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FIELD DOCUMENTS
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3500 - Local Oversight Program
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PR0544222
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Last modified
3/5/2019 2:02:19 PM
Creation date
3/5/2019 11:43:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544222
PE
3528
FACILITY_ID
FA0005976
FACILITY_NAME
TIRE & WHEEL MASTERS
STREET_NUMBER
814
Direction
E
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16718101
CURRENT_STATUS
02
SITE_LOCATION
814 E CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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AC RD CERTIFICATE OF LIABILITY INSURANCE CSR PC DATE(MMIDDNYYY) <br /> TRANSGI 10/19/06 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE:CERTIFICATE <br /> Wateridge Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 10717 Sorrento Valley Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> San Diego CA 92121 <br /> �.-hone: 858-452-2200 Fax:858-452-6004 INSURERS AFFORDING COVERAGE <br /> )RED NAIC# <br /> INSURER A: Travelsre Property t caanalty <br /> TEG_Northern California <br /> Transglobal Environmental INSURER B: Steadfast Insurance company <br /> Geochemist INSURER C: <br /> Attn: Marke Mak <br /> 11350 Monier Pace INSURER D: <br /> Rancho Cordova CA 95742 <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.NOTWITHSTANDIN G <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 /> lNbK AUL)L PO POLICY EXPIRATION <br /> LTRINSRE TYPE OF INSURANCE POLICY NUMBER DATE LMMf0DrYYj DATE MMIDDIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY 660525D401906 10/17/06 10/17/07 PREMISE5Eeoccurence $ 100,000 <br /> CLAIMS MADE F:;?71 OCCUR MED EXP lAny one person) S5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000�0 00 <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1000 <br /> A X ANY AUTO 810525D401906 10/17/06 10/17/07 <br /> (Ee ecciden!) , r000 <br /> ALL OWNED AU'T'OS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN F-A ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESWUMBRELLA LIABILITY _ EACH OCCURRENCE s $5,000,000 <br /> A X OCCUR F-I CLAIMSMADE CUP525D401906 10/17/06 10/17/07 AGGREGATE $ $5,000,000 <br /> DEDUCTIBLE $ <br /> X RETENTION $NONE $ <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS'LIABILITY TpRYLIMITS ER <br /> ANY PROPRtETORIPARTNERIEXECUTIVE E,L,EACH ACCIDENT $ __ <br /> OFFICERIMEMBER EXCLUDED? El,DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $ <br /> pTHER <br /> B Professional Liab PEC2963777-08 10/17/06 10/17/07 $3,000,000 <br /> B Pollution Liab PEC2963777-08 10/17/06 10/17/07 $3,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> *EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. THE CERTIFICATE HOLDER <br /> IS NAMED ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY PER ATTACHED <br /> CGD246 10/02. <br /> CERTIFICATE HOLDER CANCELLATION <br /> GEOLOGI 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 /> ( GEOLOGICAL TECHNICS, INC. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> t 1101 7th STREET REPRESENTATIVES. <br /> MEDESTO CA 95354 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2009/08) IDACORD CORPORATION 9988 <br /> RECE E VED OCT 2 5 2006 <br />
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