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qp • • wTEIMMJoomY <br /> L./R CERTIFICATE OF LIABILITY INSURANCE OP ID C1 06 09 L <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> e cortiflosto holder Is an must be sn ,subillot to <br /> the toms and conditions of the policy,Certain policies may require an endorsement A statement on this ceNficate does not confer rights to the <br /> certificate holder In lieu of such endoreement(s). <br /> PRODUCER Nom, <br /> George Paterson Ina Agency plom <br /> P. O. Sox 3539 AA:,Ne FMN, _ WC.MOP _ <br /> 627 College Avenue mss& <br /> Santa Rosa CA 95602 CUNTOMMIDO: SERVI01 <br /> Phone:707-525-6150 Fax:707-525-6175 r48WtER9)A"CRDRIOCOVEIWGE NAIO0 <br /> INSUREDINSURER A: Cypress Inx=anOe Company <br /> 9g�Tr1091 Station Systems, Inc. *Simms; <br /> 680 SQumo Avenue <br /> San Joas CA 95112 INsaAERC: <br /> M/EYRERD: - <br /> e/a11RERE: <br /> NON) l <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED- NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS <br /> CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLLS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITSSHOWN MAY HAVE SEEN REDUCED BV PAID CLAIMS. <br /> LTR TYPEOr INSURANCS INSR NIDI POLICY NWaet ( I (IMOD UWTS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY I PREMISES aarlerloe $ <br /> CLAMSJMDE C OCCUR MED EXP(Any"pmw) E <br /> PERSONAL S AOV INJURY IS <br /> GENERAL AGGREGATE Is <br /> GEMLAGGAIEGATEWITAPPLIES PER: PRODUCTS-COAAPJOPAGG S -- <br /> POLICY Fj 290T- LDC s <br /> AUTOMWEE LIAINLITY COMSRED SINGLE LMR S <br /> (EN R dMM) <br /> ANY AUTO BODILY INJURY(PWM) s <br /> WJU <br /> ALL OWNED AUTOS BODILY RY(PRr EDddNA) s _— <br /> SCHEDULED AUTOS PROPS WIDAMAGE <br /> HIRED AUTOS I (Po eai0rM1 $ <br /> NON-OWNED AUTOS $ <br /> s <br /> UMML L A LJAN OCCUR EACH OCCURRENCE s <br /> Lvass LUM CLAMSAIADE + AGGREGATE s <br /> DEDUCTIBLE I $ <br /> ATTENTION <br /> A NOIDtEJtB PENSATION 10 06/04/10 06/)E/11 TDRy LMR$ ER <br /> AMD I MPWYLUI LIABILITY <br /> ANY PROPRIETORrPARTNERIEXECIrtNF � EL EACH ACCIDENT $1000000 <br /> OFRCERNAEMBEREXCLUDED? u JA <br /> (IYINa"MNlq ELDISFASE-EAEMPLO $1000000 <br /> I yah,dnaDe under <br /> IDESCMPTIDNOFOPERATIONSDelm E.L DISEASE•POl1CVLMrt $1000000 <br /> DBSC r"OF OPERATIONS/LOCATION$I VEHICLES (Aaeeh ACORD 101,AddNPm <br /> l Remarks aohe"14,Ir mon 2INu e Y Nouf") <br /> Pzoof of coverage <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE OMMEED POLICES of CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE OELNERED IN <br /> ACCORDANCE WITH THE POLICY PROVWM- <br /> AUTNORI ED MWKE9ENTATIVE <br /> Proof of Coverage <br /> 0198!•20 ACORD CORPORATION- All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />