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Certificate Preview Window - ,.jse when finished Page 1 of 1 Certificate Preview lDATE AC"REP CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 03/30/2012 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 certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must 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 rights to the certificate holder In lieu of such endorsement(s). Producer LIC#OB29370 P:1-925-244-7700 CONTACT EdgewOOd Partners Insurance Centers(EPIC)[San Ramon Branch] NAME:Eewood Partners Insurance Center P.0.Box 5003 PHONE FAX A/C No.Ext: 925 A/C 244-7700 No: 925 901-0671 San Ramon,CA 94583 E-MAIL Agent: ILADDRESS;EPICcertsCedgewoodins.curn Insured INSURER(S)AFFORDING COVERAGE MAI" Gettler-Ryan,Inc. Insurer A: WESTCHESTER SURPLUS LINES INS CO 10172 6747 Sierra Court,Suite I Insurer 8: PEERLESS INS CO 24198 Dublin,CA 94568 Insurer C: TRAVELERS PROPERTY CAS CO OF AMER 25674 Insurer D: Insurer E: Insurer F: ffAL ES CERTIFICATE NUMBER.26415061 REVISION NUMBER: CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY NT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUOI POLICIES.UM17S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. no nsunrHt� o r ry m Effective Expimlw, GENERAL LIABILITY 24014484005 04/01/12 04/01/13 Each Occurrence 1 000 0 mmercial General Uatlllty Damage to Rented s Made IXI Occur remises Ea occurrence 50 000 Med Ex An one rson 5 000 rsonal&Adv In u 1 000 00 ggregate Limit Applies Per: 11 Policy I X I Project I I Luc neral jeAggregate 20000 roclucts-ComPIOP Agg 2000 0 B AUTOMOBILE LIABILITY BAS404396 04/01/12 04/01/13 ombined Single UmHt (Ea I X I Any Auto ccident) 1 0000 11 ALI Owned Autos I I Scheduled Autos ily Injury Per rson I X I Hired Autos IXI Non-Owned Autos ily Injury (Per 11 I I cadent Property Damage (Per cadent A II UMBRELLA LIAB IXI OCCUR G24014502005 04/01/12 04/01/13 Each Occurrence 4 000 000 I I EXCESS LLAB 11 CLAIMS MADE Aggregate 4000 1 DEDUCTIBLE IXI RETENTION $ 0 C ORKERS COMPENSATION AND EMPLOYERS'LIABILITY N/A DTIU57827P4151 04/01/12 04/01/13 WC Statutory ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED?Y/N 1X1Umits I IOMe Mandatory In NH) Y .L Each Accident 1 000 00 f yes,describe under DESCRIPTION OF OPERATIONS below .L Disease-Ea Em to ee 1 000 0 .L.D[sease-Pollcy Umit 1,000,00 AETHER"u24014484005 04/01/12 04/01/13 Occurrence $1,000,00 Bnted/Leased Equipment SPS404796 04/01/12 04/01/13 er Item S100, Afessional Uatlll 24014484005 04/01/12 0-4/01/13 er Claim 1000 W DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) ADDITIONAL INSURED:Valero Energy Corporation,Its subsidiaries,affiliates,officers,directors,and employees re included as Additional Insured except Workers'Compensation and are granted a Waiver of Subrogation n all policies.Coverage provided by above policies are primary and any insurance the Valero Companies may Try on their own behalf. CERTIFICATE HOLDER CANCELLATION Valero,Its subsidiaries&affiliates&their respective SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Ricers,directors,employees,agents&representatives EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Contractor Insurance Compliance POLICY PROVISIONS. P.O.Box 12010-VL Authorized Representative Hemet CA 92546-8010 Brian F.Quinn USA rjohnsonl m 1995-2010 ACORD CORPORATION.All rights reserved. 26415081 ACORD 25(2010/05) The ACORD lame and Logo are registered marks of ACORD Continue pose Window https://certificatesnow.confi =et.com/Common/certificatePreview.j*html;jsessionid=Y2S3... 4/4/2012