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INSTALL_1997
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PR0231532
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INSTALL_1997
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Last modified
4/1/2020 11:52:36 AM
Creation date
11/2/2018 3:58:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
1997
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
03
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\C\CAMBRIDGE\16470\PR0231532\INSTALL 1997.PDF
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EHD - Public
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A41,�r Itf1. SXuu cMnvoorm <br /> � &, AT <br /> PRDDuuR THIS CERTIFICATE IS 19SUEP AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON TH4 CERTIFICATE HOLDER.THIO CERTIFICATE <br /> DOES NOT AMEND,EXTEND OR ALTER THE COV9.)1A04 AFFQROED BY THE <br /> J. F. ARENTS AND COMPANY <br /> 920 S. El Camino Real, 0342 COMPAN14Q AFFORDING CQVERAGF <br /> San Mateo, CA 94402 __.....--- ----- <br /> (415) <br /> ---(41S) 342-3099 COMPANY <br /> (413) 342-8789 FAX LETTER A <br /> COMPANY B' <br /> IMSUREO I LETTER <br /> BALCH PETROLEUM CONTRACTORS ' COMPANY C _- _1' - -_ -• -�• - <br /> AND BUILDERS, INC. <br /> 930 Ames Avenue COMPANY <br /> 5035 LETTER p—REFSlBLIC <br /> Milpitas, CA 9 �ZNREMIYIIY.-_GQ .AF ACI,_ ..____. <br /> • COMPANY p <br /> LETTER E <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVS 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 SU*#CT TO ALL THE TERMS, <br /> ,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY MAVE BEEN REDUCED BY PAID CLAIMS,' <br /> CO' - TYPI Of INSURANCE I POLICY NUNPBR POLICY EFFECTIVE'POLICY EXPIRATION LIMITS <br /> LTRj DATE MWDDNYI DATE IMWDOP/YX I -' <br /> I GENERAL LI GENERAL AGGREGATE - ;• - <br /> LIABILITY - <br /> it <br /> " <br /> _ OpWMERCML GENERAL LIABILITY PROOUCTE{OMPgp wGO E.^_ ,_ —• <br /> GL/JMB MADE'— <br /> AGE OCCUR�. I I PEABONAL A AOV'INJURV <br /> - <br /> OWNER-B I fAN-MOTOR B PROT i EACH OCCURRENCE _ S-- - <br /> ! j FIRE DAMAGE pny onaln S <br /> 1 �MFA.DHFN9E W W an Pvwl t". <br /> •AUTOMOBILE LIABILITY '- I COMBINED SINOLE '•L ;,'' <br /> AUTO <br /> ILIMIT <br /> _ AHY � -- __ _ • <br /> _ ALL OWNED AUTOS 1 +BODILY INJUflY•. y <br /> :.: ... <br /> .: SCHEDULED AUTOS _,.; '(P"PM.o^) .:; <br /> SI - .........._...... —. <br /> j HIRED AUTOS BODILY INJURY 1 <br /> I NON-OWNED AVTOS 'Jr.,.cWA.nq <br /> GARAGE LABILITY I ..,...- __......-.. -__-_. <br /> .j..__ I PROPERTY DAMAGE S <br /> L_XCGB LIABILITY EACH OCCURRENCE 1 <br /> (UMBRELLA FORM ` + AGGREGATE 1 _ <br /> —j <br /> ' f OTHER THAN UMBRELLA FORM i - <br /> D97PC3911162 7/01/96 7/01/97 �(•;ETATUTORYMMITIII. y_ <br /> WORKER'44 OMPENSATION <br /> EACH ACCIDENT <br /> ._ <br /> AND _m_BEA9E POLICYLIMIT 1' :lOQ9QQ4.... <br /> EMPLOYERS'LIABILITY - DISEASE EACH EAU•LOYEE. 1 <br /> .1000000 <br /> OTHER <br /> DESCRIPTION Of OPERATIONWLOCATIONWVENICLES/SPLCIAL ITEMS <br /> RE: ALL CALIFORNIA OPERATIONS OF THE NAMED IN8URgD <br /> CAN"(L� y <br /> SHOULD ANY OF THE ABOVE DEWISED POLICIES BE CANCEL(EO BEFORE THE <br /> EXPIRATION DATE THEREOF. T(1,E ISSUING COMPANY WILD,.X"KIIII10R%XIB <br /> Q ITY OF HAYWARD MAIL 30 DAYS WRITTEN NOTICR TO THE CERTIFICATE HQLD99 NAMED TO THE <br /> 22300 Foothill Boulevard 5. LEFT, IWPCKM1t7cMXAU�(BGIMttl µ�pXBI►i �AIiISA�Y�%MR <br /> Hayward, CA 94541 �'. 1axBalGYXeKXILYLI(DOSXtlR6MXMILI<gMOLM14Xkll�Lk SSN7x]DYIIOI <br /> AUTHORIZED nPIRELENrATwc ' <br /> J. F. AR NT� NI? PANY/as <br /> �r +b^ ;(�a,.;i. f,:: :�; ••y��I'; gip.,: . ':11'. 1 <br /> E© 39Vd Wf13'10813d H31V9 TET©Z768Uv S0:171 9661/10/80 <br />
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