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COMPLIANCE INFO 2003 - 2007
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231669
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COMPLIANCE INFO 2003 - 2007
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Entry Properties
Last modified
7/6/2020 4:40:07 PM
Creation date
11/8/2018 9:43:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2007
RECORD_ID
PR0231669
PE
2361
FACILITY_ID
FA0001480
FACILITY_NAME
TESORO â(MOBIL)â 68222
STREET_NUMBER
2132
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17306035
CURRENT_STATUS
01
SITE_LOCATION
2132 MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\M\MARIPOSA\2132\PR0231669\COMPLIANCE INFO\COMPLIANCE INFO 2003 - 2007.PDF
QuestysFileName
COMPLIANCE INFO 2003 - 2007
QuestysRecordDate
6/24/2016 3:46:18 PM
QuestysRecordID
3117371
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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buenw; Of eYo __.-.._.. .. <br />ACORD- CERTIFICATE OF LIABILITY INSURANCE <br />06104107 "' <br />PRODUCER <br />Commercial Lines Unit <br />ABO Insurance & Financial Services <br />1039-A N. McDowell Blvd <br />Petaluma, CA 949 54-5 50 7 <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 <br />Service Station Systems, Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />WSURERA: Oak River Insurance Company 34630 <br />INSURER B: <br />INSURER 0. <br />INSURER D: <br />INSURER E' <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 />LTR <br />NSREAGGREGATE <br />SURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE D <br />POLICY EXPIRATION <br />DA MM DD <br />LIMBS <br />Y <br />EACH OCCURRENCE s <br />DAMAGE TO RENTED S <br />GENE RAL LIABILITY <br />ADE FI OCCUR <br />MED EXP (Any one persm) $ <br />PERSONAL a ADV INJURY $ <br />GENERAL AGGREGATE $ <br />E LIMIT APPLIES PER: <br />PRODUCTS-COMPIOP AGG $ <br />PRa LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea acadent) 5 <br />BODILY INJURY <br />(Per person) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per acradent) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EAACC Is <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESSNMBRELLA <br />LIABILITY <br />EACH OCCURRENCE Is <br />OCCUR FâI CLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />BINDER619354 <br />06/04/07 <br />06/04/06 <br />X We sTAru- oTH- <br />E.L. EACH ACCIDENT $1,000 OOO <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORPARTNER/EXECUTNE <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />Evidence of Coverage. <br />Service Station Systems, Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN <br />E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL <br />IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ACORD 25 (2001/08) 1 of 2 #993973 SERVISTAT TOR © ACORD CORPORATION 1988 <br />
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