Laserfiche WebLink
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDuYYYY) <br />ABLEM-1 09/27/07 <br />PRODUCERTHIS <br />George Petersen Ins Agency <br />P. O. Box 3539 <br />627 College Avenue <br />CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Santa Rosa CA 95402 <br />P F <br />DATELICYEM <br />MNFEDC1M <br />Phone:707-525-4150 Fax:707-525-4175 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURERA Rednood Fire s Casualty Ina Co <br />INSURER B: <br />Able Maintenance, Inc. <br />3224 Regional Parkway <br />Santa Rosa CA 95403 <br />INSURER C: <br />INSURER D: <br />INSURER 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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P F <br />DATELICYEM <br />MNFEDC1M <br />P DYE% IONONDATE MMIDOIYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $. <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑OCCUR <br />PREMISES R eccerenee $ <br />MED EXP (Any one person) $. <br />PERSONAL S ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GENLAGGREGATE LIMIT APPLES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY JEC LOC <br />AUTOMOBILE <br />LIABILRY <br />ANY AUTO <br />COMBINED SINGLE LMR $ <br />(Ea accident) <br />ALL OW NED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />Per person) $ <br />HIRED AUTOS <br />NON-0WNED AUTOS <br />BODILY accident) $ <br />(Par accitlantl <br />PROPERTY DAMAGE $ <br />(Peraccitlent) <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT $ <br />ANY AUTO <br />7OTHERTHAN <br />EA ACC $ <br />AUTO ONLY: AGO $ <br />EXCESSIUMBRELLA UABILITY <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIAB <br />ANY PROPRIETOR/PARPARTNEfUEXECUTIVE <br />W7A35050 <br />10/01/07 <br />10 01 <br />/ /OB <br />X ITORYLIMITS A11- I ER <br />El, EACH ACCIDENT $1000000 <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -EA EMPLOYE $1000000 <br />EL DISEASE -POLICY LIMIT I $1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*Cancellation - except 10 day notice for non-payment of premium/non <br />reporting of payroll. Employers Liability Limit $1,000,000. (per <br />accident/aggregate policy limit) <br />Proof of Insurance. <br />CERTIFICATE HOLUER CANCELLATION <br />Service Station Systems <br />680 Quinn Ave <br />San Jose CA 95112 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />