My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO 2005 - 2009
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
1399
>
2300 - Underground Storage Tank Program
>
PR0231435
>
COMPLIANCE INFO 2005 - 2009
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/7/2019 3:13:32 AM
Creation date
8/6/2019 2:20:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005 - 2009
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
344
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
OP ID M DATE(MM/DD/YYYY) <br />ACORB CERTIFICAT IF LIABILITY INSURAN' WALTO-2 09/26/07 <br />'PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />TLB Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3000 Oak Rd., Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Walnut Creek CA 94597 <br />Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A state Compensation insurance <br />INSURER B: <br />Walton Engineering r Inc. INSURER C: <br />P.O. BOX 1025 INSURER D: <br />West Sacramento CA 95691 <br />INSURER E: <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 />LTR <br />ADM <br />NSR <br />—POLICY <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />OLICY EFF TIV <br />DATE MMIDD/YY) <br />EXPIRATIONLIMITS <br />DATE MM/DDlYY <br />AUTHORIZED REPRESENTATIVE .. <br />GENERAL LIABILITY <br />Dennis Cote' <br />EACH OCCURRENCE $ <br />PREMISES (Ea occurence) $ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) $ <br />CLAIMS MADE F—] OCCUR <br />PERSONAL & ADV INJURY S <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />BODILY INJURY $ <br />(Pei person) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE UABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR F-1 CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT $1000000 <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />7130004927-07 <br />10/01/07 <br />10/01/08 <br />E. L. DISEASE - EA EMPLOYEE $ 1000000 <br />E.L. DISEASE -POLICY LIMIT $1000000 <br />K yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. Evidence of <br />insurance only. <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE .. <br />Dennis Cote' <br />ACORD 25 (2001108) <br />
The URL can be used to link to this page
Your browser does not support the video tag.