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WP0039615
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039615
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Entry Properties
Last modified
7/31/2019 10:29:12 AM
Creation date
7/31/2019 10:21:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039615
PE
4372
STREET_NUMBER
760
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206-
APN
16323023
ENTERED_DATE
5/14/2019 12:00:00 AM
SITE_LOCATION
760 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SALEENG-01 MMAZZA <br /> ,�►coRo CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDYYYY) <br /> 11/29/2018 <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 License#OE02096 CONTACT <br /> NAME: <br /> DiBuduo&DeFendis Insurance Brokers,LLC �n"Ic°,"No,EXtl:(559)432-0222 (FAXAJCNol:(559)431-7941 <br /> P.O.Box 5479 E-MAIL <br /> Fresno,CA 93755-5479 ADDRE : <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Valley Forge Insurance Co 20508 <br /> INSURED INSURERS:Continental Casualty Company 20443 <br /> Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 <br /> 4729 W.Jacquelyn Ave. INSURER D:American Casualty Company of Reading PA 20427 <br /> Fresno,CA 93722 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MM/DD/YYYY MMIDD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE X OCCUR 6015893246 12/01/2018 12/01/2019 DAMAGE TO RENTED 800,000 <br /> X <br /> PREMISES <br /> EMI E Eaoccurr n e $ <br /> MED EXP(Any oneperson) $ 15,000 <br /> PERSONAL 8 ADV INJURY $ 2'000'660 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 <br /> POLICY❑X PELT LOC PRODUCTS-COMP/OPAGG $ 4,000,000 <br /> OTHER. $ <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> X ANY AUTO 6045473729 12/01/2018 12/01/2019 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident S <br /> AUTOS ONLY AUOTNO ONLB P�20PERTY DAMAGE <br /> er accident $ <br /> $ <br /> C X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 5,000'000 <br /> EXCESS LIAB CLAIMS-MADE 6015893232 12/01/2018 12/01/2019 AGGREGATE $ 5,000'000 <br /> DED I X I RETENTION$ 10,000 $ <br /> D WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N 6020581635 12/01/2018 12/01/2019 ISTATUT ER 1,000,000 <br /> ANY PROP RIETOR/PARTNER/EXEC UTIVEF—] E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatoryin NH) E.L.DISEASE-EA EMPLOYEE $ 1'000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Prof./Pollution Liab AEH591895527 12/01/2018 12/01/2019 Each Claim 2,000,000 <br /> B Prof./Pollution Liab AEH591895527 12/01/2018 12/01/2019 Aggregate 4,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> **Actual Certificate to be issued upon request** <br /> Certificate Holder is named Additional Insured(including Completed Operations and Primary Non-Contributory Wording)as respects General Liability per <br /> attached blanket policy form CNA75079XX(10-16). <br /> **Professional/Pollution Liability deductible per claim-$25,000 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> **SAMPLE CERTIFICATE** THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 425 <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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