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COMPLIANCE INFO_2012 - 2014
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0536555
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COMPLIANCE INFO_2012 - 2014
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Entry Properties
Last modified
11/25/2019 3:01:19 PM
Creation date
11/25/2019 10:41:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2014
RECORD_ID
PR0536555
PE
2351
FACILITY_ID
FA0020989
FACILITY_NAME
Arco. Am pm 83333
STREET_NUMBER
550
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
Rd
City
Tracy
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
550 W Valpico Rd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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MVPPE-1 OP ID:J5 <br /> CERTIFIt;ATE OF LIABILITY INSMANCE 1 <br /> DAT 11/2DD/YYYY) <br /> 11/20/12 <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 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 endorsement(s). <br /> CONTAPRODUCER Phone:530-895-1010 NAME: Jessica Monlux <br /> InterWest Insurance Services Fax:530-895-1313 PHONE FAX <br /> License#01301094 ac No.Ext): 'C'No): <br /> P.O.Box 8110 anDREss:jmonlux@iwins.com <br /> Chico,CA 95927-8110 <br /> Chip Arenchild INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:American Economy Ins Co 19690 <br /> INSURED MVP Petroleum Engineering, Inc INSURER B:Companion Property&Casualty <br /> PO Box 281 INSURER C:Endurance American Spec Ins Co 41718 <br /> Folsom,CA 95763-0281 <br /> INSURER D: <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 LTR TYPE OF INSURANCE ADDL S POLICY NUMBER MM DD/YYYY MPOLICY EFF M/DDY EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> DAMAGE ToRENTEff__ <br /> C X COMMERCIAL GENERAL LIABILITY ECC10100230504 09/01/12 09/01/13 PREMISES Ea occurrence $ 50,00 <br /> CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL 8 ADV INJURY $ 1,000,00 <br /> X Contr Pollution GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> IP <br /> X POLICY PRO- <br /> 1 <br /> RO LOC $ <br /> AUTOMOBILE LIABILITY Ee aBINEDtSINGLE LIMIT $ 1,000,00 <br /> A I X ANY AUTO 02CE2189273 11/20/12 11/20/13 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS AUTOS ( ) <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS Per accident1 $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ <br /> AND EMPLO ERS'L ABILIITY YIN X TORY LII IU O R <br /> B iANYPROPRIETOR/PARTNER/EXECUTIVE CPCA16196 10/01/12 10/01/13 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) - E.L.DISEASE-EA EMPLOYFE1$ 1,000,00 <br /> If yes,describe under — -- <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> Confirmation of Coverage. <br /> CERTIFICATEHOLDER CANCELLATION <br /> MVP0281 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> MVP Petroleum Engineering,Inc ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 281 <br /> Folsom,CA 95763 AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />
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