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COMPLIANCE INFO 2013-2015
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2300 - Underground Storage Tank Program
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PR0505867
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COMPLIANCE INFO 2013-2015
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Entry Properties
Last modified
7/6/2020 4:40:19 PM
Creation date
11/5/2018 4:46:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0505867
PE
2361
FACILITY_ID
FA0007059
STREET_NUMBER
192
STREET_NAME
LATHROP
STREET_TYPE
Rd
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
192 Lathrop Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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\MIGRATIONS\L\LATHROP\192\PR0505867\COMPLIANCE INFO 2013-2015.PDF
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�^ 0 0 WALTO-2 OP ID: SY <br />CERTIFICATE OF LIABILITY <br />INSURANCE <br />DAM1010212013 <br />PRODUCER Phone: 925-395-2600 <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94697 <br />Dennis Cote' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Walton Engineering, Inc. <br />P.O. BOX 1025 <br />West Sacramento, CA 95691 <br />INsuRERNAdmiral Insurance Company <br />INSURERS: Wesco Insurance Company <br />y <br />INSURER C: QBE Insurance Corporation <br />INSURER D: Harford Casualty Insurance Cc <br />INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE USTED 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 />INSR <br />ADDI <br />SURAMCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />AUTHORGTD REPRESENTATNEDennis Cote' - <br />L r" <br />-LIL <br />GENERAL LIABILnY <br />EACH OCCURRENCE S 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE FT] OCCUR <br />FEI-ECC-13587-00 <br />03/0612013 <br />03/06/2014 <br />EREMISES Mao P n1 s 50,000 <br />MED EXP ( one person) $ 5,00 <br />PERSONAL 6 ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENL AGGREGATE <br />UMITAPPLIES PER <br />PRODUCTS -COMPIOP AGO S 2,000,00 <br />17 POLICYEX-1PRO- <br />LOC <br />Emp Ben. 1,000,00 <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />VVIDA103022402 <br />03106/2013 <br />03/06/2014 <br />COMBINED SINGLE LIMIT S 1,000,000 <br />(Ea awdeld) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY S <br />(PER PERSON) <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY <br />(PERACCIDENT) $ <br />A <br />A <br />X <br />Comp Dad - $1,000 <br />WPAI030224 02 <br />WPAi030224 02 <br />03/06/2013 <br />03/06/2013 <br />03/06/2014 <br />1 03106/2014 <br />PROPERTYDAMAGE <br />(PER ACCIDENT) s <br />X <br />con Dad - $1,000 <br />GARAGE LIABUJIT <br />AUTO ONLY -EAACCIDENT S <br />OTHER THAN EAACC B <br />ANY AUTO <br />AUTO ONLY: AGG S <br />A <br />EXCESS t UMBRELLA LIABILITY <br />_X1 OCCUR F—I CLAIMS MADE <br />FEI-EXS-13588-00 <br />03/06/2013 <br />03/06/2014 <br />EACH OCCURRENCE S 10,000,000 <br />AGGREGATE $ 10,000,000 <br />s <br />3 <br />DEDUCTIBLE <br />$ <br />ftETENnON S <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARmER/EXECUUVE YI❑N <br />OFFICERAIEMBER EXCLUDED? <br />(M.d.Wry In NH) <br />H yoe, deeafto uMw <br />SP ECIALPROVISIONSWI. <br />OWC4000674 <br />10/01/2013 <br />10/01/2014 <br />X WC STATU- OTH- <br />MITS PR <br />E. L. EACH ACCIDENT S 1,000,00 <br />E.L. DISIJLSE-EA EMPL0 S 1,000,000 <br />E.L. DISEASE- POLICY UWT S 110001000 <br />OTHER <br />A <br />Pollution/E80 <br />FEI-ECC-13587-00 <br />03/06/2013 <br />03/06/2014 <br />PolUE80 1,000,000 <br />D <br />Installation Fltr <br />57MSIZe 1 1 <br />03/06/2013 <br />03/1G12014 <br />Inst Fltr 2,000,0010 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />'10 days notice applies H cancelled for non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />TOWHOMI <br />SHOULDANYOFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MNL 30* DAYS WRITTEN <br />To Whom It May Concern <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 />AUTHORGTD REPRESENTATNEDennis Cote' - <br />L r" <br />ACORD 25 (2009101) 0 1988.2009 ACORD CORPORATION. All rlghts reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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