Laserfiche WebLink
VI-IN L;A. ,...._---.....� <br /> A!__.. ...... e e 8%08-% a e., v® A.,w SS..1 t I 1tVv7V IVIG gERV101 06 10 09 <br /> PRODUCER THIS CERTIFICATE UED AS A MATTER OF INFORMATION <br /> George Petersen Ins Agency ONLY AND CONFERMO RIGHTS UPON THE CERTIFICATE <br /> P. O. Bax 3539 HOLDEM 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 NAIL <br /> INSURED INSURERA 2nrenz Insurance Co an <br /> IN B: <br /> ago Qu Station System, Inc. INSURER C: <br /> San Jo C 5112 <br /> INSURER D: <br /> IN E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED KAM ABM FOR THE POLICY PERIOD MKWATED.NOTWITHSTANDING <br /> ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 10 <br /> LTR S TYPE OF <br /> I POLICY NUMBER DA LIMITS <br /> GENERAL LKSLITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY PREM S Pa Common) S <br /> CLANS MADE ❑OCCUR MED EXP(Any one person) S <br /> PERSONAL 6 ADV INJURY S <br /> GENERAL AGGREGATE ffi <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG i <br /> POLICY LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO (EaeMBINED f t)INGLE LWIIT 6 <br /> ALL OWNED AUTOS <br /> BODILY INJURY s <br /> SCHEDULED AUTOS (Porpereon) <br /> HIRED AUTOS <br /> BODILY INJURY 5 <br /> RON-OWNED AUTOS (Per mWent) <br /> PROPERTY DAMAGE S <br /> (Pereeddent) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO EA ACC 3 <br /> OTHER THAN <br /> AUTO ONLY: AGG "S_ <br /> EXCESSAIMBRELLA LMLITY EACH OCCURRENCE S <br /> OCCUR ®CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE <br /> S <br /> RETENTION S <br /> s <br /> S COMPE IIATION AND g TORY LIMITS ER- <br /> A ANNYAP6PRO R�rORnaaTNEt EcunVE LLUMJW 3310020636091 06/04/09 06/04J10 E.L.EACH ACCIDENT s 10000O_O <br /> OFF ER EXCLUDED? E.L.DISEASE-EAEMPLOYE S1000000 <br /> Use deafte feller <br /> SPEC IAL PROVISIONS bobw EL DISEASE-POLCYLIMIT a 1000000 <br /> OTHER <br /> DEBC RIFTION OF OPERATIONS i LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Proof of Coverage. <br /> *Ten day notice of cancellation in the event of non payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SRDULC My OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE F,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLIER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL <br /> Proof of Coverage MPON NO OBLIGATION OR LIABRM OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> a Tro6 <br /> ACORD 25(2001/08) ®ACORD CORPORATION 19138 <br />