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COMPLIANCE INFO_2010-2018
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PR0231442
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COMPLIANCE INFO_2010-2018
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Last modified
8/10/2022 10:40:57 AM
Creation date
6/3/2020 9:49:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0231442
PE
2361
FACILITY_ID
FA0006441
FACILITY_NAME
QUIK STOP MARKET #5124*
STREET_NUMBER
505
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
217-260-21
CURRENT_STATUS
01
SITE_LOCATION
505 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231442_505 N MAIN_2010-2018.tif
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EHD - Public
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WALTO-2 OP ID: SY <br />.4 ® <br />CERTIFICATE OF LIABILITY INSURANCE <br />F 0102/2013 <br />PRODUCER Phone: 925-395-2600 <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94597 <br />Dennis COW <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 COVERAGEAFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Walton En ineering, Inc. <br />P.O. Box 125 <br />West Sacramento, CA 95691 <br />INSuRERA:Admiral Insurance Company <br />INSURER a Wesco Insurance Company <br />wsuRm c: ak Insurance Corporation <br />INSURER D: Harford Casualty Insurance Co <br />INSURER E <br />t:V V rTL%wr.* <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 />tNSR <br />ADM <br />QE INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />-RAMBUMMMOMROAMM <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE S <br />1,000,00 <br />A <br />X ceMMERcuu, GENERAI. LIABILITY <br />FEI-ECC-13587-00 <br />03/06/2013 <br />03/06/2014s <br />Ea s <br />50,00 <br />CLAM MAS ® <br />MED EXP one ) S <br />5,00 <br />PERSONAL & ADV INJURY s <br />1,000,00 <br />GENERAL AGGREGATE $ <br />2,000,00 <br />GENI. AGGREGATE UWTAPPUES PER <br />PRODUCTS - COMP/OP AGG S <br />2,000,00 <br />POLICY r7xiPRa 10c <br />Emp Ben. <br />1,000,00 <br />AUTOMOBILE <br />LIABILITY <br />B <br />X <br />ANYAUTo <br />A103022402 <br />03/06/2013 <br />03/06/2014 <br />COMBINED SINGLE UNLIT00 <br />(Feat) s <br />1,000, <br />ALL OWNED AUTOS <br />— <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(PER PERSON) _ <br />HIRED AUTOS <br />BODILY INJURY (AQES <br />A <br />X <br />Comp Ded - $1,000 <br />WPA1030224 02 <br />03/06/2013 <br />03/06/2014 <br />X <br />Coll Dad - $1,000 <br />A <br />A1030224 02 <br />03/0612013 <br />03106/2014 <br />GE <br />(PER ACCIDEDNTT)) s <br />GARAGE LIABRn Y <br />AUTO ONLY - EA ACCIDENT s <br />ANY AUTO <br />OTHER THAN EA ACC S <br />AM ONLY. AcG s <br />EXCESS� <br />A -5q D <br />EACH OCCURRENCE s <br />10,000,000 <br />OCCUR cwMs MADE FEI-EXS-13588-00 03/06/2013 03/06/2014 <br />AGGREGATE $ <br />10,000,00 <br />s <br />DEDUCTIBLE <br />s <br />RETENnoN s <br />WORKERS TICN <br />AND EMPLOYERS'LwennY <br />X WC STATU $ <br />OTRI <br />C ANYPROPRIETORmARTNRatencunvE Y® <br />ER t7(CLUWC4000674 10/01/2013 10/01/2014 <br />OFFICERVRdEeINOE09 <br />E.LEACH ACCIDENT. S <br />11000,00 <br />In NH) <br />Kyoudesabe�� <br />EL DISEASE -EAEMPLO S <br />1,000,00 <br />SPECIAL PROVISIONS bebw <br />E.L.DISEASE - POLICY LIMIT S <br />11000,001 <br />OTHER <br />A POIludon/E&O FEI-ECC-13587-00 03106/2013 03/06/2014 PoIUE&O <br />1,000,00 <br />D installation Fltr 7MSIZ6050 1 03106/2013 1 03/16/2014 Inst Fltr <br />2,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS R VEHICLES 1 EXCLUSIONS ADDED BY ENOORSEMIM / SPECIAL PROVISIONS <br />-10 days notice applies if cancelled for non-payment of premium. <br />CR®r=ff-ATB unl <br />TOWHOMI SHouLDANYoFTHEABoVEOES MEDPOUCIESBECANCELLEDBEFORETHEMUnRATRON <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30R DAYS WRITTEN <br />TO Whom It May ConcernDATE <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY IUNO UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATNEDennis Cote' r <br />ACORD 25 (2009101) ®1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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