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_ SERVSTA-CL <br /> DAtEOft"XIMM <br /> CERTIFICATE OF LIABILITY INSURANCE 6/112oz2 <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 AMENp, EXTEND OR ALTER THE COVERAGE AFFORDED IS THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUFtER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: II the certftaiv holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provia Ions or be endorsed. <br /> It SUBROGATION IS WANED, subject to the terns and conditions of the policy, certain .policles may require an endorsement A Statement an <br /> this certificate does not confer rights to the certificate holder in lieu of such. andomemen t <br /> PRODUCEIt <br /> PHONEGoo rg® Petersen Insurance Agency, Inc. E,n . (7071 bI 150 FAX wror,(707) 5754175 <br /> P.O. Box 3539 iM pins.cont <br /> Santa Rosa, CA 95402 <br /> INStiFIERIgI AFQRDfMG c,QYERAoe <br /> INSURER A * ore n Mutual insurance Combs.»y_ 14907 <br /> — _ <br /> INSUREDMIR� WCF National Insurance or►� <br /> m _ _ <br /> Service Station Systems, Inc. -- — <br /> 3324 Regional Parkway INSURERDr <br /> Santa Rosa, CA 95403 KI E - <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUM6Ei1 : f0 LIMB <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEQ ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CON01 PION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSU8IECTTOALLTHETERAAS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPE OF wSURANCE <br /> &IJaR POLICY NUMBER POLIO P� ExP L• lm <br /> CONINERCIAL GENElW ILLI eILITY EACH E <br /> T RENTED <br /> CLAIMS-MADE OCCUR I <br /> R <br /> NFfdl ArraEGATE <br /> G AGGRE TE UMR APPU PER: <br /> POLICY � LOC PRGT6 - PDP S <br /> OT EBWWNEDSWGLELIMIT 100000000 <br /> A AUTOMOSU UA6aITY <br /> X ANY AUTO M0923523 1111512021 11/15/2022 LY INJU Y t `er son <br /> SCFIEDULED v INJURY eoatdent s _ <br /> 1,,:y <br /> Y AUTODX X ATOS ONLY s <br /> EA N I <br /> WaRELLA LIAe OCCUR AgQ <br /> FJICESlUAe CLAWS MADE TE , <br /> DED RETENTIONS X R LOTH <br /> B W11 L '"1Our"Y 6/412022 61412023 �R 1 ,000,000 <br /> AW 1 46603 1sL EACIiAS�_NT s <br /> F PN�IvE�Ectrtn�E i NIA 1 ,000,000 <br /> LJ �,)�sE9S� � E s . _._ _ <br /> Hyes deerJibe kyr E.L DISEASE - YLI IT _ 1 ,1190,000 <br /> DESt;R1PT10N OF O RAT below <br /> 1 � <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD tot, Adoael RemerNs ScMduN, may be eNteMd H more spot* h requMd) <br /> dll <br /> RE: Proof of Coverage <br /> CERTIFICATE HQLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE <br /> ATHE EXPIRATION CCORDANCE WITH TTHE <br /> WILL BE DELIVERED IN <br /> HE POLICY P OVI,SIONS <br /> AUTHORIZED REPRES <br /> ENTATIVE <br /> ® 1988-2015 ACORD CORPORATION, All rights reserved . <br /> ACORD 25 (2016103) <br /> The ACORD name and logo are registered marks of ACORD <br />