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COMPLIANCE INFO 2008 - 2011
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0231405
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COMPLIANCE INFO 2008 - 2011
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Entry Properties
Last modified
5/29/2019 11:06:01 AM
Creation date
10/29/2018 11:24:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2008 - 2011
FileName_PostFix
2008 - 2011
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
A ONE GAS & FOOD
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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ACORDT. CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/B/DD YYYY) <br />O1/O10 <br />PRODUCER 1-818-539-2300 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Arthur J. Gallagher a Co. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Insurance Brokers of California, Inc. License #0726293 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />505 North Brand Boulevard, Suite 600 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />10/31/10 I EACH OCCURRENCE <br />Glendale, CA 91203-3944 <br />maribel sanchez®ajg.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />Asbury Environmental Services <br />INSURERA.NATIONAL UNION FIRE INS CO OF PITTS19445 <br />-- ---- - <br />INSURER B', <br />0 S. Santa Fe Ave. <br />INSURER C <br />Compton, CA 90221 <br />INSURER L <br />-- -- <br />pREMISES (Ea occurence) <br />INSURER E._—_ <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFFECTIVE POLICY EXPIRATION - <br />LTR POLICY NUMBER D T D Y I Y LIMITS <br />AI <br />GENERAL LIABILITY <br />0948735 <br />10/31/09: <br />10/31/10 I EACH OCCURRENCE <br />$1,000,000 <br />8 COMMERCIAL GENERAL LIABILITY <br />O AMA-GE'POl7F <br />�_.... <br />LX <br />pREMISES (Ea occurence) <br />$Excluded <br />CLAIMS MADE ...I OCCUR <br />MED F.XP(Anyone person) <br />$Excluded <br />$1,000,000 <br />8 SIR $250,000 <br />PERSONAL.&ADVINJURY <br />GENERAI.ACGRE('>ATE <br />$2,000,000 <br />_ <br />GEN'LAGGREGATE L.IMITAPPLIE.SPER: <br />PRODUCTS -Sq MPIOPAGG <br />$2,000,000 <br />XPOLICY PRO- LOC <br />A <br />A <br />AUTOMOBILE <br />LIABILITY <br />0948500 <br />10/31/09 <br />10/31/10 <br />-1 <br />COM13INEDSINGLE LIMIT <br />$1,000,000 <br />IX <br />ANY AUTO <br />i <br />(Ea accident) <br />I <br />ALLOWNEDAUTOS <br />BODILY INJURY <br />$ <br />SCHEDULEDAUTOS <br />(Per person) <br />BODILY INJURY <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />i <br />(Per accident) <br />$ <br />' PROPFRTY DAMACF <br />------ <br />I <br />$ <br />(Peracciden0 <br />. <br />GARAGE LIABILITY <br />I <br />A11T0 ONI Y - F_AACCIDENT $ <br />ANY AUTO <br />I <br />( <br />OTHERTHAN EA ACC j $ _ <br />r...._ <br />AUTOONLY: qGG $ <br />A I <br />EXCESS/UMBRELLA LIABILITY <br />8214719094 <br />10/31/09 <br />10/31/10 <br />EACHOCCURRENCE $ 5,000,000 <br />%1 OCCUR E CLAIMS MADE <br />AGGREGATE $ 5, 000, 000 <br />$ <br />DEDUCTIBLE <br />X RETENTION $ 10,000 <br />A <br />WORKERS COMPENSATIONAND 1007209934 <br />10/31/09 10/31/10 g WC STATU - OTH <br />A <br />EMP LOYERIETOWILITY <br />007209933 <br />10/31/09 10/31/10 EACHACCVI T $1,000,000 <br />ANY PROPRIE TOWPARINER/EXECUTIVE � <br />I-E.L. —__._—__._ -- <br />OFFICERJMFMBEREXCLUDED7 <br />EL. DISEASE - EA EMPLOYEE: $1,000,000 <br />It Yes, describe under <br />SPEC IAL PROVISIONS below <br />El DISEASE POLICY I-IMIT $1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Re: All Operations. <br />Evidence of Insurance as respects the operations of the Named Insured. <br />-1. .— c —1— %,.AN1„tLLA I JUN -10 Qay notice Lor non-payment of premium. <br />ITo Whom it May Concern <br />Los Angeles, CA 90017 <br />USA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />#%k'UMLj Go (LUV IIUo) marc D1 © ACORD CORPORATION 1988 <br />14164472 <br />
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