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WP0037315
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037315
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Entry Properties
Last modified
10/1/2018 8:36:52 AM
Creation date
12/1/2017 4:12:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037315
PE
4371
STREET_NUMBER
9422
Direction
E
STREET_NAME
SOUTH ORCHARD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721030
ENTERED_DATE
9/14/2017 12:00:00 AM
SITE_LOCATION
9422 E SOUTH ORCHARD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
FilePath
\MIGRATIONS\O\ORCHARD\9422\WP0037315.PDF
QuestysFileName
WP0037315
QuestysRecordID
3640261
QuestysRecordType
12
Tags
EHD - Public
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FARWCOR-01 EBRITO <br />ACORN' CERTIFICATE OF LIABILITY INSURANCE P�07127/2017 <br />E(MM/DD/YYYY) <br />`-� <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 License # 0757776 cON ACT Eunice Lee <br />HUB International Insurance Services Inc. PH/c°°, No, Ext): (949) 623-1045 jA/AX No): <br />4695 MacArthur Court <br />Suite 600 A o IL . cal.cpu@hubinternational.com <br />Newport Beach, CA 92660 <br />INSURED <br />Farwest Corrosion Control Company <br />2223 Commerce Place <br />Hayward, CA 94545 <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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />08/01/2017 <br />POLICY EXPLTR <br />08/01/2018 <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FX OCCUR <br />EG16542189 <br />EACH OCCURRENCE $ 1,000,000 <br />PREMISES (EaEoccurrence)$ 300,000 <br />MED EXP (Any oneperson) $ 25,000 <br />PERSONAL & ADV INJURY $ 1'000'000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑X JECT 1-1 LOC <br />OTHER: <br />GENERAL AGGREGATE $ 2,000'000 <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AURRTEEO��S ONLY AUUTNOSSWN <br />A✓JTOS ONLY X AUTOS ONLY <br />BAA1858171395 <br />08/01/2017 <br />08/01/2018 <br />COMBINEeDSINGLELIMIT $ 1,000,000 <br />(Ea accidIx <br />BODILY INJURY Per arson $ <br />BODILY INJURY Per accident $ <br />rP rr. acEcitlentDAMAGE $ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />EGU16542191 <br />08/01/2017 <br />08/01/2018 <br />EACH OCCURRENCE $ 10'000'000 <br />AGGREGATE $ 10'000'000 <br />DED I X RETENTION $ O <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N I A <br />WC2Z61036697197 <br />08/04/2017 <br />08/04/2016 <br />PER EH <br />X E T <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE- EA EMPLOYEE $ 1'000,000 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />D <br />A <br />Professional Liab <br />Contractor Pollution <br />HCC1765489 <br />IEG16542189 <br />08/01/2017 <br />08/01/2017 <br />08/01/2018 <br />08/01/2018 <br />Ded $75K / Limit 1,000,000 <br />Each Occurrence 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />For Information Purposes Only. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />For Information Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />P y ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />40e�� <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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