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sI am. VIS. \ ■'• INV e ■ <br />LI 'M" ® INbUKAN OP ID Cl--J-IMMMWTT TT) <br />PRODUCER <br />George Petersen Ins Agency <br />P. O. Box 3539 <br />627 College Avenue <br />Santa Rosa CA 95402 <br />SERVI01 06/10/09 <br />THIS C IFICATEI LIED AS A MATTER OF INFORMATION <br />ONLY AND CONFER RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone: 707-525-4150 Fax: 707-525-4175 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: gypreas Insurance CO an <br />INSURER S: <br />GENERAL LIABILITY <br />S rvice Station Systems, Inc. <br />680 Quinn Avenue <br />San Jose CA 95112 <br />INSURER C: <br />INSURER Q: <br />INSURER E: <br />COMMERCIAL GENERAL LIABILITYPREMISES <br />CLAMAS MADE ® OCCUR <br />1'_P1VFiiAf:FQ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 />INS <br />LTR <br />SRI <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />pgTB p®flltp <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE S <br />COMMERCIAL GENERAL LIABILITYPREMISES <br />CLAMAS MADE ® OCCUR <br />Ee oeeureeee S <br />MED EXP (Any one person) S <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE S <br />GEM AGGREGATE LIMIT APPLIES PER: <br />POLICY W LOC <br />PRODUCTS . COMPIDP AGG S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT S <br />Me soddent) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY S <br />(Per person) <br />HIRED AUTOS <br />MON43WNED AUTOS <br />BODILY INJURY <br />(Per eaident) S <br />PROPERTY DAMAGE S <br />(Perecddent) <br />GARAGE LIABILITY <br />�- <br />AUTO ONLY - EA ACCIDENT S <br />ANY AUTO <br />OTHER THAN -EA ACC 5 _ <br />AUTO ONLY: AGG S <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />EACH OCCURRENCE S <br />AGGREGATE S <br />DEDUCTIBLE <br />s <br />RETENTION s <br />s <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYP.R9 LIABILITY <br />ANY <br />ANY PROPRIETOMPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED7 <br />describe udde <br />SPECIAL PROVISIONS aemw <br />3310020636091 <br />06/04/09 <br />06/04/10 <br />. <br />g TORY ER <br />ELEACHACCIDENT $ 1000000 <br />E.LDISEASE -EAEMPLOYEE S1000000 <br />EL DISEASE - POLICY LIMIT $1000000 <br />OTHER <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 />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO' <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 SD SHALL <br />Proof of Coverage IMPOSE NO OSLOATION OR UABILI TY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />ACORD 26 (2001108) <br />