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OP Ib C1 DATE{MMroD/YYYYI <br /> ACQ • CERTIFICA F LIABILITY INSURAN _ SERVTOI 06 04 oa <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> George Petersen Ins Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P. O. Box 3539 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 627 College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Santa Rosa CA 95402 <br /> Phone: 707-525-4150 Fax:707--525--4175 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: __5;_y_pre56 Insurance Compare <br /> INSURER B: <br /> Service Station Systems, Inc. I INSURER C: <br /> 680 Quinn Avenue INSURER D: <br /> San Jose CA 95112 <br /> ENSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 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 /> INSR DD L, POLICY NUMBER POLICY EFFECTIVE OIC.C IY EXP RA O LIMITS <br /> LTR 1NSRd 7'YPEOFINSURANCE ATE MM/DD/YY) DATEIMMIOD,YY1 <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea Dccurance) S <br /> CLAIMS MADE a OCCUR MED EXP(Any one person) S <br /> PERSONAL 8 ADV INJURY 5 <br /> GENERAL AGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S <br /> POLICY jEO LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT 5 <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) S <br /> HIRED AUTOS <br /> BODILY INJURY � <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO ONLY: AGG I S <br /> "CESSIUMBRELLA LIABILITY EACH OCCURRENCE 5 <br /> OCCUR n CLAIMS MADE I AGGREGATE S <br /> { S <br /> DEDUCTIBLE 5 <br /> RETENTION 5 5 <br /> WORKERS COMPENSATION AND X ITORY LIMITS I l ER <br /> A EMPLOYERS'LIABILtTY 3310020636081 06/04/08 06/04/09 E.L.EACH ACCIDENT s3.000000 <br /> ANY PROP RIETORIPARTNERIEXECUTIVE <br /> OFFICERIMEMBEREXCLUDED7 E.L.DISEASE-EA EMPLOYEE 51000000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 51000000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/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 /> CERTIFICATEHOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <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 SO SHALL <br /> Proof of Coverage IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> A RETE TiVE <br /> L-Ltj <br /> ACORD 25(2001/08) \v\ ©ACORD CORPORATION 1988 <br />