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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DORSET
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2532
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2900 - Site Mitigation Program
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PR0508012
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Last modified
7/3/2019 3:13:21 PM
Creation date
7/3/2019 11:55:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508012
PE
2960
FACILITY_ID
FA0007884
FACILITY_NAME
SURLAND HOMES
STREET_NUMBER
2532
STREET_NAME
DORSET
STREET_TYPE
LN
City
TRACY
Zip
95376
APN
23830005
CURRENT_STATUS
01
SITE_LOCATION
2532 DORSET LN
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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FamiAppw . <br /> • om�Apmvtl,AVP-law IiI <br /> I <br /> w, v E=BIT C i <br /> Union Pacific Railroad <br /> Contract Insurance Requirements <br /> I <br /> � Right of Entry Agreement <br /> I <br /> Licensee shall, at its sole cost and expense, procure and maintain during the life of this Agreement <br /> (except as otherwise provided in this Agreement)the following insurance coverage: <br /> A. Commercial General Liability insurance. Commercial general liability (CGL) with a limit of <br /> not less than $5,000,000 each occurrence and an aggregate limit of not less than $10,000,000. CGL <br /> insurance must be written on ISO occurrence form CG 00 01 12 04 (ora substitute form providing <br /> equivalent coverage). <br /> The policy must also contain the following endorsement, which must be stated on the certificate of <br /> j insurance: <br /> + Contractual Liability Railroads ISO form CG 24 17 10 01 (or a substitute form providing <br /> equivalent coverage)showing"Union Pacific Railroad Company Property"as the Designated Job Site, <br /> t <br /> B, Business Automobile Coverage insurance. Business auto coverage written on ISO form CA 00 <br /> 01 (or a substitute form providing equivalent liability coverage)with a combined single limit of not less <br /> $2,000,000 for each accident. <br /> { The policy must contain the following endorsements,which must be stated on the certificate of insurance: <br /> Coverage For Certain Operations In Conna,tion With Railroads ISO form CA 20 70 10 01 (or a <br /> substitute form providing equivalent coverage) shoving "Union Pacific Property" as the Designated Job <br /> Site. <br /> + Motor Carrier Act Endorsement-Hazardous materials cleanup(MCS-90)if required bylaw. <br /> C. Workers Compensation and Employers Liability insurance. Coverage must include but not be <br /> limited to: <br /> Licensee's statutory liability under the workers'compensation laws of the state(s) affected by this <br /> Agreement. <br /> + Employers' Liability (Part B) with limits of at least $500,000 each accident, $500,000 disease <br /> policy limit$500,000 each employee. <br /> l <br /> If Licensee is self-insured,evidence of state approval and excess workers compensation coverage must be <br /> provided. Coverage must include liability arising ont of the U. S.Longshoremen's and Harbor Workers' <br /> Aet,the Jones Act,and the Outer Continental Shelf Land Act,if applicable. <br /> D. Railroad Protective Liability insurance. Licensee must maintain Railroad Protective Liability <br /> insurance written on ISO occurrence form CG 00 35 12 04 (or a substitute form providing equivalent <br /> coverage)on behalf of Railroad as named insured,with a limit of not less than$2,000,000 per occurrence <br /> and an aggregate of$5,000,000. A binder stating the policy is in place must be submitted to Railroad <br /> before the work may be commenced and unfit the original policy is forwarded to Railroad. <br /> R06 920316-NS p-1 <br /> Form Approved,AW-Law <br />
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