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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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4554
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4700 - Waste Tire Program
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PR0535883
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COMPLIANCE INFO
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Entry Properties
Last modified
2/5/2020 9:28:25 AM
Creation date
2/12/2019 8:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0535883
PE
4720
FACILITY_ID
FA0003824
FACILITY_NAME
WASTE RECOVERY WEST INC
STREET_NUMBER
4554
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
CURRENT_STATUS
02
SITE_LOCATION
4554 S EL DORADO ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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CField
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EHD - Public
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ACORD CERTIFICATE OF LIABILITY INSURANCE OP�DDIBC DATE(MMIDDIYYYY) <br /> KRO1 23 09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> T*-ited Risk Solutions, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Box 936 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> .dford OR 97501-0067 <br /> Phone: 541-245-1111 Fax:541-245-1112 I INSURERS AFFORDING COVERAGE MAIC# <br /> INSURED <br /> INSURER A Markel American Insurance Cc <br /> INSURER B <br /> Waste Recovery West, Inc. INSURER C <br /> P O BOX 83328 INSURER D <br /> Portland OR 97203 ------ ------------ -- <br /> INSURER E. f <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 /> INSA' lsobtVIWECYIVE POLIOY MiRATIDN --`-.. <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MMIDD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> `RENTETJ -_ -- — <br /> A X X COMMERCIALGENERALLIABILITY 8521RS003004-6 01/30/09 01/30/10 PREMISES(Ea occurence) $ 1,000,000 <br /> CLAIMS MADE FX]OCCUR MED EXP(Any one person) S10,000 <br /> PERSONAL <br /> 10,000PERSONAL&ADV INJURY $1,000,000 <br /> — <br /> GENERAL AGGREGATE $2,0000000 <br /> GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S2,000,000 <br /> PRO- <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT 5 1,0 0 0,000 <br /> A X ANY AUTO 1021RS003005-6 01/30/09 01/30/10 (Ea accident) <br /> ALL OWNED AUTOS BODILY IN'URY <br /> SCHEDULED AUTOS (Per person) S <br /> X HIRED AUTOS BODILY INJURY — <br /> X NON-OWNED AUTOS (Per accident) S <br /> —^-- PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT S —- <br /> LqANY AUTO OTHER THAN EA ACG S <br /> AUTO ONLY G S - <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S1,000,000 <br /> A X OCCUR ❑CLAIMS MADE 4602RS260691-6 01/30/09 01/30/10 AGGREGATE_- _ $1,000,000 <br /> S - — - <br /> DEDUCTIBLE --'-- — $ <br /> X RETENTION 510,000 --. -. .._...-----• S - ---^--- <br /> WC S7ATU- <br /> WORKERS COMPENSATION AND RY _LIMITS _ ER_. <br /> TO <br /> EMPLOYERS'LIABILITY <br /> E L EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE -- --- -- -- ----- - - <br /> OFFICER/MEMBER EXCLUDED? E DISEASE-EA EMPLOYEE S <br /> If yes.describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE.POLICY LIMIT S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Re: Operations of the Named Insured / San Joaquin County is Additional <br /> Insured when required by written contract or agreement per Endt. #MGL232 <br /> (04/07) attached <br /> CERTIFICATE HOLDER CANCELLATION <br /> SANS TD 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> San Joaquin County DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> Attn Geoff Sterling NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Courthouse, Room 675 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 222 E Weber Ave <br /> Stockton CA 95202 REPRESENTATIVES; <br /> ES VE <br /> Ar (-)Pn�, 19nril tnRl nc t1/:('.RTI(()PL)r)P8TIr1Nl 1 <br />
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