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SR0075426
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4200/4300 - Liquid Waste/Water Well Permits
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SR0075426
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Entry Properties
Last modified
11/19/2024 10:36:10 AM
Creation date
12/5/2017 1:48:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0075426
PE
4372
STREET_NUMBER
0
STREET_NAME
I-5
City
STOCKTON
Zip
95204
ENTERED_DATE
8/9/2016 12:00:00 AM
SITE_LOCATION
I-5
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\F\4 (HWY 4)\0\SR0075426.PDF
QuestysFileName
SR0075426
QuestysRecordID
3164107
QuestysRecordType
12
Tags
EHD - Public
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AC� <br /> F CERTIFICATE OF LIABILITY INSURANCE DATE(M3/30/MIDD/YYYY) <br /> 2016 <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(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER Company CONTACT <br /> Risk Strategies Com an NAME: Risk Strate ies Com an <br /> 2040 Main Street, Suite 450 PHONE 949-242-9240 FAX No: <br /> Irvine, CA 92614 E-MAIL <br /> ADDRESS: S Oun risk-Strate ies.com <br /> INSURERS AFFORDING COVERAGE NAIC It <br /> www.risk-strategies.com CA DOI License No.OF06675 INSURERA: Valley Fore Insurance Company 20508 <br /> INSURED INSURER B: Continental Insurance Company 35289 <br /> The Kleinfelder Group, Inc. <br /> (See Attached Named Insured Schedule) INsuRERc: Continental Casualty Company 20443 <br /> 550 West C Street, Suite 1200 INSURERD: American Casualty Company of Reading,PA 20427 <br /> San Diego, CA 92101 INSURER E: Ace European Group Limited NAIC#AA1120810 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 29239094 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1�TR TYPE OF INSURANCE B POLICY NUMBER MM DIDY/YYW POLICY <br /> M DDS LIMITS <br /> A ✓ COMMERCIAL GENERAL LIABILITY 6024233764 4/1/2016 4/1/2017 EACH OCCURRENCE $ $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE F-1-1 OCCUR PREMISES Ea occurrence $ $100,000 <br /> MED EXP(Any one person) $ $15,000 <br /> PERSONAL&ADV INJURY $ $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ $2,000,000 <br /> POLICY Z PRO- <br /> JECT F__]LOC PRODUCTS-COMP/OPAGG $ $2,000,000 <br /> OTHER: 1 $ <br /> B AUTOMOBILE LIABILITY 6024191483 4/1/2016 4/1/2017 OMBBINEDISINGLE LIMIT $ $1,000,000 <br /> (Ea acciden <br /> ✓ ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> HIRED AUTOS ONLY AUTOS _ <br /> ✓ AUTOS ONLY ✓ AUTOS ONEDY FeOacEcRl TM DAMAGE $ <br /> C ✓ UMBRELLA LIAR �/ OCCUR 6024191497 4/1/2016 4/1/2017 EACH OCCURRENCE $ $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ $1,000,000 <br /> DED 1 ✓1 RETENTION$10,000 1 $ <br /> D WORKERS COMPENSATION 6024233750(AOS) 4/1/2016 4/1/2017 STATUTE ETH <br /> AND EMPLOYERS'LIABILITY YIN 6024191502(CA) 4/1/2016 4/1/2017 <br /> ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ $1,000,000 <br /> OFFICER/MEMBEREXCLUE N I A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ $1,000,000 <br /> E Professional Liability& B0146LDUSA1603212 4/1/2016 4/1/2017 Each Claim:$1,000,000 <br /> Contractor's Pollution Liability Aggregate:$1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> This certificate issued to provide Evidence of Insurance only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Evidence Of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE ^ <br /> Michael Christian <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 29239099 116-17 GL-AU-UL-WC-PL ($lm/$lm) *Standard Limits I Sandi Moreno 13/30/2016 11:11:_:8 AM (PDT) I Page 1 of 2 <br />
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