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COMPLIANCE INFO 2010 - 2018
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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PR0506504
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COMPLIANCE INFO 2010 - 2018
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Last modified
12/20/2023 11:22:26 AM
Creation date
5/13/2019 8:45:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2018
RECORD_ID
PR0506504
PE
2361
FACILITY_ID
FA0007464
FACILITY_NAME
MAIN STREET ARCO AM PM*
STREET_NUMBER
1100
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
22119062
CURRENT_STATUS
01
SITE_LOCATION
1100 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ACDATE e DATE(MM/DD/YYYY) <br /> ■` CERTIFICATE OF LIABILITY INSURANCE 09/25/2012 <br /> PRODUCER Phone: 888-874-3800 Fax 800-921-5506 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> CONSTRUCTION SPECIALTIES INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2450 VENTURE OAKS WAY,SUITE 220 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> SACRAMENTO CA 95833 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Agency Lic#:0835752 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Rockhill Insurance Company <br /> UST COMPLIANCE&TESTING INSURER B: Wesco Insurance Company 25011 <br /> P.O. BOX 580 INSURER C: <br /> CERES CA 95307 INSURER D: <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, 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 /> NSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSRE DATE MM/DD/YY _a=X=" <br /> GENERAL LIABILITY R PKG E 000382-04 10/16/12 10/16/13 EACH OCCURRENCE $ 1�������� <br /> DAMAGE TO RENTED $ 50,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea oocurence <br /> CLAIMS MADE FRI OCCUR MED,EXP(Any one person) $ 5,000 <br /> A PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> POLICY PRO- <br /> RO LOC $ <br /> AUTOMOBILE LIABILITY WPA1028957 01 10/08/12 10/08/13 COMBINED SINGLE LIMIT $ 1,000 000 <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> rXX <br /> SCHEDULED AUTOS (Per person) <br /> B HIRED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ❑CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION$ $ <br /> WORKERS COMPENSATION AND WCTORY LY L M,U OTHER <br /> IMITS <br /> EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? F E.L.DISEASE-EA EMPLOYEE $ <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 DAYS NOTICE FOR NON-PAYMENT,30 DAYS FOR ALL OTHER <br /> POLLUTION/PROFESSIONAL LIA 2000000 <br /> PROOF OF INSURANCE ONLY <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS y <br /> PROOF OF INSURANCE ONLY WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO <br /> DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS <br /> AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Attention: �V�' Br(9 b <br /> ACORD 25(2009/01) Certificate# 48240 ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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