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COMPLIANCE INFO_2016 - 2017
EnvironmentalHealth
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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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Client#: 21728 TAITASSO <br /> ACORD,. CERTIFICATE OF LIABILITY INSURANCE F677(MM,IS <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 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 CONTACT Chelsea Simmons <br /> NAME: <br /> Marsh &McLennan Agency LLC PHONEFAX <br /> Marsh &McLennan Ins Agncy LLC E-MAILo Ed 949 544-8460 A/c,No <br /> ADDRESS: Chelsea.Simmons@barneyandbarney.com <br /> 1O1 Enterprise#33O LICOH18131 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Aliso Viejo,CA 92656 INSURERA:AXIS Surplus Insurance Company 26620 <br /> INSURED INSURER B: <br /> Tait&Associates, Inc. <br /> INSURERC: <br /> Tait Environmental Services, Inc. <br /> INSURER D: <br /> 701 N. Parkcenter Drive <br /> INSURER E: <br /> Santa Ana, CA 92705 <br /> INSURER 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 /> ILTR TYPE OF INSURANCE NSRL WVD POLICY NUMBER MMIDDIYEYYY MM/DDYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY ELZ796547012016 9/01/2016 09/01/2017 EEAACMHHOECTCUR��RENCE $2000000 <br /> CLAIMS-MADE 51OCCUR PREMISES Eaocou"ance $50,000 <br /> X Professional Liab* MED EXP(Any one person) $5,000 <br /> X Pollution Liab PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY F_X1 ECT �LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: Deductible $10,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident _ <br /> A UMBRELLA LIAB X OCCUR ELZ796548012016 9/01/2016 09/01/201 EACH OCCURRENCE $9,000,000 <br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000 <br /> DED I X RETENTION$O $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITYTUTE <br /> YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? El N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - <br /> 'Professional Liability is Claims Made Coverage. <br /> Re: Evidence of Insurance. FOR PROPOSAL USE ONLY. �U� W7 <br /> CERTIFICATE HOLDER CANCELLATION <br /> Tait&Associates, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 11118 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana, CA 92711-0000 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) 1 of 1 The AC' name and logo are registered marks of ACORD <br /> #S881515/M876487 MOCS <br />
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