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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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ACORo. CERTIFICATE OF LIABILITY INSURANC OP ID , DATE(MM somvYI <br /> WALTO-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: sme... American epac me m <br /> INSURER B: Delos Insurance Co. <br /> Walton Engineering, Inc. INSURER C: SeaBri ht Insurance Cc <br /> P.O. Box 1025wsuRER D: Hartford Insurance Cc 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 CONDRION 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 /> ON <br /> LTR NSR TYPE OF INSURANCE <br /> POLICY NUMBER DATE MM /EFFECTIVE PDATE MMIDom LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,00_0,000 <br /> A X COMMERCIAL GENERAL LIABILRV BCC101006001-00 03/06/09 03/06/10 PREMISES Ea occurarroa $50,000 <br /> CLAIMS MADE OCCUR MED EXP(Anyone parson) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,D00,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000 <br /> POLICY X PRC- LOC Em Ben. 1,000,000 <br /> ECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> B X ANY AUTO DPA5501792@1 03/06/09 03/06/10 (Eae -") $1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per parson) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per eccidenl) $ <br /> PROPERTY DAMAGE $ <br /> (Per aaaiden0 <br /> GARAGE LIABILITY ALTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,000,000 <br /> A X OCCUR FICLAIMSMAOE EXS101006002-00 03/06/09 03/06/10 AGGREGATE $10,000,000 <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X TORY LIMBI WC71A'US ER <br /> C EMPLOYERS'LIABILITY Bg1093003 10/01/09 10/01/10 E.L.EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETORIPARTNERJEXECUT VE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> Nye'dIAL PRO antler E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> A Pollution/E&O ECC101006001-00 03/06/09 03/06/10 Poll/3&O 11000,000 <br /> D Installation Fltr 57MSI26050 03/06/09 03/06/10 Inst Fltr 2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 /> AUTHORRED REPRESENTATIVE <br /> Dennis Cote' <br /> ACORD 25(2001108) ©ACORD CORPORATION 1986 <br />
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