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■ 1 t../ 1 I 1 1'Y�7�7:)R �V V�PRODUCER OP ID Cl DATE(MMIDDNYYY) <br /> S�V'I01 3 08 <br /> 06 0 <br /> George Petersen Ins Agency THISTERTIFICi4TE SUED ASAMA7TEROFINFORM06 <br /> P. 0. Box 3539 ONLYANDCONF.EIa 4041IGHTS{JPONTIIEICERTIFICATE <br /> 627 College Avenue HOLLER THIS:CERnFaCATEDpESNOT AMEND,EXTEND OR <br /> Santa Rosa CA 95402 ALTER. E:COVERAGrz- FFORDED-BY THEP.OL'ICIES`BELOW. <br /> Phone: 707-525-4150 Fax:707-525-4175 <br /> RERSAFFORDING.COVERAGE <br /> INSURED 1NSUNAIC q <br /> INSURER rGzA •.Insurance CO <br /> >14I1. <br /> INSURED; <br /> Sg rvicg Station Systems, Inc. INKNMR-C: <br /> 660 inn Avenue <br /> Sea ,Tose CA 95112 INEtIIR�:.. <br /> COVERAGES NSORERI: <br /> TME POLICIES OF INSURANCE LIS TED'BELOWHAVE 43EENISSUEDTOTHE INSURE DNAMED ASWA.F RaWip LICi�ERIGD IOICA7ED'NOTIMT}1STANpINC, <br /> ANYRECUIREMENT,TfRM OR CONDITION-OF ANY CONTRACT OR'OTHEW-DOCUMENT WrrH RESPR OR WHICH?'HIS;ERIQI)IIDUT AyNEAS[UED�q <br /> MAY PERTAIN;THEINSURANCEAFFORDED IY°TMEPOLICIES'DESMISEOMEREMISSUBJECT TOI1LT-TC)H"' *SvOERIppSyWp AVSETIONSCFSUGH <br /> POLICIES.AGGREGATE'LMIITSSk10WNIMYHAVE BEEN REDUCED BY PAIOOWMS. <br /> LTR' R . TYPE OF INSURANCE POLICY NUMBER DA p ` <br /> GENERALIL A'MILITY LINTS <br /> COMMERCIAL GENERAL LIABILITY I <br /> CLAIMS MADE F7 OCCUR ■ o nq S <br /> ; Gvarl�rlY• i <br /> GENL AGGREGATEppLIMITAPPLIES PER wGGREGAZE S <br /> POLICY JECT 7 Loc PRi7pu ggl.VOMPIDPAGG i <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO (COMONED <br /> SINGLE LIMIT i <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURyman) i <br /> HIRED AUTOS <br /> NON-OWNED AUTOS (Per <br /> L <br /> ODtYINJURY <br /> IS <br /> IPM�N AMAGE i <br /> GARAGE LIABILITY <br /> ANY AUTO <br /> AUT bONIY•EAACC IDENT I <br /> HOTHER THAN EA ACC S <br /> EXC[SSAIMERELLA LIABILITY AUTO DNLY: AGO i <br /> OCCUR � CLAMS MADE <br /> EACHDCCURRENCE i <br /> AGGREGATE I <br /> DEDUCTOLE f <br /> RETENTION i i <br /> WORKERS CD*1pATION AND i <br /> �► EMPL'o CITY 3310020636081 A Y ' <br /> yn OL�T cunvE 06/04/08 06/04/09 EL;EAp1f91CGIDENT ;100 D0 <br /> 6A f2 SMWw EL.DI� 11iE�EA 1 llOYE i'�i� �AO <br /> otMER ELrIs�AaE.�PoacY.LiMIr� I$p�.. 00 <br /> DESCRPrMN OFIDPERAnON[1 LOCATIONS I VEWCLES IEXCLi18I0NS-ADDE.D!BYL!NppR[W1NTY SpfgAtiaIROVIdIpNS" <br /> Re: License #485184 <br /> Evidence of Workers' Compensation Coverage, <br /> Ten Day Notice of Cancellation in the event of non-paymnt Of_prwayu., <br /> CERTIFICATE HOLDER CAWIDfmWi.AAT-40 <br /> SNOUI D ANY4F rHE <br /> DATE?KEMDP;iHE`B1i1WpkVtEG.DIMICEUREBRYOR:PLoLuEcNiDEBAEyEOCRATN0C'WELULL D/[FORE97aPIMTON <br /> "' <br /> 3OM yMTEN <br /> NOT=70THE CERTIFICATE NOL:D[R NAM to TO TME LIFT,NUT FAILURE TO DO 10 SKALL <br /> Contractors State License Boar I►MDEENO+OELKIATi0N0I11LASILITY OF ANY KIND UPON THE INSURER;ITS ADEM OR <br /> PO Box 26000 R[FM[ENrATIVES, <br /> Sacramento CA 95826 A T1VE <br /> ACORD 25(2001108) ®ACORD CORPORATION 1988 <br />