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-ACORD CERTIFICATE )F LIABILITY INSURAN E DAT2/E 01/2006(MM/D2006) <br /> 0 <br /> PRODUCER <br /> (916)443-0200 FAX (916)443-0251 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Owen Dunn Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> License Number: 0670167 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 2831 G Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Sacramento, CA 95816-3721 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED BZ Service Station Maintenance Inc INSURERA Golden Eagle Insurance <br /> P.O. Box 933 INsuRERB: National Liability & Fire Insuraitce Co <br /> West Sacramento, CA 95691 INSURER C: <br /> #SURER D: <br /> NSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> ILTR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY CBP9555195 02/15/2006 02/15/2007 EACH OCCURRENCE $ 1,000,00 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES'Fn­uenr�l E 100,00 <br /> CLAIMS MADE FqOCCUR MED EXP(Any one person) $ 5,00( <br /> A PERSONAL&ADV INJURY $ 1,000,00i <br /> GENERAL AGGREGATE $ 2,000,00( <br /> GENIE AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( <br /> X I POUCYF_j PRO <br /> JECT LOC <br /> AUTOMOBILE LIABILITY CBP9555195 02/15/2006 02/15/2007 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ <br /> 1,000,00 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> A SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per acdAenO <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO <br /> E <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE Is <br /> DEDUCTIBLE <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND 0100000180051 10/27/2005 10/27/2006 X CSTATuU oTH- <br /> EMPLOYERS. <br /> LIABILITY <br /> B ANY PROPRIETORUPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,00c <br /> If yes,Eescnbe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00C <br /> quip / CBP9555195 02/15/2006 02/15/2007 Misc Tools & Equip $40,000 <br /> A nstallation Floater Misc Tools Per Item $1,000 <br /> Installation $20,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> e: License #433159 <br /> Upon non-payment of premium, 10 days notice of cancellation will apply. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL P(IX:IOXJI.M MAIL <br /> 30" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Contractors State License Board glwX �XxK �gNdO{XIXd'afA(J6X�XXD(KIYd(J(XX <br /> P.O. Box 26000 dfdC"XXXXMXDXN)tXb%Xi )tXXdfd XXXO(XXMOLYIXASXXYXXXXXXXXX <br /> Sacramento, CA 95826 AUTHORIZED REPRESENTATIVE <br /> Candace Williams CDW <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />