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COMPLIANCE INFO 2010 - 2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0523684
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COMPLIANCE INFO 2010 - 2012
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Entry Properties
Last modified
7/6/2020 4:40:16 PM
Creation date
11/8/2018 9:53:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2012
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\R\ROTH\116\PR0523684\COMPLIANCE INFO 2010 - 2012.PDF
QuestysFileName
COMPLIANCE INFO 2010 - 2012
QuestysRecordDate
4/25/2018 3:57:18 PM
QuestysRecordID
3867065
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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ACORD <br /> CERTIFICAI t OF LIABiLITY INSURANCE QP 10 S09/29/09 DATE(MM DDNYYY) <br /> WATO-2 09 29 09 <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 NAIC# <br /> INSURED INSURER A: SeaBri ht Insurance CO <br /> INSURER B: <br /> Walton Engineering, Inc. INSURER C: <br /> P.O. BOX 1025 INsuRERD: <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 NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMI DATE MMIDDIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY -' <br /> PREMISES Easscur $ <br /> CLAIMS MADE r_1 OCCUR MED EXP(Anyone person) $ <br /> PERSONAL B ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ <br /> POLICY PFC) LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANYAUTO (Eee dem) $ <br /> ALL OWNED AUTOS <br /> SCHEOULEDAUTOS BODILY INJURY S <br /> (Per P.) <br /> HIREDAUTOS <br /> NON-OWNED AUTOS BODILY INJURY S <br /> (Per eaidenq <br /> PROPERTY DAMAGE <br /> (Per scciGanU $ <br /> GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO <br /> OTHERTHAN EAACC $ <br /> AUTO ONLY: AGG S <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE <br /> RETENTION $ <br /> S <br /> WORKERS COMPENSATION AND <br /> A EMPLOYERS'LIABILITY X TORY LIMITS IER <br /> ANY PROPRIETORIPARTNEWEXECUTIVE BB1093003 10/01/09 10/01/10 E.L.EACH ACCIDENT �$ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> Hyes,Casa"under E.L.DISEASE-EA EMPLOYE 51,000,000 <br /> SPECIAL PROVISIONS bebw <br /> OTHER E.L.DISEASE-POLICY LIMB 51,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ALLIED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <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 /> To Whom It May Concern NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTA <br /> Densis Cote' � � <br /> ACORD 25(2001108) ©ACORD CORPORATION 1988 <br />
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