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COMPLIANCE INFO_2010-2015
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PR0231691
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COMPLIANCE INFO_2010-2015
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Last modified
12/6/2023 4:58:56 PM
Creation date
6/3/2020 9:50:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231691
PE
2361
FACILITY_ID
FA0003593
FACILITY_NAME
Nella Oil #487
STREET_NUMBER
983
STREET_NAME
MOFFAT
STREET_TYPE
Blvd
City
Manteca
Zip
95336
APN
221-15-06
CURRENT_STATUS
01
SITE_LOCATION
983 Moffat Blvd
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231691_983 MOFFAT_2010-2015.tif
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EHD - Public
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WALTO-2 OP ID: SY <br />'4 iY CERTIFICATE F LIABILITY INSURANCE_ <br />o2/28/� 20x1 m4 <br />PRODUCER Phone: 825.395-2600 <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94697 <br />Dennis Cobs' <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 POLIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento, CA 85681 <br />INSURER A: Admiral Insurance Company <br />INsuRER & Harford Casuft Insurance Co <br />INsuRm c. QBE Insurance Co <br />INSURER Xr. Wesco Insurance Company <br />INSURER E <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 MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL V -_ DAYS YrrBT77D: <br />TO Whom it May Concern <br />man <br />POLICY EFFECTIVE <br />POLY EXPIRATION <br />LBrrr8 <br />Au"OlIzEDROPROSONTATIVEDennis Cote' <br />GENERAL LIABUM <br />EACH OCCURRENCE S 1,040,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS RADE ® OCCUR <br />FEI-ECC-13687-M <br />03MM014 <br />03/06/2015 <br />pgENSESGcomwt 60,00 <br />MED ERP are pmm) $ 5,00 <br />PERSONAL 8 ADV INJURY S 1,000,00 <br />GENERAL AGGREGATE S 2,000100 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS S - COM PLOP AGG S 2,000,00 <br />POLICY FRLOC <br />Emp Ben. 11000,00 <br />D <br />AUTOMosaE LIABILITY <br />X ANygUTp <br />WPA1030224 03 <br />03106/2014 <br />03AMM15 <br />COINED SINGLE LIMIT S 11000100 <br />(Eaaraftlmu) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY eLIURY $ <br />(PER PERSON) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY D WRY <br />(PER ACCIDENT) S <br />D <br />D <br />X Comp Dad - $1,000 <br />WPA1030224 03 <br />WPA1030224 03 <br />03/0612014 <br />03/0612014 <br />03106/2015 <br />03106/2015 <br />PROPERTY DAMAGE S <br />(PER ACCIDENT) <br />X <br />Coll Ded - $1,610 <br />eARAOE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />EA ACC $ OTHER THAN <br />AUTO ONLY. AGG $ <br />ANY AUTO <br />A <br />EXCESS I UMBRELLA LIABILITY10,000100 <br />X OCCUR ❑ cLAmRAGE <br />FEI-EXS43588-01 <br />03/06/2014 <br />03/0612016 <br />EacH occuRR,ENCE s <br />AGGREGATE S _ 1010001 <br />s <br />S <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />C <br />WORMERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />AOYPRoPRtBmwARTN Y® <br />OFFI:ERAIEMBER EXCLUDED? <br />IM In N <br />IAL PROMSIONS below <br />674 <br />10101/2013 <br />10101/2014 <br />X WC STATU OT H• <br />RYLI <br />E.L.EACH ACCIDENT $ 1,000,00 <br />EL DISEASE - EA EMPLOYEE S 1,000100 <br />E.L.DISEASE - POLICY LIMIT S 11000,00 <br />OTHER <br />A <br />Pollution IE&O <br />FEI-ECC-13587-01 <br />03/0612014 <br />03/0612015 <br />POIIIE&O 11000100 <br />B[Installation <br />Float 157 <br />MS M6060 <br />03/0612014 1 <br />0310612016 lint <br />Fltr 2,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES I EXCLUSKONS ADDED BY ENDORSEMENT l SPECIAL PROVISIONS <br />10 days notice applies If cancelled for non-payment of premium. <br />CERTIFICATE HOLDER G`AMCFI I ATInW " <br />TOWHOMI <br />SHOULD ANY OF THEABM DESCRIBED POLICIES BE CANCELLED BEPORETHEEXPMTM <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL V -_ DAYS YrrBT77D: <br />TO Whom it May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PABAIRE TO DO $O SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY MIND UPON THE INSURER, ITS AGENTS OR <br />Au"OlIzEDROPROSONTATIVEDennis Cote' <br />Ac;oko z6 (2006m) ®1888-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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