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OP ID: C1 TE F LIABILITY INSURANCE DATE1004/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomemen s . PRODUCERCONTACT 707.525-4150 George Petersen Ins Agency 707-525-4175 P. O. Box 3539 627 College Avenue Santa Rosa, CA 95402 Santa NAME: Af NE F •MAIL aaDREss: ---- ---- — -- MEW— — — — — — — -- — --- —... --- _ _�� ASLEM-1 cu MER R: INSURER(S) AFFORDING COVERAGE NAIL 0 Ng Ale Maintenance, Inc. WSURER A : Insurance Compag of the West — 3224 Regional Parkway Santa Rosa, CA 95403 INSURER e INSURER c INSURER 0: INSURER E n Limn An_cc e�C®TiCee"Alr= hill iRa12GC• RFVISION NtINIRFR! e THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I1SR TYPE OF INSURANCESUL ADDL POLICY NUMBER Mm- MMf EY P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ P EMIS (Es 000urrence)$ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE ❑ OCCUR PERSONAL&ADV INJURY _�_ — S - GENERALAGGREGATEy $ I I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ $ POLICY PRO. LOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT (Ea accident) e S ANY AUTO I ( BODILY INJURY (Per parson) $ ALL OWNED AUTOS ; BODILY INJURY (Per accident) S -- j i SCHEDULED AUTOS j HIRED AUTOS i j PROPERTY DAMAGE (Peraccident) $ S NON•OWNEDAVTOS I j i _..�.. ..—._......_I $----------- --� UMBRELLA LIAR HCLAIMS:MM�E OCCUR i 1 EACH OCCURRENCE AGGREGATE EXCESS LIAR f __.. DEDUCTIBLE RETENTION $ A WQfTRETE COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIEfORIPARTNERIEXECUTIVE OFFICERNEMBER EXCLUDED? (Mandatory in NH) ❑ I NIA A I f .I PL500060302 I 10/01110 i 10101/11 X WCYTATU- OTH- SQR--41. (S .. -1,000,00 E -L EACH ACCIDENT j$ E.L. DISEASE - EA EMPLOYE 1 000,00 $ , E.L. DISEASE -POLICY LIMIT $ 1,000,®0 If yea desor be under DESCRIPTION OF OPERATIONS below i � � I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarlm Schedule, if more space is required) RE: License #312844 Proof of Coverage Contractors State License Board - Workers Comp Unit PO BOX 26000 Sacramento, CA 95828 CONDOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V jV55=1UUN FLLiVKU UtJKYVKPkl IVN. mu nglat.,m rwwar vu. ACORD 26 (2009109) The ACORD name and logo aro registered marks of ACORD