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RCERTIFICATWF OPID Cl DATEINMIDDWY <br /> PRODUCER � SxRVIO1 06110/09 <br /> THIS CERTIFICATE IS ONED AS A MATTER OF INFORMATION <br /> George 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 NAIL# <br /> INSURED INSURERA: Cypress Insurance Co an <br /> INSURER B: <br /> Service Station Systems, Inc. INSURER C: <br /> 680 O¢uinn Avenue INSURER D: <br /> San Jase CA 95112 <br /> =INSURER <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 /> lNow EXPIRATION <br /> LTR NS TYPE OF INSURA14CE POLICY NUMBER DATE tlMitVDD Y DATE WMM LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> L GENERAL LIABILITY W <br /> COMMERCIA <br /> PREMISES aewrS <br /> CLAIMS MADE D OCCUR MED EXP(Any one person) S <br /> PERSONAL 8 ADV INJURY S <br /> GENERAL AGGREGATE S <br /> GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG S <br /> POLICY n dELaT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Per Person) <br /> HIRED AUTOS <br /> BODILY INJURY S <br /> NON4OWNEO AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO EA ACG S <br /> OTHER THAN _ <br /> AUTO ONLY. AGG S <br /> EXCESSrUMBRELLA LIABILITY EACH OCCURRENCE s <br /> OCCUR ®CLAIMS MADE AGGREGATE S _ <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> UTH- <br /> WORKERS COMPENSATION AND g TORY LIMITS _ ER <br /> A 6MPLOYER3'LIABILITY 3310020636091 06/04/09 06/04/10 EL.EACH ACCIDENT 31000000 <br /> ANY PROPRETORIPARTNEREXEcunVE _ <br /> OFFEERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE s 1000000 <br /> Was,desces Under <br /> SFECIALPROVISIONS bobw E.L.DISEASE-POLICY LIMIT s 1000000 <br /> OTHER <br /> i I F <br /> DESCRIPTION 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 /> 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 /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Proof of Coverage IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> =077!__ <br /> ACORD 25(2001108) ®ACORD CORPORATION 1988 <br />