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Client#.1047352 SIeRVISTAI O <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE 57E(MM0DrYYYYI <br /> 6/09/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFI PS NO RIGHTS UPON THE CERTIF#CATE HOLDER.THIS <br /> CERTIFICATE I30ES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICE ES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT,If the certificate holder Is an ADDITIONAL INS171fF-0,th�pv tey 5051 must have IN1 UREO provIslons or be endorsed. <br /> If SUBROGATION 16 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on <br /> this certificate does not confer any rights to the certificate holder In Ileu of such endorsement(s), <br /> PRODUCER A Rhonda Scialpi <br /> USI Insurance Services NW CL7 — - <br /> 825 NE Multnomah, Suite 1500 c o,Fxt:$Q3 2Z4.8390 { C,NGI! 302-8130 <br /> Portland,OR 97232 AUDIq 38: rhonda.sclalpl@usl.com <br /> 503 224.8390 INS URER(S)AFFORDING COVERAGE NAIrk it <br /> _INSURER A:Insurance Company of the West 27847 <br /> INSURED <br /> Service Station Systems,Inc. INeuRI:Re: <br /> - - <br /> 3224 Regional Parkway INIiURERC: <br /> Santa Rosa,CA 95403 INSURERb: - <br /> IN SURER E I <br /> INSURER F; -- - -— <br /> COVERAG159 CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM? OR CCNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHfCH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DEESCRISED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUMONS AND CONDITIONS OF SUCH POL(CIES, LIM)TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TR TYPE OF INSURANCE •5�� FF P E% <br /> _ WYF — PGLICYRUlNBER opry YY1 {lut +YYY _ <br /> C01AMERCIALGENERALAa LIILITY LIMITS T EACH OCCURRENCE S <br /> CLAIMS- OE PREIAIISFFS Eo CrecrieP•d <br /> ,........ _-. = MED tXP IAny une pm Dn) S <br /> PERSONAL AAOV INJURY S <br /> GEN'LAGGREGATE LIMIT APPLIES PFR; GENERAL AGGREGATE $ <br /> POLICY JECT LOC PRODUCTS-COMPIOPAGO i <br /> OTHER: _ <br /> AUTOMOBILELWBILMY <br /> � £B aCC dAhll- _ <br /> ANY AUTO <br /> BODILY INJURY[Pot pen anl ; <br /> �OWNED &OHEDULEtS <br /> AUTOS ONLY AUTOS eONLY INJURY(Per accident) S <br /> I AL TO$ONLY NON OWNED qY per— g <br /> AUTOS ONLY <br /> i rPer exldeni <br /> s <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> I IXCEcSB LIAR OLAIMS•AL4D1 AGGREGATE g <br /> _ DED RETENTION S — 6 — <br /> A WORKERUCONIP£NSATEON Wf_V51i782t$l11 --- S104I202ti aW041202 -- <br /> AND£M1RPLOYER8'LIAHILnY SIATJL _ <br /> OFFICEROIPMEMBER EXXCLU0 D?ECk1TIVE MIA E.L.EACH ACCIDENT $1 000 000 .. <br /> I ,dasc In NH) E.L,DISEASE•EA ENFFLOYEE S1,DOQ,a00 <br /> IIf M yea,dOscrlh0 under <br /> (]ESCRIPTIpN pF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000 000 <br /> I <br /> I <br /> DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES IACCRD 101,AddlHandl R0metkd ScheduIs,may he attach ad H more apace Id requtredl <br /> A waiver of subrogation applies where required by written contact. <br /> CERTIFICATE HOLDER _ CANCELLATION <br /> Service Station Systems,Inc. SHOULD ANY OF THE ABOVE DESCR1aE0 POLICIES 0E CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DEL{VEREO IN <br /> 3224 Regional Parkway ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Rosa, CA 95403 <br /> AUTHORIZED REPRESENTATIVE <br /> C�71988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) 1 Of 1 The ACORD dame and logo are registered rnarks of ACORD <br /> #S495771971M49574723 BLKZP <br />