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INSTALL_2012
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2300 - Underground Storage Tank Program
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INSTALL_2012
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Entry Properties
Last modified
11/25/2019 3:22:40 PM
Creation date
11/8/2018 9:57:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2012
RECORD_ID
PR0536555
PE
2351
FACILITY_ID
FA0020989
FACILITY_NAME
Arco. Am pm 83333
STREET_NUMBER
550
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
Rd
City
Tracy
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
550 W Valpico Rd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\V\VALPICO\550\PR0536555\INSTALL PLAN 2012.PDF
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EHD - Public
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l� OP ID:NT <br /> CERTIFICATE OF LIABILITY INSURANCE DAT10129/10 IDDIVYYY) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER 530-626-2533 C.e�cr <br /> ISU Insurance Services 530-622.5221 PHONEuc N„ <br /> Atwood Agency ADDRESS,800 Pacific Street PRODUCEERI ,TOWN$-1 <br /> Placerville,CA 95667 <br /> INSURER(S)AFFORDING COVERAGE NAIC8 <br /> INSURED Town$Country Contractors Inc INSURER A:Westchester Surplus Lines Ins <br /> 3181A Luyung Drive INSURER B: _ <br /> Rancho Cordova,CA 95742 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> INSDRE F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1N7q TYPE OF INSURANCE ADD aulBl <br /> POLICYNUMBER MMNDlYr MMONYVY LIMITS <br /> GENERALUABILITY EACH OCCURRENCE S 1,000,000 <br /> A X COMMERCIALGENERALUAGILITY G22063832007 10119110 10119111 I'R MISEs Ea ocwnmus S 50,000 <br /> CLAIMSd DE OOCCUR MEDF (My we Pers=nl S 5,000 <br /> PeRSONALAADV INJURY S 1,OOD,000 <br /> GENERALAGGREGATE S 2,000,000 <br /> GENLAGGREGATE UNIF APPLIES PER PRODUCTS-COMP10P AGG $ 2,000,000 <br /> POLICY PRO- LDC S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> (Ea emtle,d) <br /> ANYAUTO BODILY IWURY(P.Pen=n) S <br /> ALLOWNEDAUTOS FW-LY IWURY(Peta--) S <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br /> HIRED AUTOS (Pw acaknU S <br /> NOKOWNEDAUTOS $ <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE s <br /> EXCESSLMB CWMS-LMDE AGGREGATE S <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> WORHERSCOMPENSATWN WOSTATV- OTH- <br /> T 0.Y I <br /> AND EMPLOYERS'LIABILITY <br /> ANYPOFFICEFUluETORPARTNERIEXECUTNEY� NIA E.L.EACH EASE- AE $ <br /> (Mand, IM i.BERNH)EXCLUOEDT <br /> (Mandalayln NH) E.L.DISEASE-EA EMPLOYEE S <br /> It yes daecLO vntler <br /> DESCRIPTION OF OPERATIONS ceIow E.L.DISEASE-FOUCYLIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD VH.Additional Remarks Schedule,II mon spore is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELWERED IN <br /> Insured's Internal Use Only ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIMO REPRESENTATIVE <br /> zz"" . <br /> m 1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />
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