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COMPLIANCE INFO_PRE 2019
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2300 - Underground Storage Tank Program
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PR0231532
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COMPLIANCE INFO_PRE 2019
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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
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LCSERVI-01 SEMI <br /> ACORD,„ CERTIFICAT►.OF LIABILITY INSURAMdEE DATE IMMMONY <br /> 15/2008YY) <br /> 7/15!2008 <br /> PRODUCER (559)432-0222 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Diquduo&DeFendis Insurance Brokers, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Tnse#OE02096 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> . Box 5479 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Ffesno,CA 937555479 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Larry&Cliff Enterprises, Inc., DBA: L.C.SerVICeS INSURERA Westchester Surplus Lines Ins. Co. <br /> 527 N. Parkview INSURER e:Redwood Fire&Casualty Insurance Com <br /> Fresno, CA 93728-0000 <br /> INSURER C: <br /> INSURER D: <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 /> INSR O' POLICY EFFECTME POLICY EXPIRATION <br /> INSURANCE POLICY NUMBER DAMIMMIDOMI ,;yt LIMITS <br /> GENERAL LIABILITY EAQ OCCU.RE CE S 2,000,09 <br /> A X COMMERCIAL GENERAL LIABILITY G24024593001 617/2006 6/7/2009 P M ses Ea "erlce 3 50,09 <br /> CLAIMS MADE 1K OCCUR ME .pQn ) $ 5,00 <br /> PRS A s u E 2,999,99 <br /> ,e 8 <br /> IJNEIIA RE E 2,999,99 <br /> GENL AGGREGATE LIMIT APPLIES PER PROOU T C OF AGG $ 2,900,09 <br /> X POLICY PIFCT F7 RO- LOC <br /> AUTOMOBILE LIABILITY <br /> ED SINGLE LIMIT <br /> ANY AUTO a B <br /> acciIII$SINtlent) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per Person) S <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per scGtlalK) <br /> PROPERTY DAMAGE $ <br /> (Per aaitlertl) <br /> GARAGE UASILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESSIUMBRIELUL LIABILITY EACH OCCURRENCE $ <br /> OCCUR El CLAIMS AGGREGATE $ <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X I WC STALIMN-S1 1OTH- <br /> B EMPLOYERS'LIABILITY 4411007252071 11/1/2007 11/1/2006 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1,900,00 <br /> OFFICERMIEMBER EXCLUDED? 1,000,0 <br /> Ifyu,aeacnbe urWer ELDISEASE-EAEMPLOYE $ <br /> SPE CIALPROVISIONSIxI. E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> 10 day notice of cancellation applicable for nonpayment of premium. <br /> N AWARD OF THE CONTRACT,A JOB DESCRIPTION,PROJECT NUMBER AND A JOB LCOATION WILL BE INCLUDED IN THIS SPACE. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ON AWARD OF THE CONTRACT,THE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CERTIFICATE HOLDER'S NAME AND ADDRESS DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> WILL BE INCLUDED IN THIS SPACE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br /> REPRESENTATIVES. <br /> A THORNED REPRESENTATIVE <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />
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