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COMPLIANCE INFO_2008-2011
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PR0231129
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COMPLIANCE INFO_2008-2011
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Last modified
3/29/2021 4:28:20 PM
Creation date
6/3/2020 9:45:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2011
RECORD_ID
PR0231129
PE
2361
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231129_3202 W HAMMER_2008-2011.tif
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EHD - Public
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ACORDCERTIFICA <br />PRODUCER <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />F LIABILITY IN oPID S DATE(MM/DDIYYYY) <br />WALTO-2 09/29/09 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND., EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Walnut Creek CA 94597 <br />TYPE OF INSURANCE <br />Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE MAIC <br />INSURED <br />PDATE MM/DD/YY <br />INSURERA: SeaBrl ht Insurance CO <br />INSURER B: <br />REPRESENTATIVES. <br />GENERAL LIABILITY <br />Walton Engineering, Inc. <br />P.O. BOX 1025 <br />West Sacramento CA 95691 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE <br />rrnvt=QenFc <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. <br />LTR <br />INSRE <br />TYPE OF INSURANCE <br />- POLICY NUMBER <br />pATEYMM/DD <br />PDATE MM/DD/YY <br />LIMITS <br />REPRESENTATIVES. <br />GENERAL LIABILITY <br />AleTHORIZED REPRESENTA <br />Dnnis. Cote' j <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE <br />PREMISES Ea occur $ <br />MED EXP (Any one person) $ <br />OCCUR <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEITL AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS -COMP/OP AGG $ <br />� <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />HOTHER <br />THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR F CLAIMS MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />Oxes,de/MEMBER eunderEXCLUDED? <br />It yyes, describe under <br />SPECIALPROVISIONS below <br />OTHER <br />BB1093003 <br />10/01/09 <br />10/01/10 <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00() <br />_ <br />E. L. DISEASE - POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. Evidence of <br />insurance only. <br />r=0Tl01rerC Unr nC0 <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* BAYS WRITTEN <br />TO Whom I t May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AleTHORIZED REPRESENTA <br />Dnnis. Cote' j <br />ernlzn gr t'nnvnsti <br />U ACORD CORPORATION 1988 <br />
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