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AC-08D. CERTIFICP''1:. 4F LIABILITY INSURAtt"-E OF ID C1 DATE(MMIDDIYYYY) SERVI01 06/03/08 PRODUCER THIS CERTIFICATE I, ..,SUED AS A MATTER OF INFORMATION George Petersen Ins Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. Box 3539 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 627 College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Rosa CA 95402 Phone: 707-525-4150 Fax:707-525-4175 INSURERS AFFORDING COVERAGE NAIC� INSURED INSURER A q3Mress Insurance Company INSURER B: Service Station Systems, Inc. INSURER C: 680 puinn Avenue INSURER D: San Jose CA 95112 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN P0_Qc_71F E PO C O LTA NSRE TYPE OF INSURANCE POLICY NUMBER i DATE MMIDD/YY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE f COMMERCIAL-GENERAL LIABILITY PREMISES Es oewrence S CLAIMS MADE F OCCUR MED EXP(Any one pmon) S PERSONAL&ADV INJURY 5 GENERAL AGGREGATE S GEML AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMPIOP AGG S POLICY jEa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (EE accldenl) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Pm person) HIRED AUTOS BODILY INJURY 5 NON-OWNED AUTOS (Per emidenl) PROPERTY DAMAGE S (Per occident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO EA ACC S OTHER THAN _ AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY I EACH OCCURRENCE 5 OCCUR F7CLAIIAS MADE AGGREGATE 5 S DEDUCTIBLE RETENTION S S WORKERS COMPENSATION AND X TORY LIMITS ER A EMPLOYERS'LIABILITY 3310020636081 06/04/08 06 L / /04 09 E. EACH ACCIDENT S1000()00 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? E.L DISEASE-EA EMPLOYEE S1000000 If yes,dewlbe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMB S 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: License #485184 Evidence of Workers ' Compensation Coverage. Ten Day Notice of Cancellation in the event of non-payment of premium, CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED HEFORETHE EXPIRATION DATE THEREDF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Contractors State License Boar IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR p0 BOX 26000 REPREBENTATWES, Sacramento CA 95626 [A=77f- ACORD 25(2001108) ©ACORD CORPORATION 1968