My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CAMBRIDGE
>
16470
>
2300 - Underground Storage Tank Program
>
PR0231532
>
COMPLIANCE INFO_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/5/2022 11:21:35 AM
Creation date
11/8/2018 9:47:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
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
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\C\CAMBRIDGE\16470\PR0231532\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
10/22/2012 8:00:00 AM
QuestysRecordID
131132
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
993
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACQRD CERTIFICAT'eOF LIABILITY IMSURANOP ID S DATE(MMIODNYYY) <br /> PRODUCE0. WALTO-2. 01/25/08 <br /> FALTER <br /> ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services R.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3000 Oak Rd., Suite 210 THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Pax:925-287-0710 S-AFFOROINGCOYERAGE NAIL <br /> INSURED INSURERA <br /> Seats Cwpevaat30v xveurame <br /> 'INSURER B: <br /> Walton Engineering, Inc. INSURER C: <br /> P.D. BOX 1025 INSURER D:- - <br /> West Sacramento CA 95691 <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 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 NERI TYPE OF INSURANCE POLICY NUMBERDATE MMmO DATE MMRR T LTAIITS <br /> GENERAL LABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY - PREMISES Esctarence S <br /> CLAIMS MADE OCCUR _ MED EXP(My one pemon) S <br /> _ PERSONAL S ADV INJURY $ <br /> GENERAL AGGREGATE -S <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ <br /> POLICY 7 JECT r I LOC <br /> AUTOMOBILE LIABILITY <br /> COMBIINJED SINGLE LIMIT <br /> ANYAUTO - - - (Ee ee4den:I S <br /> "&LOWNEDAUTOS - - - <br /> SCHEOULEDAUTOS Ser Person) 8 <br /> (Per person) <br /> HIRED AUTOS <br /> NON-OWNEDAUTOS (Per Ro dent)INJUS <br /> (Per acvidenG <br /> PROPERTY DAMAGE $ <br /> (Per ecoidenl) <br /> GARAGE LIABILITY - AUTO ONLY-EAACCIDENT. Is <br /> 'ANYAUTO <br /> �� � - -OTHER THAN EAACG •S <br /> AUTO ONLY: AGG S <br /> EXCE UMBRELLA LIABILITY EACH OCCURRENCE 5 <br /> OCCUR ❑CLAIMS MADE - AGGREGATE <br /> S <br /> DEDUCTIBLE <br /> S <br /> ._ ..._. ..._.RETENTION. $'-. .. . <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> EMPLOYERS'LIABILITY <br /> A. ANY PROPRIETORIPARTNERIEXECUTNE 000713-4927-2008 10/O1./OS 10/01/09 E.L EACH ACCIDENT S 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEES 1,000,000 <br /> K es,describe under. <br /> SPECIAL PROVISIONS bebw - E.L DISEASE-POLICY LIMB S 1,000,900' <br /> OTHER. - . . .. _. <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> •10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWiOMI SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30• DAYSWRTTIEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> TO Whom It .May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. - <br /> AUTHORLLEDREPRESENTATI y+ <br /> Dennis Cote, ` <br /> ACORO 25(20011081 &AUORD nnaono.T)nu .reS <br />
The URL can be used to link to this page
Your browser does not support the video tag.