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FIELD DOCUMENTS FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DURHAM FERRY
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1600
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3500 - Local Oversight Program
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PR0544624
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FIELD DOCUMENTS FILE 2
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Last modified
7/3/2019 5:58:21 PM
Creation date
7/3/2019 3:31:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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`°M, RESOINT-01 MEHI <br /> ACORD„ CERTIFICA OF LIABILITY INSUR CE °A112s/zo09' <br /> PRODUCER (530)668-2777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Armstrong &Associates Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> ase#0650501 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> { ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> h....!BOX 1270 <br /> Woodland, CA 95776-1270 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED ResonantSonic International, Inc. INSURERA:Westchester Surplus Line Insurance Com <br /> R&D Drilling, LLC INSURER S:ACE American Insurance Company <br /> 220 N. East Street INSURER C:State Compensation Insurance Fund <br /> Woodland, CA 95776- <br /> INSURER O: <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 /> INSR kDD'L POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATIONANCE DATE IMMIDDINY1 DATE fMMtDDIYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> AX X COMMERCIAL GENERAL LIABILITY G23799819003 1/31/2009 1/31/2010 PREMISES Esoccurence $ 50,000 <br /> CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL&ADV INJURY S 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> X POLICY FX1 PRO- LOG Prof/Pollution/Railroac 1,000,00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> B X ANY AUTO <br /> H0841550B002 1/31/2009 1/31/2010 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) E <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 <br /> A X OCCUR ❑CLAIMS MADE G237999807003 1/31/2009 113112010 AGGREGATE $ 4,000,000 <br /> E <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND X I TORYS LIMITS <br /> c EMPLOYERS'LIABILITY 7131553708 12/1/2008 12/1/2009 E.L.EACH ACCIDENT $ 1,000,00 <br /> ANY PROPRIETORMARTNERIEXECUTNE 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under1,000,00 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> Certificate holder named additional insured per attached endorsement. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Geological Technics Inc DATE THEREOF,THE ISSUING RISURERWILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> 1101 7th Street <br /> Modesto,CA 95354 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY IONO UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE I v, <br /> ACORD 25(2001108) 0 ACORD CORPORATION 1988 <br />
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