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COMPLIANCE INFO_2007-2010
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2300 - Underground Storage Tank Program
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PR0231765
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COMPLIANCE INFO_2007-2010
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Last modified
12/20/2023 4:22:53 PM
Creation date
6/3/2020 9:52:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2010
RECORD_ID
PR0231765
PE
2361
FACILITY_ID
FA0003600
FACILITY_NAME
Nella Oil #427
STREET_NUMBER
3300
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
3300 Waterloo Rd
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231765_3300 WATERLOO_2007-2010.tif
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EHD - Public
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OP ID S DATE (MMIDD)YYYY) <br />ACQR—D CE TIFI p� C LIABILITY INSURANO WALTO-2 03/06/07 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />TLS Insurance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1000 Broadway Suite 289 <br />Oakland CA 94607-4090 <br />phone: 510-628-9100 Fax: 510-628-9115 INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA iia ian8tOn Insurance Co.INSURED <br />INSURER B: Redland Insurance Company <br />ate cnsation insurance <br />EINSURERED:HartfEord <br />Walton Engineering, InC. • <br />Insurance Co 34690 <br />P.O. BOX 1025 <br />West Sacramento CA 95691 <br />INSURER E: <br />COVERAGES <br />LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />OR <br />THE POLICIES OF INSURANCE <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br />IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />55KK POLICY NUMBER DATE MMIDD DATE MMIDDI`YY LIMITS <br />LTR <br />NSR <br />TYPEOFINSURANCE <br />07PKGO 13 9 5 <br />0 3/ 0 6/ 07 <br />EACH <br />0 3/ 0 6/ 0 8 <br />OCCURRENCE $ 1, 000, 000 <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES (Ea occurence) $50,000 <br />A <br />MED EXP (Any one person) $50(0 <br />CLAIMS MADE OCCUR <br />PERSONAL & ADV INJURY $1,000,000 <br />X $5,000 Ded <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMPIOP AGG $2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />�! Ben. 1,000,000 <br />POLICY JEC LOC <br />03/06/07 <br />03/06/08 <br />COMBINED SINGLE LIMIT $11000,000 <br />(Ea accident) <br />AUTOMOBILE <br />LIABILITY <br />X <br />$ <br />ANY AUTO <br />8001121446 <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />X <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br />GARAGE LIABILITY <br />EA ACC $ <br />ANY AUTO <br />OTHER THAN <br />AUTO ONLY: AGG $ <br />07EFX00007 <br />03/06/07 <br />03/06/08 <br />EACH OCCURRENCE $ 4, n n n, n O O <br />EXCESSIUMBRELLA LIABILITY <br />0 CLAIMSMADE <br />AGGREGATE s4,000,000 <br />A <br />OCCUR <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />713000492706 <br />10/01/06 <br />10/01/07 <br />X TORY LIMITS ER <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />H yes, describe under <br />SPECIAL PROVISIONS below <br />07PKG01395 03/06/07 <br />03/06/08 Poll/E&O $1,000,000 <br />OTHER <br />A <br />Pollution/E&O <br />/06 / <br />03/06/07 <br />03/06/08 Inst Fltr $1,000,000 <br />D <br />Installation Fltr <br />5714SIZ6050 <br />EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />DESCRIPTION <br />OF OPERATIONS I LOCATIONS I VEHICLES/ <br />if <br />Cancelled for non-payment of <br />premium. <br />*10 <br />days notice applies <br />CERTIFICATE HOLDER <br />To Whom It May Concern <br />CANCELLATION <br />TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED uEFO E i nE EX— i l- <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. . <br />Dennis Cote' <br />O ACORD CORPORATION 198 <br />ACORD 25 (2001108) <br />
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