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. Certificate Preview Window - when finished Page 1 of 1 <br />Certificate Preview <br />T DATE <br />A� CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) <br />03/30/2012 <br />TIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES <br />RMATIVlt Y OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE <br />T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERM, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER <br />NTs It the cartiReato holder is an ADDITIONAL INURED, the poilcy(�) must be endorsed. If SUBROGATION IS WANED, subject to the terms and <br />Fpch <br />s of the policy, certain polys may require an endorsement. A statement on this cartiNcate doer lot anter rights to the certificate holder in lieu of <br />orsem sr <br />LIC #0829370 P: 1-925-244.7700 <br />Partners Insurance Center <br />Edgawood Partners Insurance Centers (EPIC) [San Ramon Branch) AX <br />P. 0. Box 5003 EM : 92 244-7700 A/C NO : 925 901-0671 <br />San Ramon, CA 94583 <br />Agent: : EPICcerts ns.mm <br />PINSURER(S) <br />Insured (S)AFFORDING COVERAGE NAICNSGetder-Ryan, <br />Inc. WESTCHESTER SURPLUS LINES INS CO 10172 <br />6747 Sierra Court, Suits D PEERLESS INS CO 24198 <br />Dublin, CA 94568 TRAVELERS PROPERTY CAS CO OF AMER 25674 <br />Insurer D: <br />Insurer E: <br />Insurer F: <br />XIVERAGES ICERTIFICATE NUMBER: 28415081 IREVISION NUMBER: <br />18 TO cores THAT THE POUGES OF INBURMICE UBTED BELOW HAVE BEEN IaeUED <br />TO THE INSURED MMAED ABOVE FOR THE POLICY PERF INDICATED. NOTNATHffiTANOINO ANY <br />gU11113eENr. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HATH RESPECT <br />TO WHICH THIS CERTIFICATE ANY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE <br />OUCIES DESCRIBED HEMI IS SUI ECT TOALL THE TEKMS EXCWSOIS AND C ONDn WJS OF <br />rAn of nwrana <br />TE.N=EROAL <br />SUCH POLICIES. LIMITS SHOWN MAY MWE BEEN REDUCED BY PND CLASA. <br />E4IHcthm Expirsdoe <br />LIABILITY <br />4014484005 <br />04/01/12 <br />04/01/13 do Occurrence 10000 <br />ICommercial General Uabli ty <br />snags to <br />I I Claims Made IXI Occur <br />Ise# Ea occurrence 50 000 <br />I1 <br />ed Ex An one 5 000 <br />I I <br />rsonal & Adv In u 1000 <br />n9 Aggregate Unit Applies Per: <br />n rel z 000 0 <br />11 Policy 1X1 Project I I Loc <br />aces -Corn 0 0 <br />B <br />AUTOMOBILE LIABILITY <br />BAS404396 <br />04/01/12 <br />04/01/13 mbined Single Limit (Es <br />IXI Any Auto <br />deer 10 0 <br />11 All Owned Aute I I Schaduled Autos <br />II In u Per rson <br />IXI Hired Autos IXI Non -Owned Autos <br />ly uro (Per <br />I I I I <br />dent)I <br />rty Damage (Per <br />celdent <br />A <br />I I UMBRELLA LEAB IXI OCCUR <br />G24014502005 <br />04/01/12 <br />04/01/13 ach Occurrence 4.000. <br />I I DICESS UAB II CLAIMS MADE <br />gregate 4000 <br />DEDUCTIBLE IXI RETENTION $ 0 <br />C <br />WORKERS <br />ARRTTNEER NEXECUTIVE FICEERR/,MEMBER <br />NA <br />U87627P4151 <br />04/01/12 <br />04/01/13 IXiums tutory 11 8 <br />PROM OII/ Fo EXCLUDED? Y/N <br />Mandatory in NH) Y <br />L Eads Aaddent 10000 <br />f yes, describe under DESCRIPTION OF OPERATIONS below <br />L Disease -Ea EmlpoAl 1 000 0 <br />L Disease-Polla <br />Sx Limit 1 000 00 <br />A <br />R <br />Pcilution <br />S24014484005 <br />04101/12 <br />04/01/13 Occurrence $1,000,00 <br />BLeek <br />Equipment <br />BP8404796 <br />04101/12 <br />04/01/13 Item $ 1001 <br />A <br />1 Uabdltv <br />324014484005 <br />04 01 13 Claim $1.00000 <br />.2%j"12 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space In required) <br />ADDITIONAL INSURED: Valera Energy Corporation, its subsidiaries, affiliates, officers, directors, and employees <br />we Included as Additional Insured except Workers' COmpensatlon and are grand a Waiver of Subrogation <br />an all policies. Coverage pr-lded by above polides are primary and any Insurance the Valero Companies may <br />carry on their own behalf. <br />CERTIFICATE HOLDER LATION <br />Valero, Its subsidiaries & affiliates & their respective ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />offloars, dire�rs, employees, age & representatives ION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />Contractor Insurance Comply PROVISIONS. <br />[6d.n <br />P.O. Box 12010 VL ized Representative <br />Hemet CA 92546-8010 Quinn <br />USA <br />rjohnsonl ® 1985-2010 ACORD CORPORATION. All rights naserved. <br />26415081 <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />https://certificatesnow.conf meet.com/Common/certificatePreview jhtmlajsessionid=Y2S3... 4/4/2012 <br />