Laserfiche WebLink
® SERVISTAT <br /> TIFIT OF LIA ILL INSU NCE DAT WSJ <br /> ceR COmmerCiRl Lines Unit(707)989-2900 THIS CERTIFICATE I3 ISSUED A5 A N ATTERI OF INFORMATION <br /> g ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> ARD Insurance 8,Flnenclat Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1039-A N.McDowell Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Petaluma,CA W54-5507 INSURERS AFFORDING COVERAGE NAIL 11 <br /> INSURED Service Station Systems,Inc. INSURER A: teak RivW Inauranoe Company 34830 <br /> 3224 Regional Parkway INSURER B: <br /> INSURER 0: <br /> a4URERR D: <br /> Santa Rosa,CA 95403 SNetNNER E: <br /> COVERAGES <br /> THE POLICIE$OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMeNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 13$UED OR <br /> µAY 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 POLK:Y EFF C E P ucr E%PEiA LTR <br /> TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LABILITY EACH OCCURRENCE f_ <br /> COMMERCVsIGENERAL 6NBILfTY DAMACETORENTEP I ! <br /> CLAIMS MADE ®OCCUR MED EXP An ane arson $ <br /> PERSONAL R ADV INJURY $ <br /> GENERALAGGREGATE f .. <br /> GEN'L AGGREGATE LIMn'APPLIES PER: PRODUCTS•COMPIOP AGG t <br /> POLICY PR¢ lac <br /> AUTOMOBILE LLNBRJTY - COMSINP.D SINGLE LIMIT $ <br /> ANYAUTO (FA eaaa mJ <br /> ALL OWNED AUT09 BODILY MIRY <br /> BCHI<DULr;DAUTOS (FWPOMM) $ <br /> HIRED AUTOS BODILY INJURY <br /> (Per saaNenO $ <br /> NON•OwNEDAUTOS <br /> i <br /> Pr80PERTY aALIAaE ; <br /> (Peraccident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN FAACC $ <br /> AUTO ONLY: AGG ! <br /> 9XCEBWURELLA LABILITY EACH OCCURRENCE ! <br /> OCCUR CLAIMS MADE AGGREGATE f-__-_,----__.- <br /> f <br /> DEDUCTIBLE <br /> RETENTION f <br /> rASAYION AND WC LIMIT E <br /> WORKER@ COMPO <br /> A EMPLOYERS'uaaan'Y 2210Q20836071 8/4J2G0> 8/4/2008 X HYLadl7 <br /> E.L.EACH ACCIDENT I <br /> ANY PROPRIETORMARTNERfEXECUTNE <br /> OFFICERIMMSER EXCLUDED? Et,DISEASE•EA CNIPLOYE $ �•�•� <br /> P yea,d"cAbe u.der i3OW,000 <br /> OMIT <br /> EL.DISEASE•POLICY LM ! <br /> OTHSR <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEMICLES 1 EXCLUSKNNI ADDED aY ENOWBENIENT I SPECIAL PROVISIONS <br /> Evidence of COVerage. <br /> CERTIFICATE HOLDER CANCELLATION Ten Day NO600 Or Non-Payment <br /> SHOULO ANYOF THE ABOVE DESCRISEO POMIES BE CANCELLED OfFORB THE EXPIRATION <br /> DATE THERBOP,THE ISSUNO INSURER Wal ENDEAVOR TO MAR. 30 DAYS WRITTEN <br /> }Chevron NOTICE TO THE CERTTPICATM,HOLDER NAMED TO TM LEFT,BUT FAILURE TO DO E0 SHALL <br /> C/O AMCS IMPOSE Ra OaUgATT0N OR LABRJTY Of ANY KIND UPON THR BISURER ITS AdW9 OR <br /> PO Bax 2020 REPRESENTATIVE$. <br /> Conway AR 72033 <br /> ACDRD 25(2001108) 46341 0 ACORD CORPORATION 1988 <br />