENSATION UNIT
PO BOX 26000
SACRAMENTO CA 95826-0025
GROUP
POLICY NUMBER: 9119755-2017
CERTIFICATE ID: 2
CERTIFICATE EXPIRES: 12-12-2018
12-12-2017/12-12-2018
SC LIC PERMIT#: 999158
INCEPTION DATE:12-12-2017
DO:SC
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 70 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.
Authorized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
EMPLOYER
HERNANDEZ, ABIDAN JAIRO (PARTNER) AND
HERNANDEZ, GREGORIO (PARTNER)
811 W 19TH ST STE 522
COSTA MESA CA 92627
SC
M0409
IREV.7-20141 PRINTED : 11-17-2017