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,actoRn <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (ML1/DonY <br />j <br />IS CERTIFICATE IS ISSUED AS A µATTER OF INFORMARIGHTS UPON THE CERTIFICATE HOLDER'TH <br />RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEER.T I <br />LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREII AUTHORIZE <br />PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the ""Ir(ies) must be endorsed. If SUBROGATION IS WAIVED, cubjeel l <br />the terms and conditions of the Policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to U <br />certificate holder In lieu of such e,dorsement(a). <br />PRODUCER <br />Scor a Petersen Insurance Agency, Inc. coNucT <br />NAME: <br />e.0. oa 3539 PHONE <br />lama Roca. CA 95402 _. o Ea1:(707) 5251FAA <br />INSURED <br />Service Station Systems, Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95103 <br />of the <br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED TAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY F ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EKCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R TYPE OF INSURANCE ..___ <br />COMMERCIAL GENERAL L lwy <br />] CUUMS•MADE 0 OCCUR <br />t ffl- AGGREGATE{ IMT APPLIES PER <br />POLICY ❑ JEC <br />El <br />LOC <br />OTHER <br />AUTOMOBILE LMBILTY <br />ANYAUTO <br />ALL OWNED <br />SCNEOUIED <br />AUTOS <br />AUTOS <br />NIREp AVTOS <br />NON-0WNED <br />AUTOS <br />UMBRELLA LIAR <br />OCCUR <br />E%CESS LIAR <br />_..__ <br />A <br />0610412014 08ro412015 <br />DESCRIPTION OF DPEMTIpNS / LOCAnONS /VEHICLES (ACORD 101, AdtllllonalIIISCAedule m.y be enaehed M more epee <br />2E: License 04B57fl4 <br />BODLY1N1URY(Pdr <br />APR 2 3 2015 <br />NVIRONMENTAI <br />I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Contractor State License Board Workers Compensation Unit THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED PO Boxram nto, ACCORDANCE WITH THE POLICY PROVISIONS. EKED IN <br />Sacramento, CA 95826 <br />AUTHORIZED REPRESENTATIVE <br />�• v V _ <br />ACORD 25 (20i4/Ol) The ACORD name and logo are registered marksofACORD D CORPORATION. All rights reserved. <br />