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COMPLIANCE INFO_2001-2008
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2300 - Underground Storage Tank Program
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PR0231130
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COMPLIANCE INFO_2001-2008
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Last modified
11/15/2023 10:28:12 AM
Creation date
4/27/2020 12:23:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2008
RECORD_ID
PR0231130
PE
2361
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
01
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231130_3555 W HAMMER_2001-2008.tif
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EHD - Public
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AC RD CERTIFIC T F LIABILITY I AN DATE(MM/DD/YY <br /> OP ID S <br /> WALTO-2 03/06/07 <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 /> 1000 Broadway Suite 289 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Oakland CA 94607-4090 <br /> Phone: 510-628-9100 Fax:510-628-9115 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Evanston Insurance Co. <br /> INSURER B: Redland Insurance Company <br /> Walton Engineering, Inc. INSURER C: state compensation insurance <br /> P.O. BOX 1025 INSURER D: Hartford Insurance Co 34690 <br /> West Sacramento CA 95691 <br /> INSURER E: <br /> COVERAGES <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. -EFFECTIVE PY <br /> FA <br /> NSR TYPE OF INSURANCE ON <br /> POLICY NUMBER DATE NWDD DATEPOLICY MM/DD/YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY 07PKGO1395 03/06/07 03/06/08 PREMISES(Ea occurence) $ 50,000 <br /> CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 51000 <br /> X $5,000 Ded PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY JEST Loc Em Ben` 11000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> B X ANY AUTO R001121446 03/06/07 03/06/08 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> X NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ -_ <br /> AUTO ONLY: AGG $ <br /> EXCESSNMBRELLALIABILITY EACH OCCURRENCE s4,000,000 <br /> A OCCUR FI CLAIMSMADE 07EFX00007 03/06/07 03/06/08 AGGREGATE s4,000,000 <br /> S . <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> `, EMPLOYERS'LIABILITY 713000492706 10/01/06 10/01/07 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.DISEASE-EA EMPLOYEE $ 110 0 0,0 0 0 <br /> OFFICER/MEMBER EXCLUDED? <br /> Ifyes,describe under 0 0 0,0 0 0 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1, <br /> OTHER <br /> A Pollution/E&O 07PKGO1395 03/06/07 03/06/08 Poll/E&O $1,000,000 <br /> D I Installation Fltr 57MSIZ6050 03/06/07 1 03/06/08 Inst Fltr $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Dennis Cote' <br /> ©ACORD CORPORATION 1988 <br /> ACORD 25(2001/08) <br />
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