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.CORD.. CERTIFICAT" OF LIABILITY INSURANW osPE C1 DATE <br />IMM °pryyyyl <br />SEAVI01 06/03/08 <br />G;o.or ER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />P . 0. Petersen Ins Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P . O. Box 3539 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />627 College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Rosa CA 95402 <br />Phone: 707-525-4150 Fax:707-525-4175 INSURERS AFFORDING COVERAGE NAIC0 <br />WALKED <br />INSURER A <br />INSURER -B: <br />Service Station Systems, Inc. INSURER c: <br />680 Quinn Avenue INSURER: <br />San Jose CA 95112 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE-POLICYPER100 INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM DR CONDITION OF ANY CONTRACTOR OTHER. DOCUMENT WITH RESPECT TO WHICH THIS-CERJIFICATE MAY BE 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 RAVE BEEN REDUCED BY PAID CLAIMS. <br />mSN <br />LTR <br />A0171OOGY:EiFEETIV€-€6LTC. <br />NSF <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DD/YY <br />1 DATRIMMID"I <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE a <br />E <br />PREMISES Eeocuyence S <br />CLAIMS MAGE ❑OCCUR <br />MED£XP (Any one Panon) S <br />PERSONAL S ADV MJURY - 3 <br />GENERAL AGGREGATE S <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP ADD S <br />1 <br />17 POLICY JEo- LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Eo exldenl) a <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Par person) S <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(Per emldenl) S <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per eaJdenl) S <br />BARAOE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT 3 <br />OTHERTHAN EA ACC 3 <br />AUTO ONLY: AGO S <br />EXCESSUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />EACH OCCURRENCE S <br />AGGREGATE S <br />S <br />DEDUCTIBLE <br />3 <br />RETENTION S <br />a <br />A <br />WORKERS COMPENSATION AND <br />EMPLIRDPRI TORWITY <br />OFFICER EMBER EXCLUDRIEXECUTIVE <br />OFFICERrtAEMBER EXCLUOEDT <br />3310020636081 <br />O6/O4/OB <br />06/04/09 <br />R TORY LIMITS ER <br />E.LEACHACCIDENT BSOOOOOO <br />E.L DISEASE - EA EMPLOYEE S S O 00000 <br />S Yee. dewbe UMw <br />SPECIAL PROVISIONS Below <br />OTHER <br />EL DISEASE - POLICY LIMIT 3 10 00000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADOED'BY ENDORBEMENT I SPECIAL PROVISIONS <br />Re: License #485184 <br />Evidence of Workers' Compensation Coverage. <br />Ten Day Notice of Cancellation in the event of non-payment of premium. <br />Contractors State License Boar <br />PO Box 26000 <br />Sacramento CA 95826 <br />SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLEDBEFORE IESXPIRATIOA <br />DATE THEREOF, THE ISSUIN13 INSURER WILL ENDEAVOR TOMAIL 30* DAYSWRTTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR IJABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />