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FIELD DOCUMENTS_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SCHOOL
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107
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3500 - Local Oversight Program
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PR0545674
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FIELD DOCUMENTS_FILE 1
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Entry Properties
Last modified
7/23/2020 2:13:11 PM
Creation date
5/20/2020 8:20:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0545674
PE
3528
FACILITY_ID
FA0006039
FACILITY_NAME
MARK NEWFIELD
STREET_NUMBER
107
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
107 N SCHOOL ST
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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11/22/89 17, $ 915 552 1592 IJATF' DEV. CORP. 92 <br /> ® i • ISSUE DATE(MMIOUlVV) <br /> PRODUCER --_... ... -.. . .__ <br /> THIS CERTIFICATE IS ISSUED A$A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIAHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE b0E9 NOT AMEND, <br /> I.JE11._1_!Y 13AKS INSURANCE EXTEND OR ALTER TH@ COVERAOZ AFFORDED BY THE POLICIES BELOW. <br /> 113Y1 A011URN BLVD, <br /> COVERAGE <br /> COMPANIES- <br /> S AFFbRDIN <br /> D <br /> t3 <br /> 1: t I�fltJI,.>, HE ItYHTSr CA 9561E <br /> COMPANY <br /> LETII:R A <br /> COMPANY B <br /> 111SUIIEU LETTER <br /> COMPANY <br /> Ihl� Water Development Corp. LCITEA <br /> C <br /> 2�?t3 North East Street COMPANY D - -- - <br /> 1111Erd1:Tnd CA 95695 LEITEIT FREMONT INDEMNITY _ <br /> COMPANY <br /> LE 11144 <br /> • f <br /> TIIIS 19 TO CERTIFY THAT POLICIES OF INSURANCE LISTED BEL OW HAVE BEEN ISSUED TO THE INBUREO NAMED ABOVE Pon THE POLICY PERIOD INDICATED, <br /> NO TWI t IfSTAIJOINO ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> u&ISSu(in OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS,EXCLUSIONS.AND CONDI- <br /> TIONS OF SUCIf POLICIES. <br /> CO TYPE OF INSURANCE - POLICY NUMBER - POtSY FIsiCIP4~ POI ICY EY►IRATIpI <br /> 1.iFt UAIF IMM+DOITYI DATE fIVIUMI0/YT) ALL LIMITS IN THOUSANDS <br /> - GENERAL LIABILITY <br /> (A MMERCIAL GENtFLAL LIABILITY PIRMCIS•COMPfUrS AUGRtGAIf ,$ <br /> .... f 1 AI1A:S MADE 0DCCURRFNCt P(AWNAL&ADVERTISING INJURY <br /> Ir <br /> ,'nif R'S d WAACIOAS PAOIFCIM TACH Dt:CUt+RfnCE <br /> FIR(OAMAGf(ANY ONE FIRE) <br /> MEUICAL EXP(NSF(ANY ONE PERSON) <br /> AUtOMOOILE LIABILITY -- <br /> At1Y AUIU C!L $ <br /> AI 1.OWN(U AUTOS AY <br /> uGll(F)UL(o AUTOS <br /> IPFA KRUM $ <br /> iwicu AUTOS I �i <br /> u <br /> f10t)OWtI(O AUTOS 10" <br /> GARAOL LIABILITY ; <br /> -- PFWIRTY <br /> DAMAGE <br /> excE58 LIABILITY tAC14 AO<►IIJUArf: <br /> occunniNce ' <br /> $ $ <br /> U1111 R IRAN UMBRELLA FORM <br /> WP89475_07501 ........ b%A I�3 �{� arATutolir <br /> WORKERS'COMPENSATION $ 1000 (TACH AfC1OFNt1 <br /> AND $ 1000 IOIStASE rOl1CY(IMl1 <br /> EMPLOYERS'LIABILITY <br /> $ � (DISEASE EACH EMPtD1EEI <br /> OTHER � --._...�.�.—�.-- -----.._...._ _.. - ---•-- <br /> nE'SCTI1P110N OF OPERATIONS/LOCATIONS VEHICLESI RES i RICT IONS/SPECIAL ITEMS <br /> HOLDER CANCELLAti• <br /> - SHOULD ANY OF THE ABOVE DESCRIBED P'OLICIZO BE CANCELLED BEFORE THE EX- I' <br /> FIRATION DATE THEREOFI.THE ISSUING COMPANY-WILL ENDEAVOR.TO <br /> MAIL 30 DAYS WRITTEN NOTICE TO THE CERYIMCATe HOLDER NAMED TO THE s <br /> LEFT. BUT FAILURE TO MAIL MUCH NOTICE $HALL IMP08H NO OeLIOATION OR <br /> LIABILITY OF ANY KIND UPON YMI!COMPANY,ITS AGENTS OR REPRESENTATIVES. <br /> AUTtIOnIZE:D nI1PF4E�S�ENT/A�TiVV9..,_. <br />
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