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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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, w <br />WALTO-2 OP ID: SY <br />A " CERTIFICATE OF LIABILITY INSURANCEF1010212013 <br />UM ADIXEEIZEUMURARM <br />PRODUCER Phone: 925-395-2600 <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94597 <br />Dennis Cate' <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 />POLICY HUMBER <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Walton Engineering, Inc. <br />P.O. Box 1 25 <br />wsuRERA.Admiral Insurance Company <br />INSURER B: Wesco Insurance Company <br />West Sacramento, CA 95691 <br />INSURER C: QBE Insurance Corporation <br />GEHERaI <br />COMMERCIAL <br />CLAIMS MADE ® OCCUR <br />INSURER D: Harford Casualty Insurance Co <br />INSURER E <br />nn�®w e±ce <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 />UM ADIXEEIZEUMURARM <br />POLICY HUMBER <br />P <br />LICYPIRAION <br />LIMITS <br />A <br />GEHERaI <br />COMMERCIAL <br />CLAIMS MADE ® OCCUR <br />0X0EACH <br />OCCURRENCE $ <br />1,000 0 <br />S oomflor�$ <br />50,00 <br />MED EXP ogre ) S <br />-- 5,00 <br />PERSONAL & ADV INJURY S <br />1,000,00 <br />GENERAL AGGREGATE $ <br />2,000,00 <br />GENL AGGREGATE LIMIT APPLIES PER POLICY X <br />Loc <br />PRODUCTS - COMPIOP AGG S <br />2,000,0O <br />mp Ben. <br />1,000,00 <br />AUTOMOBILE <br />LIABILITY <br />B <br />X <br />ANY AUTO <br />WPA1030224 02 <br />03/061201303106l2Q14 <br />(FLM SINGLE LIMIT$ <br />1,000,00 <br />AM OWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(PER PERSON) $ <br />HIRED AUTOS <br />A <br />A <br />X <br />X lColl <br />NON -OWNED AUTOS <br />Comp ped - $1,000 <br />A1030224 02 <br />VVPA1030224 02 <br />03/06/2013 <br />03/0612013 <br />03/06/2014 <br />0310612014 <br />BODILY INJURY <br />(PER ACCIDENT) <br />(ROPAcaRTY DHAMAGE s <br />Dad - $1,000 <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT S <br />. <br />OTHER THAN EA ACC S <br />AUTO ONLY: <br />EXCESS r UMBRELLA LIABILITY <br />A X OCCUR ElCAS IIADE FEI-EXS43588-00 <br />AGG $ <br />EACH OCCURRENCE $ <br />03/06/2013 03/06/2014 AGGREGATE $ <br />101000,000 <br />10,000,00 <br />DEDUCTIBLE <br />s <br />RETENTION a <br />s <br />WORICERS COMPENSATION <br />AND EMPLOYERS' UABIUTY YIN <br />C ANY PROPRIETORlPARTNERIFXECUTIVE f- WC4000674 <br />t� EXCLUOED9 <br />(Mandatory <br />SPECIAL. PROVISIONS below <br />OTHER <br />S <br />X WC STATU OTH <br />1010112013 1010112014 E.L. EACH ACCIDENT $ ' <br />E.L DISEASE - EA EMPLo S <br />E L DISEAsE - POLICY LIMIT S <br />— 1,000,00 <br />11000,00 <br />11000,00 <br />A P011utlonJE&O FEI-ECC43587-00 03106/2013 03106/2014 POIilE&O <br />_UInstallation Fltr MSIZ6050 03106/2013 1 03/1612014 Inst Flltr <br />DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. <br />1,000,00 <br />2,000,00 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />TOWHOMI <br />SHOULD MYOFTHHEABOVEDESCRIBED POLICIES BECANCELLED BEFORE <br />THE EXPIRATION <br />To Whom It May Concern <br />DATE <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAI. 30* DAYS WRITTEN <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY MND UPON THE INSURER, <br />ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESEN+ ATPJEDennls Cote' T <br />ACORD 25 (2009101) 0 1988 2009 ACORD CORPORATION. All tights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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