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COMPLIANCE INFO_2016 - 2017
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PR0231963
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COMPLIANCE INFO_2016 - 2017
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Entry Properties
Last modified
12/23/2019 2:56:03 PM
Creation date
11/8/2018 9:59:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2017
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\W\WEST\4040\PR0231963\COMPLIANCE INFO 2016 - 2017.PDF
QuestysFileName
COMPLIANCE INFO 2016 - 2017
QuestysRecordDate
7/23/2018 8:37:33 PM
QuestysRecordID
3946151
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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ACC)R"0 DATE(MM/DD/YYYY) <br /> �� CERTIFICATE OF LIABILITY INSURANCE g/23/2016 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER Garrett/Mosier/Griffith/Sistrunk CONTACT <br /> NAME: JaSI nn Rowe <br /> Risk Management & Insurance Services PHONE FAx <br /> 12 Truman (A/c,No,Ext); 949-559-3377 A/C No): 949-559-6703 <br /> Irvine, CA 92620 ADDRESS: aSI nnr m s.com <br /> INSURERS AFFORDING COVERAGE NAIC p <br /> www.gmgs.com OB84519 INSURERA: Travelers Property Casualty Co of America 25674 <br /> INSURED INSURER B: <br /> Tait &Associates, Inc. <br /> Tait Environmental Services, Inc. INSURER C: <br /> 701 Parkcenter Dr. INSURERD: <br /> Santa Ana CA 92705 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 31460092 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 /> IICY EXP <br /> LTR TYPE OF INSURANCE IVSD WVD SUER POLICY NUMBER MMIDD/YYYY MPOLICY EFF M DIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> 10 RSRTEU-- <br /> CLAIMS-MADE [::]OCCUR DAMAGE <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ <br /> POLICY❑ PRO- 71 LOC PRODUCTS-COMP/Op AGG $ <br /> JECT <br /> OTHER $ <br /> A AUTOMOBILE LIABILITY 810-7138R642-16-CAG 9/1/2016 9/1/2017 COMBINEDSINGLELIMIT $ <br /> _ Ea accident 1,000,000 <br /> ✓ ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> ✓ HIRED ✓ DY PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY <br /> $1,000 Comp. Ded. Per accident) $ <br /> $1,000 Coll.Died. $ <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION UB-3C182680-16 9/1/2016 9/1/2017 �/ STATUTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUE N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> JUL Y Li I <br /> RE: Evidence of Insurance <br /> FOR PROPOSAL USE ONLY HEALTH <br /> Al <br /> CERTIFICATE HOLDER CANCELLATION <br /> Tait &ASSOCIateS Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO Box 11118 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Santa Ana 11 92711 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Michael Finn <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) Th-ACORD name and logo are registered marks of ArORD <br /> 31960092 1 16-17 A/W I Jaslynn Rowe 8/23/2016 3 3 PM (PDT) I Page 1 of 1 <br />
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