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Owen -Dunn Insurance Services <br />1455 Response Road, Suite 260 <br />Sacramento, CA 95815 <br />L` <br />3 eU RAN C E Date (mm/dd/yy) <br />1 11/2/2009 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />NSR <br />LTR <br />INSURER Peerless Inc. Co <br />POLICY NUMBER <br />NAIC# 24198 <br />INSURER Travelers Indemnity Co. <br />916.993.2700 0522677 <br />www.owendunn.com <br />B NAIC# 25658 <br />isured <br />INSURER Great American Alliance Ins. Co. <br />BZ Service Station Maintenance, Inc. <br />C NAIC# 26832 <br />INSURER <br />P.O. Box 933 <br />West Sacramento CA 95691 <br />GENERAL AGGREGATE $ 2,000,000 <br />RFNSURE <br />$ <br />B <br />E <br />.OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TFPNAC FXCI I ICI(1PIC Akin Cr)KInITInKK, nF CI ICN Pni If:IFC ArrPFrATF I IMITC CHf1WN MAV HAVF RFFNI PPnlIrFf1 RV PAin CI AIMC <br />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIAR <br />CLAIMS MADE OCCUR <br />UNT AGGLIMIT APPLIES PER <br />POLICY PROJECT LOC <br />CBP9555195 <br />2/15/2009 <br />2/15/2010 <br />EACH OCCURRENCE $ 1,000,000 <br />FIRE DAMAGE (Any one fire) $ 100,000 <br />MED EXP (Any oneperson) $ 5,000 <br />PERSONAL & ADV INJURY $ 1,000.000 <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMP/OP AGG $ 2,000,000 <br />$ <br />B <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BA2045NO88 <br />2/15/2009 <br />2/15/2010 <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) $ <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTY DAMAGE <br />(Per accident) $ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />A <br />_VCESS LIABILITY <br />OCCUR R CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />CU8715535 <br />9/4/2009 <br />2/15/2010 <br />EACH OCCURRENCE $ 1,000,000 <br />AGGREGATE $ 1,000,000 <br />$ <br />$ <br />C <br />WORKERS' COMPENSATION & <br />EMPLOYERS' LIABILITY <br />WC2601049 <br />10/27/2009 <br />10/27/2010 <br />VISTATUTORY LIMIT OTHER <br />EL EACH ACCIDENT $ 1 00,000 <br />EL DISEASE - EA EMPLOYEE Is 1,000,000 <br />EL DISEASE - POLICY LIMIT $ 1,000,000 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />*Evidence of Insurance LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENTATIVES. ` 10 Days for Non -Payment of Premium. <br />AUTHORIZED <br />REPRESENTATIVE <br />Arica Serpa <br />ACORD 25-5 (7/97) OACORD CORPORATION 1988 <br />CERT NO.: 6174251 CL -ENT CODE: 4762 Arica Serpa 11/2/2009 11:24:07 AM Page 1 of 2 <br />