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
WALTO-2 09/16/10 ACORD CERTIFICATE'c7F LIABILITY INSURANCt' S DATE( <br /> TO <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3000 Oak Rd. , Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAICO <br /> INSURED INSURER A: endurance American Spec Ina co <br /> INSURER B: Delos Insurance Co. <br /> Walton Engineering, Inc. INSURER C: SeaBri ht Insurance Co <br /> P.O. Box 1025 INSURER D: Hartford Insurance Co 34690 <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 /> N <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MWDDMY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY ECC101006001-01 03/06/10 03/06/11 PREMISES Eaoccurence E 5'50,000 <br /> CLAIMS MADE [�] OCCUR MED EXP(My we person) S 5,000 <br /> PERSONAL B ADV INJURY 51,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 <br /> POLICY X PRO- <br /> LOC Em Ben. 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 51,000,000 <br /> B X ANY AUTO DPA5501792@2 03/06/10 03/06/11 (Es accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY E <br /> SCHEDULED AUTOS (Per Person) <br /> HIREDAUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTYDAMAGE It <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO <br /> OTHER THAN EA ACC E <br /> AUTO ONLY: AGG E <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE E 10,000,000 <br /> A X OCCUR CLAIMS MADE EXS101006002-01 03/06/10 03/06/11 AGGREGATE E 10,000,000 <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION S I $ <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS'LIABILITY X TORY LIMITS ER <br /> C ANY PROPRIETORIPARTNEWEXECUTIVE BB1103003 10/01/10 10/01/11 E.L.EACH ACCIDENT E 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> Use,describe under <br /> ECIALPROVISIONS below E.L.DISEASE-POLICY LIMIT I E 1,000,000 <br /> OTHER <br /> A Pollution/E&O ECC101006001-01 I 03/06/10 03/06/11 Poll/E&O 1,000,000 <br /> D I Installation Fltr 57MSIZ6050 03/06/10 03/06/11 Inst Fltr 21000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN <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 /> AUTHORIZED REPRESENTATIVE <br /> Dennis Cote$ ��i OJ 4o <br /> ACORD 25(2001108) ©ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.