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COMPLIANCE INFO_2012-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231416
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COMPLIANCE INFO_2012-2018
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Last modified
2/21/2024 4:04:04 PM
Creation date
6/3/2020 9:48:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2018
RECORD_ID
PR0231416
PE
2361
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
01
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231416_3425 TRACY_2012-2018.tif
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EHD - Public
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C7 <br />Ll <br />CCERTIFICATE F LIABILITY I <br />/D1OR <br />03/31201 <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 pollcy(les) must be endorsed. If SUBROGATION 13 WANED, subject to <br />the terns and conditions of the policy, certain policies may require an ends ern. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsements . <br />PRODUCER LIC 80829370 1-925-244-7700 <br />8dge»ood Partners Insurance Centers (EPIC) <br />[San Ramon Branch] <br />P. O. Box 5003 <br />San Ramon, CA 94583 <br />CTEdgeaood Partnere insurance center <br />PHONE <br />:(925) 244-7700 FAX Ma: (925) 901-0671 <br />EFICcertseedgewoodins.com <br />INSURE AFFORDING COVERAGE NAIOS <br />Im qA: 11IESTC88STER SURPLUS LINES IDIS CO 10172 <br />INSURED <br />Gettler-Ryan, Inc. <br />6747 Sierra Court, Suits J <br />Dublin, CA 94568 <br />INSURER B: PEERLESS INS CO 24198 <br />C; TRAVELERS PROPERTY CAS CO OF AJ= 25674 <br />D; <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 20468751 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. <br />INSR <br />TYPE OF I <br />ADDLSUBR <br />POLICY <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />GENERAL LABSM <br />624014484004 <br />04/01/1 <br />04/01/12 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE TO RERMIY <br />(Esnam$ 50, 000 <br />X- <br />COMMERCIAL GENERAL LIABILITYPREMISES <br />CLAJMS•MADE OCCUR <br />MED EXP one pomwq $ 5, 000 <br />PERSONAL 8 ADV INJURY $1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $2.000,000 <br />POLICY PRO- <br />JEM El LOC <br />$ <br />B <br />AuTosiosLE <br />LiAssrry <br />BA 40 3§R=MFTMe <br />1,000,000 <br />BODILY INJURY (Per person) $ <br />$ <br />ANY AUTO <br />ALL <br />�OOSWNED SCHEDULED <br />BODILY INJURY (Peraccidw!) $ <br />PROPERTY DAMAGE $ <br />1 <br />X <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />$ <br />A <br />tMBRELLALUM <br />X <br />OCCUR <br />624014502003 <br />04/01/1 <br />04/01/12 <br />EACH OCCURRENCE $ 4,000,000 <br />AGGREGATE $4,000,000 <br />X <br />EXCESS LAS <br />CLAIMS -MADE <br />DD EENnoN O <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS! LIABILITY YIN <br />ANY PROPRIETORJPARTAIERJEXECUnVE <br />OFFICERIMEE EXCLUDED? O <br />N I A <br />DTJUB7827P41511 <br />04/01/I <br />04/01/12 <br />X WCYUm OTH• <br />E.L. EACH ACCIDENT $ 1,000,000 <br />EL. DISEASE- EA EMPLOYEE $ 1,000,000 <br />(Merids" In NH) <br />yes, <br />DESCRIPTION OF OPERATIONS bebw <br />I <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />A <br />Pollution <br />624014484004 <br />04/01/1 <br />04 01 12 <br />Per Occur - $1KILL DED:10K <br />e <br />Rented/Leaned Xquiyment <br />CBP8404796 <br />04/01/1 <br />04/01/12 <br />Per Item - $100& DED:1X <br />A <br />Professional Liability <br />824014484004 <br />04/01/1 <br />04/01/12 <br />Per Claim - $1NILL DED:10K <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attaeh ACORD tot, N moss spece Is <br />*EVIDENCE OF COVE <br />ACORD 25 (2010105) <br />Stalebaadeh <br />20468751 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />
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