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COMPLIANCE INFO_1996-1999
EnvironmentalHealth
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231021
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COMPLIANCE INFO_1996-1999
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Last modified
9/22/2022 11:00:44 AM
Creation date
6/3/2020 9:44:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1996-1999
RECORD_ID
PR0231021
PE
2361
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
01
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231021_2908 W BENJAMIN HOLT_1996-1999.tif
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EHD - Public
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ACQRD_ C E RT I F I CAT O F LIABILITY I SURA E CSR ER DATE(MM/OO Y) <br /> SCOTTCl 04/30/98 <br /> PROOUC R THIS CERTIFICATE IS ISSIED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Lamberson Koster & Comaany HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 580 California St. , Suite 1400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> San Francisco CA 94104-1032 COMPANIES AFFORDING COVERAGE <br /> zerson Koster & Co=anv I COMPANY - <br /> PnoneNo 415-391-1500 F0INo A Underwriters Insurance Co. <br /> INSURED <br /> COMPANY <br /> B Continental Casualty Co. (CM) <br /> COMPANY <br /> Scott Co. of California i C American Casualty Co=anv <br /> P.O. BOX 5555 COMPANY <br /> San Leandro, CA 94577-0555 D Royal Insurance Co. of America <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM CR 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 SHCWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO POLICY EFFECi1VE POUCY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUM6E't DATE(MM/00/YY) DATE(AAMlDOlYY) UMfis <br /> GENERAL LIABILITY I IGENERAL AGGREGATE I S 2,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY S RGO 0 22 5 05/01/98 05/01/99 PRODUCTS•COMP/OP AGG 1$ 1,000,000 <br /> I 1 CLAIMS MADE ; X I OCCUR I PERSONAL 6 ADV INJURY I S 1,000,000 <br /> OWNER'S&CONTRACTOR'S PROT; I EACH OCCURRENCE (S 1,000,000 <br /> FIRE DAMAGE(Any one fire! I S 100,000 <br /> • I MED EXP(Any one person) S <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMB S 1,000,000 <br /> B X ANY AUTO I BUA 1 8889 98 55 05/01/98 05/01/99 I <br /> ALL OWNED AUTOS j <br /> BODILY INJURY S <br /> SCHEDULED AUTOS I I I(Pet person) I <br /> X HIRED AUTOS I I BODILY INJURY S <br /> Per accident <br /> $NON-OWNED AUTOS j I( ) <br /> i 1 <br /> PROPERTY DAMAGE I S <br /> I I i I I <br /> GARAGE UABILRY I I I AUTO ONLY-EA ACC.CE?rT I S <br /> ANY AUTO OTHER THAN AUTO ONLY j <br /> -- EACH ACC:OENT 5 <br /> I j I AGGREGAT'c I S <br /> EXCESS LIABILITY II I EACH OCCURRENCE f S 5,0 0 0,0 0 0 <br /> D UMBRELLA FORM P_HrI 202215 f 05/01/98 1 05/01/99 AGGREGATE 1$ 5,000,000 <br /> OTHER THAN UMBRELLA FORM I I Is <br /> WORKERS COMPENSATION AND X I WG STATU• Oc- <br /> EMPLOYERS LIABILITY TORY LIMITS I _R <br /> EL EACH ACCDENT IS1,000,000 <br /> C THE PROPRIETOR/ INCL WC 1 8889 9 9 05 05/01/98 05/01/99 EL DISEASE.PoucY uMrr (S 1,0 0 0,0 0 0 <br /> PARTNERS/EXECUTIVE Pill <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE I S 1,0 0 0,0 0 0 <br /> OTHER <br /> j <br /> i <br /> i <br /> DESCRIPTION OF OPERATIONS/LCCATIONS/VEHICLES/SPECIAL ITEMS <br /> Certificate Holder can be named Additional Insured as required per contract <br /> if project is awarded. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE <br /> SPECIMEN EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL =:MAIL <br /> For BidlPrequalification <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIF{GATE OLDER NAMED TO THE LEFT. <br /> _ <br /> Purposes Only _- <br /> [AUTHORIZED REPRESENTATIVE <br /> LarrLberson Koster a <br /> ACORD 25-S(1/95) - CO 0 CORPORATION 1988 <br />
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