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COMPLIANCE INFO 2010 - 2012
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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 CERTIFICAT OF LIABILITY INSURANCrF OP ID S DATE(MMIDDNYYY) <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. SeaBrl ht Insurance CO <br /> INSURER B: <br /> Walton Engineering, Inc. INSURER C: <br /> P.O. BOX 1025INSURER 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 /> LTRINSRC TYPE OF INSURANCE POLICY NUMBER DATE MM/DD EFFECTIVE <br /> PATE MM/DOMLIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES(E,=,) $ <br /> CLAIMS MADE OCCUR MED EXP(My one Parson) $ <br /> PERSONAL B ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO S <br /> —1_7POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accitlonl) $ <br /> ALLOWNEDAUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per Parson) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNEDAUTOS (Per ecdtlent) $ <br /> PROPERTY DAMAGE $ <br /> (Per accitlem) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EA ACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE S <br /> RETENTION $ $ . <br /> WORKERS COMPENSATION AND X TORY LIMITS Tr Eft <br /> A <br /> EMPLOYERS!IETORILITY BB1093003 10/01/09 10/01/10 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETOR EXCLUDED? <br /> OFFICERMEMBER E%CLUDEO'! E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> Hyes,tleacribe antler EL DISEASE E1,OOO OOO <br /> SPECIAL PROVISIONS below , <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/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 /> TOWBOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30• DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> To Whom It May Concern IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTA <br /> Dennis Cote' <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />
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