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COMPLIANCE INFO 2005-2011
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2300 - Underground Storage Tank Program
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PR0231389
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COMPLIANCE INFO 2005-2011
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Entry Properties
Last modified
11/19/2024 10:19:31 AM
Creation date
11/4/2018 4:32:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2011
RECORD_ID
PR0231389
PE
2361
FACILITY_ID
FA0003709
FACILITY_NAME
VALERO #3698
STREET_NUMBER
153
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23336607
CURRENT_STATUS
01
SITE_LOCATION
153 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\153\PR0231389\COMPLIANCE INFO 2005-2011.PDF
QuestysFileName
COMPLIANCE INFO 2005-2011
QuestysRecordDate
5/19/2017 6:00:47 PM
QuestysRecordID
3389699
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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OP ID L(I, DATE(MMIODNYYY)., <br /> ACORD_ CERTIFICA OF LIABILITY INSURAN ALPHA-1 04/07/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Sierra Oak Insurance Sery Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Lic# OC97528 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 9700 Business Park Dr. Ste 105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Sacramento CA 95827 <br /> Phone: 916-364-7380 Fax:916-364-7381 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A. EVarur National Insurance Co _10120 <br /> INSURERS: <br /> Alpha Petroleum Services, Inc. INSURER C: <br /> PO Box 667 INSURER D: <br /> Dixon CA 95620 _---- -- ----- <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 WRH 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 /> LTR INSR TYPE OF INSURANCE <br /> POLICY NUMBER DATE MMIDDm E �DA E1(MkI MD`YTIYON Ii LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE45--'DAMAGETOAENTEDCOMMERCAL GENERAL LMBIUFTY PREMISES Ea CLA $MADE OCCUft IMEO EXP(My an!Peron — <br /> i PERSONAL S AUV IN JURY $ <br /> —I <br /> GENERAL AGGREGATE $ <br /> GENL AGGREGATE LIMIT APPLIES PER ` `PRODUCTS-COMP*P AGG $ <br /> POLICY PRo —^LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea a=HrrI) f <br /> 1 ALLOWNEDAUTOS I BODILY INJURY <br /> SCHEDULED AUTOS <br /> (Perp Mmj $ <br /> HIRED AUTOS BODILY INJURY <br /> NONOWNEO AUTOS (Per awd,,M) $ _ <br /> PROPERTY DAMAGE S <br /> (Per siXWenl) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F CINMS MADE I AGGREGATE f <br /> S <br /> DEDUCTIBLE I -. _ _ - $ <br /> RETENTION $ f <br /> A IWORKERS COMPENSATION AND X1TM LIMITS ER : <br /> EMPLOYERS'UABILTTY <br /> 1 7600001795091 I 04/11/09 04/11/10 E.L.EACH ACCIDENT cif 1,00_0,000__ <br /> ANY CERLMEETOR EXCLUDED' <br /> I OFFICERMEMBER E%CLUDEOT - ICLDISEASE-EA EMPLOYEE;� s1,DDD,DUD__ <br /> mw <br /> X yes ML PROVeascnpa 1SK) PNow, E.L.DISEASE-POLICY LIMB f 1,DDD,000 <br /> SPEC <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> proof of insurance <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LER,BUT FAILURE TO DO SO SHALL <br /> Alpha Petroleum Services, Inc- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> PO Box 667 REPRESENTATIVE$. <br /> Dixon CA 95620 AUT1fORIlJ=D REPRESENTATV . <br /> ACORD 25(2001108) �l 0 ACORO CORPORATION 1988 <br />
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