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COMPLIANCE INFO_1999-2009
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2300 - Underground Storage Tank Program
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PR0231342
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COMPLIANCE INFO_1999-2009
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Last modified
11/4/2021 3:26:07 PM
Creation date
6/3/2020 9:46:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2009
RECORD_ID
PR0231342
PE
2361
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
01
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231342_1301 W KETTLEMAN_1999-2009.tif
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EHD - Public
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�+ ®T �+ ce® L1PlD D DA�� <br />ACOW. VER ` IFIC E F LIABILITY INSU WALTONI 9/22/05 <br />PRODUCER <br />In t Insurance Services <br />Capitol D:Lvisi-on <br />P.O. Box 255188 <br />Sacramento CA 95865-5188 <br />Phone: 916-488-3100 Fax: 916-488-3492 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDM THIS CERTIFICATE DOES NOT MIEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIL 0 <br />INSURED <br />Waltonring, Inc. <br />P.O. Box 025 <br />West Sacramento CA 95691 <br />INSURER JL* StategomI2 Ins Fund (CA) <br />INSURER it Evanston Insurance Co. <br />c: Allied Pr 6 Casual 00035 <br />D: The Hartford <br />INSURER E: United National Ins. Co. <br />r__. ITT_1__T.Ta--4 <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 IINSIURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLIMES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Him <br />LTR <br />W <br />INQ <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE <br />DATE <br />LIMITS <br />REPRESEWATIVM <br />GENERAL LIABILITY <br />EACH OCCURRENCE S 5,000,000 <br />B <br />XCOMMEPCIAL GENERAL LIABILITY <br />OSPKG01395 <br />03/06/05 <br />03/06/06 <br />PREMRmS{Eaocauence) $50,000 <br />MED EXP {Arty one person) s5,000 <br />CLANS MADE ®OCCUR <br />PERSONAL aADvINJURY s 1, 000,000 <br />X Ded $5,000 <br />GI:NERAL.ADGREGATE 55,000,000 <br />GEWLAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPjaP AGG s5,000,000 <br />POLICYF7 PRJET LOC <br />C <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ACP7801439068 <br />01/03/05 <br />01/03/06 <br />COMBINED SINGLE LIMIT 51,000,000 <br />Me -cldwm <br />BODILY INJURY S <br />(P- pemon) <br />ALLOWNEDAUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per awd4 s <br />X HIRED AUTOS <br />X AUTOS <br />PROPERTY DAMAGE <br />(Pere rm <br />D <br />X Excess Auto <br />FCX0002392 <br />03/17/05 <br />01/03/06 <br />4 000,000 <br />GARAGE LIABILITY <br />_ <br />AUTO ONLY - EA ACCIDENT s <br />OTHER THAN EA ACC S <br />AUTO ONLY: AGG S <br />ANY AUTO <br />EXCESSIUMBRELLA Ly <br />EACH OCCURRENCE S <br />OCCUR FICLAIMS MADE <br />AGGREGATE <br />S <br />s <br />DEDUCTIBLEFI <br />s <br />RETENTION $ <br />IIIIONUM COMPENSATION AND <br />X TORY LIMITS F ER <br />E.L. EACHACMDENT s 1,000,000 <br />A <br />EMPLOYEWILIABLITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFFIEXCLUDED? <br />713000492705 <br />10/01/05 <br />10/01/06 <br />E.L.DISEASE-EA EMPLOYE S 1 000 000 <br />£L DISEASE -POLICY LIMIT S 1 000,000 <br />If , <br />SPECIAL ISIONS�Iax <br />OTHER <br />B <br />Pollution Liab <br />050=1395 <br />03/06/05 <br />03/06/06 <br />Pollution $5,000,000 <br />8 <br />Professional Llab <br />05P=01395 <br />1 03/06/05 <br />1 03/06/06 <br />Prof Liab $5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Pollution Ded $25,000; Professional Liability Ded $50,000 <br />D)Instal.lation Floater Limit $1,000,000 Any Location;$250,000 In Transt <br />Deductible $2,500 Policy No 57UUNUN0523 Exp 12/15/05 <br />*10 Day notice of cancellation applies for non-payment of premium. <br />4GICi Irrde�e 4 � svw..,� <br />-- <br />'idwHom <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS vv=EN <br />NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern: <br />MOM NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESEWATIVM <br />A LVE <br />m Annnn -nn ^U •ft o <br />ACORD 25 (2WTIU1s) <br />
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