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WP0039415
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039415
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Entry Properties
Last modified
5/21/2019 9:06:44 AM
Creation date
5/20/2019 4:11:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039415
PE
4372
STREET_NUMBER
500
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330-
APN
19812008
ENTERED_DATE
3/11/2019 12:00:00 AM
SITE_LOCATION
500 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CERTIFICATE OF LIABILITY INSURANCE DAT1/o ois� <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Melanie Marlow <br /> Arthur J. Gallagher&Co. PHONE FAx <br /> Insurance Brokers of CA, Inc. LIC#0726293 831-637-9241 AfC No;831 630-0286 <br /> 321 Fifth Street ADDRESS: melanie rnarIowgajg.com <br /> Hollister CA 95023 INSURERS AFFORDING COVERAGE NA)C0 <br /> INSURERA:Admiral Insurance Company 24855 <br /> INSURED wwRERe:Wesco Insurance Company 25011 <br /> Exploration Geoservices, Inc. <br /> 1535 Industrial Avenue INSURER C:State Compensation Insurance Fund of CA 35076 <br /> San Jose, CA 95112 JNSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:298582054 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 D R POLICY NUMBER POLID EFF RCDY EXP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y FEIECC1196006 1/1/2019 8/1/2019 EACH OCCURRENCE $3,000,000 <br /> DAMAGE CLAIMS-MADE M OCCUR PREMISES(En c�msnco) $50,000 <br /> MED EXP oneperson) $5,000 <br /> PERSONAL&ADV INJURY $3,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 <br /> POLICY a PER4 FILOC PRODUCTS-COMP/OP AGG 1$3,000,000 <br /> OTHER Each Occ Dod $5,000 <br /> B AUTOMOBILFLLABIUTY WPP1666Z71 111/2019 R11/2019INW 81NOLELIMIT $1,DOO,D00 <br /> Ea acddertl <br /> X ANY AUTO BODILY INJURY(Por person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per eodderd) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Par.. <br /> E <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEO I I RETENTION $ <br /> C WORKERS COMPENSATION Y 9221209-18-2 ah 2018 6/1/2019 X PER 0T1+ <br /> AND EMPLOYE RS'LIABILrrY YIN <br /> STATUTE ER <br /> ANYPROPRIETOR/PARTNER[EXECUTIVE 7 NIA E.L.EACH ACCIDENT $N1,000,000 <br /> E.L. <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> H yss,desnibe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLFS(ACORD 101,Additdonal Ramada Schedula,maybe attached It mora apace Is mqukad) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE /// <br /> ( i. �/� -U <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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