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RSSEI-2 OP IU: LIG <br />OATEIWMff)D YYil' <br />CERTIFICATE OF LIABILITY INSURANC <br />E A E, <br />11/07/12 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVU_.LY AMEND, FXTFNn OR At -TER THE COVERAGE AFFORDED BY THE POLICIES <br />_I.OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS IIIUTC A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />IRESENTArIVE OR PRODUCER, AND THE CERTIFICATE HOLDER - <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ios) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsornwit. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements ). <br />PRODUCERPhone: 530-895-1010 COWACI <br />InterWest Insurance Services -M—ME" ------ <br />License#0801094 Fax, 530-895-1313 PHONE <br />P.O. Box 8110 IL <br />Chico, CA 95927-8110 _-AvElt(os: <br />Chip Arenchild I RUING COVE <br />SURER S)A !AICA <br />INSURER A; Allied Insurance <br />INSURED R.S.S.E., wsurtcn I It Homeland Ins Co 34452 <br />Redding Service Station Equip INSURERC: State C9TP__�n_S_F_Fund CA) 35076 <br />Attn:Mark or Lynn <br />1515 Charles Drive INSURER D, <br />___Redding,_C"6003_ <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 RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUVJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OFS11CH Pot irlFS. I IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE <br />POLICY NUMOER <br />_V(5jLdV_EFF <br />_—PUL—l"Exp <br />LIMITS <br />GENERAL LIABILITY <br />X <br />8 X COMMERCIAL GENERAL UAFTLITY <br />CLAIMS -MADE LA <br />C OCCUR <br />LCEN'L�AQGAEGATE <br />11105112 <br />11105112 <br />11/06113 <br />11105113 <br />EACH OCCURRENCE <br />3,000,000 <br />EXP (Any one 11,1111) <br />S 51006 <br />_MtEO <br />PERSONAL 8 AQV I?qURV_ <br />3,000,000 <br />B X Poll& Prof <br />GENERAL AGGREGATE <br />3,000,000 <br />LNIT APPLIES PER: <br />X P LICY <br />X POLICY F7 MR; 71'.0c <br />PRODUCTS . COMPIOP AGO <br />4 3,000,000 <br />_z51KGLFL%M1T <br />$ <br />4UTOMOSILE LIABILITY <br />A X ANY AUTO <br />ALL OWNED Fy-1 'SUT(E)SULED <br />X AUTO.NON-OWNED <br />X HIRED AUTOS AUTOSPaV <br />ACIP76141125349 <br />11/05/12 <br />111051113 <br />COMM00 <br />IF. =cid_0a) <br />.1 11000,000 <br />BODILY INJURY (Pet Person) <br />UODILY INJURY (Per atmident) <br />FY —DAMAGE <br />accident_ <br />3 <br />3 <br />UMBRELLA <br />UMBRELLA LIAR OCCUR <br />OCCUR <br />EXCESS L "A ECL A I M S. - 11940A i D E <br />EACH OC-&URRENCE <br />AGGREGATE <br />-S <br />.T <br />RE <br />DEC ENTION 3 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIA81irrY YON <br />C ANY PROPRIETORIPARTNERA�ECUTIVE <br />OFFICERMEMBER EXCLVOED? NIA <br />(Mandatory In NH) <br />Ues, desaibe under <br />1) SCRIPTION OF OPERATIONS below <br />91033557-12 <br />11,1061IT21 <br />1105113 <br />STATU- OrH- <br />r.L, EACHACCIDENT <br />S 1,000,00C <br />E. L. 01,9EASc, EA EMPLOYEE <br />3 11000100C <br />E. L. DISEASE -POLICY LIMIT <br />3 ... 11,000,006 <br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional R.%fnaWs Schedule, if more Vace is required) <br />Confirmation of Insurance Coverages. <br />IOU" <br />ZWKI it <br />039NEW029M <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORVED REPRESENTATIVE <br />(9 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />