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COMPLIANCE INFO 2013 - 2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231035
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COMPLIANCE INFO 2013 - 2017
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Entry Properties
Last modified
9/25/2019 1:14:19 PM
Creation date
3/28/2019 10:48:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2017
RECORD_ID
PR0231035
PE
2361
FACILITY_ID
FA0006773
FACILITY_NAME
ARCO 02186
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
01
SITE_LOCATION
3212 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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A� CERTIFICATE OF LIABILITY INSURANCE DATE02/2/Y3 <br /> 09/02/2013 <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 LIC #OB29370 1-925-244-7700 CONTACT <br /> PHOEdgewood Partners Insurance Centers (EPIC) NAME: Edgewood Partners Insurance Center <br /> [San Ramon Branch] (A&Na.Exth (925) 244-7700 (FAX No: (925) 901-0671 <br /> P. 0. Box 5003 ADDRESS: EPICcerts@edgewoodins.com <br /> San Ramon, CA 94583 INSURERS AFFORDING COVERAGE NAIC8 <br /> INSURER A: WESTCHESTER SURPLUS LINES INS CO 10172 <br /> INSURED INSURER B: PEERLESS INS CO 24198 <br /> Gettler-Ryan, Inc. INSURER C: STATE COMPENSATION INS FUND 35076 <br /> 6747 Sierra Court, Suite J INSURER D: <br /> Dublin, CA 94568 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 32915929 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MWDD M DD/YYYY <br /> A GENERAL LIABILITY G24014484006 04/01/1 04/01/14 EACH OCCURRENCE $ 1,000,000 <br /> % COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 50,000 <br /> _ <br /> CLAIMS-MADE FYI OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> —]17POLICY % PRO LOC $ <br /> T F <br /> B AUTOMOBILE LIABILITY BA8404396 04/01/13 1 COMBINEDSINGLELIMIT <br /> Ea accident 1,000,000 <br /> % ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X % NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> $ <br /> A UMBRELLA LIAB X OCCUR G24014502006 04/01/1 04/01/14 EACH OCCURRENCE $ 4,000,000 <br /> % EXCESS LIAR CLAIMS-MADE AGGREGATE $4,000,000 <br /> DED I X I RETENTION$0 $ <br /> C WORKERS COMPENSATION 9051229-13 04/01/1 04/01/14 X WCSTATU- JTH- <br /> OR <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? Y❑ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 _ <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liability G24014484006 04/01/1 04/01/14 Per Claim 1,000,000 <br /> B Rented/Leased Equipment CBP8404796 04/01/1 04/01/14 Per Item 100,000 <br /> A Pollution G24014484006 04/01/1 04/01/14 Per Occurrence 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> *EVIDENCE OF COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 66— <br /> a <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> rjohnsonl <br /> 32915929 <br />
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