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SU0012138
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PA-1800150
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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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Ace e CERTIFICATE OF LIABILITY INSURANCE DATE015 YYYYI <br /> 4rz4rzols <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(les)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 center rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Alliant Insurance Services. Inc NgrgL____ Bethany Kaiser_ <br /> 7525 N Cedar Avenue ALC N P. ,.559.437.3380 _ �Fp 559.437.3385 <br /> Suite �s.bkaiser@alliarTt.com <br /> Fresnoo CA 93720 C -- - - <br /> _ INSIME11181 AFFORDING COVERAGE P26 <br /> INSURERA-NationalSpeciaflyInsuranceCompan INSUREDINSURERS:Woodward Drilling Company. Inc INSURERC:P O- Box 336 <br /> Rio Vista CA 94571 INSURER D. <br /> INSURER E <br /> W SURER F <br /> COVERAGES CERTIFICATE NUMBER: 126740803 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 /> I <br /> _. _ <br /> . .- -__-_--_ __ -. <br /> TR TYPE OF INSURANCE SR <br /> INSO POLICY UMBERPOLKYEFFF <br /> K YYYY MPoHUCYEXP MKIINYYYY,T LIMITS - --- - "" <br /> A TMMCRCIAL GENERAL LIABILITY 'MOF0165365 /20/2014 8/202015 EACH OCCURRENCE S2.000.000 <br /> CLAIMS.MADE i]OCCUR <br /> PR S 'Ow nme 5100.000 <br /> MEDEXP(An err arson $5,000 <br /> PERSONAL 6 ADV INJURY $2.000.1100 <br /> GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4.000.000 <br /> x FOUCY M PACoT ir--]LOC PRODUCTS-COMPIOP AGO $4.000.000 <br /> OTHER 5 <br /> A AUTOMOBILE LIIIBRmAIEFOt65365 202014 02015 LE . UPTr— <br /> eacoearxZ. _.._ 52.000.000 <br /> X ANY AUTO BODILY INJURY(Pal grWn) y- _- —_ <br /> AMP <br /> �D BODILY INJURY IPW II=' ) S <br /> HIRED ALTOS AUTOS D Par S <br /> S <br /> A X UMBRELLAULBX OCCUR NFF0165365 14 [12012015 EACH OCCURRENCE 56,000,000 <br /> r1� EXCESS LIAM, _ CWMS-MADE AGGREGATE 35.000.000 <br /> X -RUEMIONSIO.00D S <br /> WORRER6 COYPENSAMN PTA H- <br /> ANDEMPLOYERVLUIBLITY YIN <br /> ANY PROPRIETOIVPARTNERr ECUTIVE ON/A EL EACH ACCIDENT S <br /> OFFICERAIEMSER EXCLUDED? - <br /> (Man"OrylnNHl EL DISEASE-EA EMPLOY S <br /> 11yn eesrn09 uMm <br /> DESCRI PTIONOF OPERATIONS Oe1an EL DISEASE-POLICY UNIT 3 <br /> I <br /> DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES IACORD 10f,AOaronal ftrnurFs SCNeOale,nrY b attache M nrn race H reaulrc0l <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 REPRESENTATVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORO <br />
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