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B&TSE-2 OP ID:NP <br /> CERTIFICATE OF LIABILITY INSURANCE °"'08/17/11""' <br /> 08/17!11 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the ceruticeto holder Is an ADDITIONAL INSURED, the pollcy(les) must be endoreatl. If SUBROGATION IS WAIVED,Subject to <br /> the terms and conditions of the Policy.Certain policies may require an endorsement. A statement on this certificate does not center rights to the <br /> certificate holder in lieu of such eadorsomont(s). <br /> PRODUCER 806543.6887 CONTACT <br /> Morris&Garrilano Insurance N MEy Norma Jean <br /> A enc License#0305584 805-643.3064 PHONE Ext 368 <br /> g y ta!Q�,hl aW (AIC.No): <br /> Miramar 1189 ENML '-- <br /> San Luis Ohlapli,CA 93406-1189 -8MR65t:__P efeZ�.morrl6Aarritano.com <br /> INSURERS)AFFORDING COVERAGE _NAICa <br /> ----- __.__.._ .__.___�_.__.___ INSURERA1EverestNational _� ` 19100 <br /> INSURED B&T Service StaOon Contractor ...__...___............................__......_____.__._._..__ <br /> dba:KC Partners Corp INSURER a:Amco Insurance Co. <br /> 630 S.Frontage Road INSURER C: <br /> Nipomo,CA 93444 INSURER D: -- — —_-~-----'-- ---_ - -- <br /> _ INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. 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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITSSHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. <br /> jq TYPE OF INEURANCE AbOl POLICY NUMBER -lidutTlikF POLI -----"'-"�--" <br /> GENERAL LIMIILMr (YM/ODJYYYYI Y LIMITS WAGG3 <br /> RENCE SCOMMERCIAL GENERAL LIABILITY i��ccur .co S _CLAMS-MADE O OCCUR Ono perms) S ___AOV INJURY SREGATE II ___ _ __GEN'L AGGREGATE LIMITAPPLIES PER: CUMPJOP AGG 5 TPOLICY PRO1 L_J._(Lw _ s <br /> AUTOMOBILE LMBIUTY - _- �� (Ea a¢ldamLl ELIMIT 1,000,00 <br /> B X ANYAUTO )( CP7942727977 08115/11 08/15112 BODILY INJURY(Parpomon) S <br /> ALLOLEO <br /> AUTOS BODILY INJURY In.,acdd.i) a <br /> AUTOS AUTOS <br /> AUTOS <br /> HIREDAUTOS NON-OWNED <br /> AUTOS PROPERTY Per acddeM $ <br /> 3 <br /> UMBRELLA LIM OCCUR � EACH OCCURRENCE S_______ <br /> EXCESS LMB — CLAIMS-MADE AGGREGATE _ S_ <br /> D RETENTIONS $ <br /> WORKERS COMPENSATION W S ATU- DTH• <br /> AND EMPLOYERS'UMILITY X <br /> A ANY PROPRIETOIWARTNERIEXECUTIVEYIN 7600003222111 08/16/11 08115/12 E.L.EACHACCIDENT $ 1,000,00 <br /> OFFIOERa1EMBMI E%CLUDED7 NIA <br /> (ML tkia,nbftUnv NH) E.L.DISEASE-EA EMPLOYE S 1,000,00 <br /> ayaawscriOs under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UNIT S_ 1,00000 <br /> B InstallatlonFloatS w7s42727977 08/1W11 08116112 <br /> 1,000139 it 350,00 <br /> B RMsseEgolpmsnt ACP7942727977 08116/11 08116112 1,0000edt 100,00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$(Attach ACORD 101,AddillenM Ramarlo Sdvduls,it mon apace is ragulmd) <br /> Certificate Holder is additional Insured as respects Auto liability and <br /> Waiver of Subrogation perform AC2404B. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TESOROR <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Tesoro Refining ACCORDANCE WITH THE POLICY PROVISIONS. <br /> c/o PICS <br /> PO Box 61387 AUTHORIZED REPRESENTATIVE <br /> Irvine,CA 92819nf^ <br /> ©1988.2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />