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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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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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WALTO-2 OP ID:: <br />'4� CERTIFICATE OF LIABILITY INSURANCE °10/0212013 <br />10/02/2013 <br />PRODUCER Phone: 925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />TLB Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />3000 Oak eek Suite HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF <br />, CA 9459597 <br />Walnut Creek <br />Dennis Cote' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Walton Engineering, Inc. INSURFRA:Admilal Insurance Com any <br />P.O. Box 1025 <br />West Sacramento, CA 95691 1 INSURER a: Wesco Insurance Comnanv <br />COVFRerFC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />PERIOD INDICATED. NOTWITHSTANDING <br />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, <br />POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />NSR ADD <br />POOCY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATON <br />GENERAL WIBSJTY <br />A <br />X COMMERCIALGENERALLIABEUTY <br />FEI-ECC-13587-00 <br />03/06/2013 <br />03/06/2014 <br />EACH OCCURRENCE $ <br />1,000,00 <br />a <br />PREMIS S Ee s <br />50,000 <br />CLAIMS MADE OCCUR <br />MED EXP ( ane pends) S <br />5,00 <br />PERSONAL&ADV INJURY $ <br />1,000,00 <br />-- <br />GENERAL AGGREGATE S <br />2,000,000 <br />GEN GATE OMRAPPLIES PER: <br />PRODUCTS -COM�PTOP AGG S <br />2,000,00 <br />POLICY X PRO - <br />POLICY <br />Emp Ben. <br />1,000,00 <br />LOC <br />AUTOMOBILE LIABILITY <br />B <br />X ANYnvro <br />A103022402 <br />03/06/2013 <br />03/06/2014 <br />COMBINED <br />mdeit) SINGLE LIMIT S <br />1,000,000 <br />ALLOWNEDAUTOS <br />SCHEDULED AUTOS <br />BODILYINJURY S <br />(PER PERSON) <br />HIREDAUTOS <br />eODILYINJURY S <br />(PERACCIDENT) <br />NON -OWNED AUTOS <br />A <br />X Comp Dad -$1.000 <br />PA1030224 02 <br />03106/2013 <br />03!06/2014 <br />X <br />cob Dad -$1,000 <br />(ERPA CIDEN AGE $ <br />A <br />PA103022402 <br />03/06/2013 <br />03/06/2014 <br />GARAGELIAMUTY <br />ANY AUTO <br />AUTO ONLY -EAACCIDENT S <br />OTHER THAN EAACC S <br />AUTO ONLY: <br />EXCESS/ UMBRELLA LIAeiLRY <br />AGG S <br />A X OCCUR CIAIMSMADE FEI-EXS-13588-00 03/06/2013 03/06/2014 <br />EACH OCCURRENCE S <br />1 O,ODO,ODO <br />AGGREGATE S <br />10,000,000 <br />DEDUCTIBLE <br />s <br />RETENTION S <br />S <br />WORKERS COMPENSATION <br />S <br />AND EMPLOYERS' LIABNJTY <br />C YIN <br />X WC STATU- OTH- <br />ANY OFFICEEwIMEMSEREXCLLUUDE� CURVE ❑ QWC4000674 10/01/2013 10/01/2014 <br />EL EACH AccroENr <br />1,000,00 <br />(Mmdrtery N NH) <br />s <br />ITyas dasalJ» Under <br />SPECIAL PROVISIONS below <br />E.L.DISEASE-EA EMPLO S <br />1,000,000 <br />THER <br />E.L.DISEASE-POLICY OMIT S <br />1,000,000 <br />A ol11, OFdE80 FEI-ECC-13587-00 03/06/2013 03/06/2014 PoIUE80 <br />JPC <br />D Installation Fltr 571VISIZ6050 03/06/2013 03/16/2014 Inst Fur <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEJRCLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />'10 <br />2,000,00 <br />days notice applies if cancelled for non-payment of premium_ <br />CERTIFICATE HOLDER <br />ACORD 25 <br />TOWHOMI SHOULOARYOFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORETHEEJ(PIRATION <br />To Whom it May Concern DATE THEREOF, THE ISSUNG INSURER WILL ENDEAVOR TO MAR 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 HIND UPON THE NSURFR, ITS AGENTS OR <br />©1988-2009 ACORD <br />The ACORD name and 1090 are registered marks of ACORD <br />Cote' <br />:ORPORATION. All <br />reserved. <br />
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