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0 <br />STORAGE- OF __ TO <br />DEMONSTRATE• <br />STATE OF CALIFORNIA <br />Facility Name and Address: <br />Tracy Shell <br />3725 Tracy Blvd <br />Tracy ,CA 95304 <br />Insurer Name and Address: <br />ACE American Insurance Company a, r <br />c/o Westchester, 11575 Great Oaks Way, Ste 200, Alpharetta, GA 30022 <br />Policy Number: G4665349A 001 <br />Policy Period: <br />From 12:01am 06/30/2017 to 12:01am 06/30/2018 <br />Insured Name and Address: <br />Anabi Oil Corporation <br />1040 N Benson Ave <br />Upland, CA 917862157 <br />ENV1R0NNVzN'_AJ_ HEALTH <br />w wN r <br />I. The Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following <br />Underground Storage Tanks: <br />Facilily <br />Tracy Shell <br />Identification No. <br />000000 <br />4 UST(s) <br />for taking corrective action and/or compensating third parties for bodily injury and property damage caused by either <br />sudden accidental releases or non -sudden accidental releases or accidental releases in accordance with and subject <br />to the limits of liability, exclusions, conditions, and other terms of the Policy arising from operating the underground <br />storage tanks identified above. <br />The Limits of Liability are: <br />a. $1,000,000 <br />b. $3,000,000 <br />Each Occurrence <br />Annual Aggregate <br />exclusive of legal defense costs, which are subject to a separate limit under the policy. This coverage is provided under <br />policy number G4665349A 001. The effective date of said policy is 06/30/2017. <br />II. The Insurer further certifies the following with respect to the insurance described in Paragraph I: <br />A. Bankruptcy or insolvency of the insured shall not relieve the Insurer of its obligations under the Policy to which <br />this certificate applies. <br />B. The Insurer is liable for the payment of amounts within any deductible applicable to the Policy to the provider of <br />corrective action or a damaged third -party, with a right of reimbursement by the insured for any such payment <br />made by the Insurer. This provision does not apply with respect to that amount of any deductible for which <br />coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR <br />280.95-280.102. <br />C. Whenever requested by a Director of an implementing agency, the Insurer agrees to furnish to the Director a <br />signed duplicate original of the Policy and all endorsements. <br />Page 1 of 2 <br />