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SU0012138
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SU0012138
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Entry Properties
Last modified
5/7/2020 11:35:39 AM
Creation date
9/6/2019 10:16:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012138
PE
2666
FACILITY_NAME
PA-1800150
STREET_NUMBER
800
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
23903008, 23903014
ENTERED_DATE
1/8/2019 12:00:00 AM
SITE_LOCATION
800 W MOSSDALE RD
RECEIVED_DATE
1/25/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MOSSDALE\800\PA-1800150\SU0012138\APPL.PDF \MIGRATIONS\M\MOSSDALE\800\PA-1800150\SU0012138\EH PERM.PDF \MIGRATIONS\M\MOSSDALE\800\PA-1800150\SU0012138\EHD COND.PDF
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EHD - Public
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11 �oR CERTIFICATE OF LIABILITY INSURANCE OATS4/24/2001515 OYYYY, <br /> ` <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(ios)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such ondonsemenl s. <br /> PRODUCER C NTACT <br /> Alliant Insurance Services. Inc gnpg: Bethany Kaiser <br /> PHONE 559.437.3360 FAx - -- <br /> 7525 N. Cedar Ave Ste 101 wcnP-EVN: __ -. __�Nnl.559.437.3385 <br /> Fresno CA 93720 E-MAIL bkaiser alliant.com <br /> maREss: _. _ <br /> INSURERISI AFFORDING COVERAGE IMuco <br /> - --'------- ----- - _.__ _ INSURER A:COmmerce and Industry Insurance Cont 19410 <br /> INSURED INSURER 6: <br /> --. – <br /> Woodward Drilling Company, Inc <br /> P.O.. BoxBox IISUIIERC <br /> 338 : <br /> Rio Vista CA 94571 INSURER O: <br /> MSURERE: - <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:173395202 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 /> __-- <br /> is <br /> LTR TYPE OF INSURANCE POUPOUCYNUNBER MWDCmrYr MMmoNrrrY LIGATE <br /> COMMERCIAL GENERAL LIABILITY N EACH OCCURRENCE S <br /> CLANSMADE F–I OCCUR <br /> PREMISES Ea i=vT~ S <br /> MED EXP(Airy Ons parson S _ <br /> PERSONAL&ADV INJURY S _ <br /> GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S <br /> POLICY 11JJEECT F LOC <br /> PRODUCTS-COMPIOP AGO S <br /> OTHER – <br /> 5 <br /> AUTOMOBILE LIABILITY N jEa auldenJ...-__. . S <br /> ANY AUTO - "--- <br /> BODLYINJlVNY1Pe.Panonl S <br /> ALL 6CH RULED <br /> AUTUTOSAUf NEO PROPERT775W G PcnOant/ S <br /> HIRED AUTOS AUTOS pK eouaNa S <br /> 5 <br /> UMBRELLAUAB OCCUR N EACH OCCURRENCE S <br /> E%CESS LIAB CLAIMS�MAOE AGGREGATE S <br /> DED RETEMIONS <br /> A WORNEASCOMPMUTION 82718226 2014 0 <br /> 1 /1/2075 S <br /> AND EMPLOYERS'UA& 0/1 <br /> YIN x PTR RK <br /> ANY PRWRIETORNARTNMEXECumV <br /> OFFICER,LEMBER EXCLUMI ❑Y NIA EL EACH ACCIDENT _ S1,000;Wo <br /> IMaM wyM NH) E L DISEASE-EA EMPLOYEE $1,000,000 <br /> IfYas dalrnna OFF <br /> OESCRIPtION OF OPERATIOrLS SNdr EL.DISEASE-POLICY LIART &1.000.000 <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORIA 101.MdMN,aM Ronu,ka SCNdVH,nay b atwcM Imora apapa is u—) <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 /> Brown Sand Inc. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O Box 1429 <br /> Lathrop CA 95330 AUTHORIZED REPRESENTATIVE <br /> ®1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014(01) The ACORD name and logo are registered marks of ACORD <br />
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