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r <br /> RVISTAT <br /> ACORD- CERTIFICATE LIABILITY INSURANCE DAT6/s2007 <br /> - *DUCER Commercial Lines Unit(707)769-2900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> \j ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> ABD Insurance&Financial Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1039-A N.McDowell Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Petaluma,CA 94954-5507 INSURERS AFFORDING COVERAGE NAIC# <br /> NSURED Service Station Systems,Inc. INSURER A: Oak River Insurance Company 34630 <br /> 3224 Regional Parkway INSURER B: <br /> INSURER C: <br /> INSURER D: <br /> Santa Rosa,CA 95403 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 HAVE BEEN REDUCED BY PAID CLAIMS. <br /> R kDD'L TYPE OF INSURANCE POLICY NUMBER POLICYDATE <br /> POLI Y MMP <br /> IRA <br /> .TR N R TION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DPR AMAS(E.RENTED <br /> GE $ <br /> CLAIMS MADE ā¯‘OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRa LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> ` NON-OWNED AUTOS (Per accident) $ <br /> I <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> TH- <br /> A WORKERS COMPENSATION AND 2210020636071 6/4/2007 6/4/2008 x OR JIM 0. <br /> EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ' <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEEI$ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> RE:License#485184 <br /> Evidence of Coverage. <br /> CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> ')Contractors State License Board NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> PO BOX 26000 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Sacramento CA 95826 REPRESENTATIVES. <br /> AUTHORIZED REPRES N A E <br /> ACORD 25(2001/08) 46340 0 ACORD CORPORATION 1988 <br />