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EHD Program Facility Records by Street Name
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SCHULTE
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25460
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2900 - Site Mitigation Program
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PR0542113
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Entry Properties
Last modified
5/18/2020 2:14:53 PM
Creation date
5/18/2020 2:12:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0542113
PE
2950
FACILITY_ID
FA0024187
FACILITY_NAME
7-ELEVEN STORE #39208
STREET_NUMBER
25460
Direction
S
STREET_NAME
SCHULTE
STREET_TYPE
RD
City
TRACY
Zip
95377-9709
APN
20944035
CURRENT_STATUS
01
SITE_LOCATION
25460 S SCHULTE RD
P_LOCATION
03
QC Status
Approved
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LSauers
Tags
EHD - Public
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0 0 <br /> CERTIFICATE OF LIABILITY INSURANCE OATETMM%°DM <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on .2! <br /> this this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT N <br /> Aon Risk insurance Services west, LOC. <br /> NAME TI <br /> Newport Beach CA office PHONE <br /> .Ne.Eat: (949) 6Utl-63U(1 <br /> �Na: (949) 6U8-6459 <br /> 100 Bayview Circle EMAIL v <br /> Newport Reach CA 92660 U5A ADDRESS: S <br /> INSURER(S)AFFORDING COVERAGE NAIC4 <br /> INSURED INSURERA: Old Republic General Ins Corp 24139 <br /> Greclq Drillinq and Testicle, Inc. INSURER B: IFonstore Specialty Insurance Company 2544$ <br /> 2726 walnut Avenue <br /> Signal Hill CA 90755-1832 USA INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:570063023518 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. Limits shown are as requested <br /> IUUY LAP <br /> L p TYPE OF INSURANCE IMS WVD SLAIBF POLICY NUMBER MMIDDIYYYT MMIO LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $1,000,000 <br /> CLAIMSMADE R❑OCCU.RNTE9-- $500,000 <br /> PREMISE Ea occwmn.. <br /> MEDEXP)Anyoneposon) $2S,000 <br /> PERSONAL It ADV INJURY $1,000,000 m <br /> AGGREGAi E LIMIT APPLIES PER <br /> GENPRO GENERAL AGGREGATE $2,000,000 n <br /> T. '. <br /> POLICY ❑% JEOI ❑LOC PRODUCTS-COMPIOP AGO $2,000,000 <br /> OTHER on <br /> A AUTOMOBILE LMOtiY A1CA0104160$ 08/01/201608/012017 COMBINED SINGLE LIMIT 'o <br /> Eaecridan $1,000,000 <br /> X ANYAUTO BODILY INJURY(Per person) O <br /> 2 <br /> OWNED SCHEDULED BODILY INJURY(Per eccidem) y <br /> AIROS ONLY AUTOS <br /> X HIRED AUTOS X NONOWNED PROPERTY DAMAGE U <br /> .M. AUTOS ONLY Per.uoodenl <br /> OM 51000 f. <br /> 1 <br /> B X UMBRELLA LIAR X I OCCUR 00111320$ —08/017016 08 01/ 01 EACH OCCURRENCE 54,000,000 (� <br /> EXCESS LIAR CLAMS-MADE AGGREGATE $4,000,000 <br /> DEDI IRETENTIOAI <br /> A WORKERS COMPENSATION AND A1CW01041605 O1/Z 16 08 01/20 ' PER pTH <br /> EMPLOYERS'LIABILITY YIN. X STPTUTE <br /> MyPROPRIETOR I PARTNER I EXECUTIVE Y EL EACH ACCIDENT $1,000,000 <br /> OFFICERMEMBEREXCULDED? NIA <br /> (Mandalery in NH) F IF.DISEASE-EA EMPLOYEE $1,0001000 <br /> R decce under <br /> DESCnoRIPTION OF OPERATIONS belay E DISEASE-POLICY LIMIT 51,000,000- <br /> 8 Env Contr Poll 001113105 08/01/7016 U8/Ul 201] Limit Cl.) $11000,000 <br /> Pollution/Prof Liab - E&O SIR/Deductible (1) $50,000 <br /> SIR applies per policy teris & condi ions <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached a more space is required) <br /> It is agreed that Stantec consulting Services, Inc. is included as an Additional Insured as respects to General Liability and ti <br /> Auto Liability. <br /> Waiver of Subrogation applies per attached as permitted by law. Auto AI & GL AI Endorsements and wC waiver Attached i <br /> Professional Liability is claims made. umbrella is excess over General Liability, Pollution and Professional Liability, <br /> Automobile and Employer's Liability coverages. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> Stantec Consulting Services, Inc. AUTHORIZED REPRESENTATIVE <br /> Attn: Nina.Cameron <br /> 8160 S. Highland Dr, � ��e�kfAmf �� <br /> Sandy, UT 84093 USA <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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