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2900 - Site Mitigation Program
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PR0507144
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Last modified
5/14/2020 1:54:36 PM
Creation date
5/14/2020 1:31:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0507144
PE
2950
FACILITY_ID
FA0007712
FACILITY_NAME
ACME STOCKTON GALVANIZING
STREET_NUMBER
540
Direction
W
STREET_NAME
SCOTTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
14704048
CURRENT_STATUS
01
SITE_LOCATION
540 W SCOTTS AVE
P_LOCATION
01
QC Status
Approved
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LSauers
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EHD - Public
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• J l u_ . 177 F'1-11:-'102 <br /> 1tl6UE UAIE (MNVUU(YY) <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS�� <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, <br /> EXTEND OR ALTER THE COVERAQE AFFORDED BY THE POLICIES BELOW. <br /> COMPANIES AFFORDING COVERAGE <br /> COMPANY A <br /> LETTER <br /> COMPANY <br /> INSURED- - _ LETTER S <br /> -.. .. .. .... - COMPANY C <br /> LETTER <br /> 77, <br /> COMPANY D <br /> LETTER <br /> COMPANY E <br /> ETTER <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM I BCVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT UR OTHER DOCUMENT la PESPF.CT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU&I- TNE TERMS,EXCLUSIONS,AND CONDI, <br /> TIONS OF SUCH POLICIES. <br /> COP041CY EFEECTiVE W,:.,ICv EFpIPPTI"1!r <br /> 'LIABILITY LIMITS IN THOUSANDS <br /> TYPE OF INSURANCE pOLX;V NUMBER <br /> LTR OP7E{MMippNYl pP1 IMAU[Kw vvt a i ';" ClE1FRENGE AOGREDATE <br /> GENERAL LIABILITY _j aOURv <br /> COMPREHENSIVE FORM I IwURY $ <br /> PREMISES/OPERATIONS PROPERTY <br /> 1 NVRGROUND DAMAGE $ $ <br /> EXPLOSION&COLLAPSE HAZARD <br /> PRODUCTS/COMPLETED OPERATIONS ~ - <br /> BIa <br /> cDNTRAcruu coL+elPuNeD $ $ <br /> INDEPENDENT CONTRACTORS <br /> BROAD FORM PROPERTY DAMAGE ..� <br /> PERSONAL iNJUAY PCOSONAL INJURY $ <br /> AUTOMOBILE LIABILITY <br /> WAY <br /> ANY AUTO I jOIP°`-aX"'I <br /> ALL OWNED AUTOS(PRV. PAK) X00 <br /> I IyMp; ` <br /> ALL OWNED AUTOS OTHER THAI, I pEu 'OFnT:' $ <br /> PRN. PASS F---- <br /> HIRED AUTOS PROPERTY " <br /> MON-OWNED AUTOS DAMAGE <br /> GARAGE LIABILITY BI <br /> COMBINED[s <br /> CESS LIABILITY <br /> R <br /> UMBRELLA FORM EI A POr IMOINt T I$ <br /> OTHER THAN UMBRELLA FORM _ I ,� <br /> gThTDTDRY <br /> WORKERS' COMPENSATION -., '" <br /> .. ,_, -: • . . i is $ :. 0iA ll ACCIDENT) <br /> AND +^� $ '-:14.1 .)(DISEASE-POLICY LIMIT) <br /> EMPLOYERS' LIABILITY I $ '• (DISEASE-EACH EMPLOYEE) <br /> .......:..._.._f._— <br /> OTHER JfI <br /> 4+P ., ')a OPERATIONS/LOCATIONSNEHICLES/SPECIAL T <br /> :an, <br /> - _ SHOULD ANY OF THE ABOVE DEBGRIKV PQLICIM•S BS CANCELLED BEFORE THE EX• <br /> PIRAT]" DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> - '--.' --- MNL "-) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> BE LLrT,Mn rAL.UNE TO MAIL WC14 NOTICE SHALL IMPOSE NO OBLIGATION 011 LIABILITY <br /> OF ANY VINO UPON THE AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRES ATIVE . .. �p ' <br />
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