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•,�••- -• --. • • •• •®• • • — ••• •�..s.....�® ® ® lG s ow %­L <br /> 06110/09 <br /> George <br /> . THIS;C FICATE> UED AS A MATTER'OF,INFORMATION <br /> George Petersen Ina Agency ONLY AND CON 'RIGHTS UPON THE CERTIFICATE <br /> P. 0. Box 3539 THIS te"PIUCATE-DOES NOT AMEND,_EXTEND OR <br /> 627 College Avenue ALTER THECOV9RAGE'AFPMWD By THE-POLICIES BELOW. <br /> Santa Rosa CA 95402 <br /> Phone: 707-525-4150 Fax:707-525-4175 INSURERS I COVERAGE NAI# <br /> VWURe9 A InEIT T:ance.C <br /> I : <br /> g Qi Station System, Inc. c: <br /> San 12 <br /> o: <br /> INSUR02. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTROSSLOWHAVE SEEN ISSUED TO THE INSURED RAMEDASOVE FOR' TED.NOTINIOWANDING <br /> ANY REQUIREMEK TERM t)RCONDMWGFAW CONTRACT OR OTHER DOCUMIENTWITHANSPBOTTO VMICH THISZER -MM AY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICIES 09SOMM HEREIN 18 SUBJECT To'ALL THEETERMSVICLUSIONS'AND NS OF SUCH <br /> POLICIES.AGGREGATE UhUTS&4OWIN MAY HAIR:+SEEN REDUCED BYPAIDZLAWS. <br /> MIT <br /> OF LTR TYFEe POLICY`.N BR DA LIMITS <br /> GENERAL LIASUTYEAC"VOCURRENDE-< S <br /> IAL LINTY <br /> CLAIMS MADE OCCUR ES.'EN;eic�iEnes S <br /> PERSONALAADVINJURY S _ <br /> E s <br /> GEWL AGGREGATE LSAITAPPLIES PER: PRODUCTS;-AGGREGATGREGATAGO,-8 <br /> POLICY 2CT lOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO <br /> COMBINED INGLE LIMB 8 <br /> ALL OWNED AUTOS <br /> LY INJURY <br /> 8 AUTOS (SPxDIPman) 8 <br /> HIRED AUTOS <br /> SDINLY INJURY ri <br /> NON.CWNED AUTOS (par s word) <br /> PROPERTY DAMAGE 8 <br /> (P�Acddonl) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO <br /> OTHER THAN EA ACC 8 <br /> AUTO ONLY: AGO 3 <br /> gxcEeLwaRSLLA UABW7Y EACH OCCURRENCE S <br /> OCCUR ®CLAIMS MADE AGGREGATE 8 <br /> S <br /> DEDUCTIBLE 8 <br /> RETENTION S 8 <br /> YVORK8R8=BF01111TICNAND B O ELIABILITY R- <br /> A ANY PROPRIETORIPARTNERIEXECUTIVE 3310020636091 06/04/09 06/04/10 ELEACHACCXXNT 31000000 <br /> OFFICERIMEMBEREXDLUDED7 EL DOME-Ea EMPLOYEE s 100000,0 -- <br /> $ E.LDISEASE-POLICY IMM 81000000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VENCLE8I EXCLUSIONS ADM BY IBIOORS NTAPROVIIIINS <br /> Proof of Coverage. <br /> *Tea day notice of cancellation in the event of non payamt of -premium. <br /> CERTIFICATE HOLDER CANCEUATION <br /> SMILD ANY OF THE ABOVE DRUMED POLICIES BE CANCELLED'MOONTHEZU11RATM <br /> DA'mlmmw. vaLemnAvaRTamAL 30* DAYSWRITTKN <br /> NDTTCE'T'O THEE TS HOLOER41AWD TO THE LEFT,BUT PAILURE TO DO OO SHALL <br /> Proof of Coverage IMPOSE NO TION ORUABIUTYOFANYMIND UPON THE`INSUREKITS AWWSOR <br /> ROPIVISIDITATIVIIII. <br /> TME <br /> ACORD 26(2001100) ®ACORD CORPORATION 1988 <br />