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f1Ell unkl/ %.+G[x1Ii1toA1C VN LfAb-'LiTY' OP ID C1 DATE1MMIDDtYYYY) <br />PRODUCER SERVin1 '4 <br />03 Q$ <br />George Petersen Ins Agency his ORTIFIC�0.fiEi UED AS A MAS TER O>=-INEORMi4T10N <br />ON4XAND GONFEfiS 1Jfl:RtGH3SURON TFIE-ERTIPJCATE <br />P. O.. 3539 <br />6HOLQERTHtSCEI FaCt3I`DOES: tOTi4M6AT0;FJCF�(7b'OR <br />627 College <br />ge Avenue A1�ZER-.�'!iE<6g1�Rq'GEJAFFORDE0:8Y THE:P.OUCIES'J35LOW, <br />Santa Rosa CA 95402 <br />Phone: 707-525-4150 ' Fax:707-525-4175 1NSl9RERSAFFORD)MtaJrO...... E NAICfi <br />INSURED __ <br />Servicg Station Systems, Inc. iNBURERC:. <br />660 Quinn Avenue �vsuRr:R�,. <br />San Nze CA 95112 <br />THE POLICIES OFEISUgANCEtiISTEDBELflYJHAVE-BEENISSUEDTO'-tHE�N6URED:NAMEDABOVE OR y�EgIQD DICA$ED NOTWIT{{SiANpIN <br />ANYREQUIREMENT;TERMORCONDIT4GWOFANY CONTRACT OR'OTHERIDOCUMENTWITHRESP.EC770�WHICN,4m$'CfR IC: -E--WiAMidEg55UEDii <br />MAY PERTAIN,THENMSURANCEAFFORDED;BY•iHEPOLICIES:DESORIBEDJHEREIN IS SUBJECT TO: ALL HE--TERmsT-ROL'US10NSg1 CONDItIONSAf$UGH <br />POLICIES. AGGREGATE'LIMITSSHOWN4IAY.,HAVE BEEN REDUCEMBY PAID CLAIMS. - <br />R NSR_.TYPE-oPINSURANCE POIJCY'NUMBER nerte ri.Awr..,.:�1 <br />Re: License #485184 - -- - <br />Evi'den'ce of Workers' CotWen-sation Coverage. <br />Ten Day Notice of Cancellation in the event of non-payment of -.pry„ <br />Contractors State License Boar <br />PO Box 26000 <br />Sacramento CA 95826 <br />SHGULDAWOF:THE al3oVE;DEBGR[gEDipoUCIE9.BE.eANCELt ED 9EFGRE3HEeIIPIRATtO <br />DATE'TKERBOP.TWMSUING INSURERrW1LLENDEAVOR TO'MAIL, 30* - DAYS WRITTEN <br />NOTX:MTHE•CER7IPICATE'HW:DERJNAMEDT07HE LEFT,'RUT FAILURE T0ID0so-SHALL <br />IIJPDB"O)OMiMGATION DR;L,MABILITY'Of ANY KIND UPON THE INSURER; ITS XCENTB OR <br />ACORD 25 (2001108) I9 ACORD CORPORATION 1988 <br />COMMERCIAL GENERAL LIABILITY <br />cnu}xurcu>�IaE4NCE; i <br />CLAIMS MADE a OCCUR <br />Pit -S S <br />SE <br />-E <br />S <br />PEE.SbNJkI? A11�NAU{iY • S <br />aE?I1:aaG.RE:. S <br />GENLAGGREGATEPt�40fii4PPL4ESPER <br />PtitTill)CTB'-COMP%OP:AGG <br />POLICY r JECT LOC <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BOOIL'Y INJURY <br />(Per jars" S <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(PenaxfdaM) S <br />PROPERTY DAMAGE <br />IPaF.aFFJile.N) S <br />GARAGE LIABUM <br />AUTbONLY.-EAACCIOENT 6 <br />ANY AUTO <br />OTHER:THAN EA ACC S <br />AUTO ONLY. App S <br />EXCESBMMBRELLA LIABILITY <br />OCCUR ® CLANS MADE <br />EAC1i'OCCURRENCE ; <br />AGGREGATE S <br />DEDUCTIBLE <br />S <br />RETENTION SS <br />WORKERS CDI`.iI3 RON ANO <br />--T <br />S <br />EMPL'OY.ERIs'QABMTIT <br />R T Y: ' 1 <br />A ANY PRDPliERIATIEAItECUTiVE <br />3310020635081 <br />06/04/08• <br />06/04/09 <br />E!_,EARH►CIditrr. s 1 <br />Re: License #485184 - -- - <br />Evi'den'ce of Workers' CotWen-sation Coverage. <br />Ten Day Notice of Cancellation in the event of non-payment of -.pry„ <br />Contractors State License Boar <br />PO Box 26000 <br />Sacramento CA 95826 <br />SHGULDAWOF:THE al3oVE;DEBGR[gEDipoUCIE9.BE.eANCELt ED 9EFGRE3HEeIIPIRATtO <br />DATE'TKERBOP.TWMSUING INSURERrW1LLENDEAVOR TO'MAIL, 30* - DAYS WRITTEN <br />NOTX:MTHE•CER7IPICATE'HW:DERJNAMEDT07HE LEFT,'RUT FAILURE T0ID0so-SHALL <br />IIJPDB"O)OMiMGATION DR;L,MABILITY'Of ANY KIND UPON THE INSURER; ITS XCENTB OR <br />ACORD 25 (2001108) I9 ACORD CORPORATION 1988 <br />