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Client#: 1047352 SERMTA10 CERTIFICATELIABILITY INSURANCE =6/09/2025 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 certifieate holder is an ADDITIONAL INSURED,the policy ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder In Ileu of such endorsement(s), - PRODUCER ifiRAT4CTRX Rhonda Scialpi _ _____ USI Insurance Services NW CL7 Exr 503 224-8390 _ac, Nop 610 362-8130 825 NE Multnomah, Suite 1500 s: rhonda.scialpi@usl.com Portland, OR 97232 - _ — INSURER(S)AFFORDING COVERAGE NAIE d 503 224 8390 INSURED INSURERA: insurance Company of the West 27847 �INSURER B Service Station Systems, Inc. - ----- - --- — - 3224 Regional Parkway INsuRERc : Santa Rosa, CA 95403 INSURER D INSURER E: INSURER R: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. INSR — — nODL S�iBR` PliC9 EFI t OL1CY_ LTR TYPE OF INSURANCE �.• - - P I-- __ _ INSR vrtiW-�_ _POLICY NUMBER l�rcnrot3''fYYv}�(MMIOBnrrvl ; LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ' s - --" - ppgqMMppGG TT .RR__N ti _— CLAIMS-MADE OCCUR PREMISS_�Ee ozwF rocs _ t$ }MED EXP(Any one parson) S -. ---- I PERSONAL&ADV INJURY ;$ _ — — -- ----. - GEN L AGGREGATE LIMIT APPLIES PER:PRO- GENERAL AGGREGATE € S p-__RAL AL t — POLICY JECT El LOG PRODUCTS -COMPIOPAGG 1 $ OTHER: ` $ AUTOMOBILE LIABILITY C01BINED$INCLLlfr117 —— —. —_ i �Eaaccident, 5 ANY AUTO ( BODILY INJURY(Per person) $ OWNED f-" ' SCHEDULED , AUTOS ONLY AUTOS BODILY INJURY(Per accident) S — HIRED — NON-OWNED AUTOS ONLY AUTOS ONLY i Per accident,,i _ $ "_f. UMBRELLA LIAR CLAIMS MADE EACH OCCURRENGE $ OCCUR EXCESS LIAR AGGREGATE jOT - �DED RETENTION$ j _._.— i— - --- $ _ WORKERS COMPENSATION _--- __.__ _ A WLV507821801 6/04/2025 06/04/2026 X .PER AND EMPLOYERS'LIABILITY YIN S7+LL E 3H_). _ ANY PROPRIETOR/PARTNERIEXECIITIVE IE.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? NJ $1,UDO�O�O v N I A (Mandatory In NH) E.L.DISEASE- EA EMPLOYEE $1�t)w_Q 60 Dyes, IPTIOs under E.L.DISEASE-POLICY LIMIT i $1,000 000 DESCRIPTION OF OPERATIONS below � s I I DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(ACORD 101,Addltlonsl Remarks Schedule,may be atlached If more space Is requlredl A waiver of subrogation applies where required by written contact . CERTIFICATE HOLDER CANCELLATION Service Station Systems, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3224 Regional Parkway ACCORDANCE WITH THE POLICY PROVISIONS. Santa Rosa, CA 95403 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S49577197/M49574723 BLKZP