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COMPLIANCE INFO_2006-2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231866
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COMPLIANCE INFO_2006-2009
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Entry Properties
Last modified
12/15/2020 4:02:36 PM
Creation date
6/3/2020 9:53:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2009
RECORD_ID
PR0231866
PE
2361
FACILITY_ID
FA0003957
FACILITY_NAME
AT&T California - UE020
STREET_NUMBER
124
Direction
W
STREET_NAME
ELM
STREET_TYPE
St
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
124 W Elm St
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231866_124 W ELM_2006-2009.tif
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EHD - Public
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A CETIF CATE OF LIABILITY ISU ANCEI 8/31L2009 <br /> DATE(MM/DD,YYYY) <br /> PRODUCER Garrett/Mosier/Griffith/Sistrunk Ins. Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 12 Truman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Irvine, CA 92620 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> (949)559-6700 OB84519 <br /> www.garreft-mosier.com INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Tait&Associates, Inc. INSURER A: Colony Insurance Company Ar onaut <br /> Tait Environmental Services, Inc. INSURER B: Continental Insurance Company CNA <br /> 701 Parkcenter Dr. <br /> Santa Ana CA 92705 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <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 /> INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDDPnnM DATE(MM1DDDnnM LIMITS <br /> A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> MAGEToRENTE <br /> DA <br /> COMMERCIAL GENERAL LIABILITY EPK300032 9/1/2009 9/1/2010 PREMISES Ea occur encs $ 50,000 <br /> CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 <br /> V Professional Liab. PERSONAL&ADV INJURY $ 1,000,000 <br /> ,/Contrs Pollution GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> 171/ POLICY ,/ PRO LOC <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO 4016909543 9/1/2009 9/1/2010 (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> $1,000 Comp.Ded• PROPERTY DAMAGE <br /> V11,000 Coll.Ded. (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F—I CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below I E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> RE: Evidence of Insurance <br /> FOR PROPOSAL USE ONLY <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Tait&Associates Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30. DAYS WRITTEN <br /> PO Box 11118 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Santa Ana CA 92711 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. '10 Days for Non-Payment of Premium. <br /> AUTHORIZED REPRESENTATIVE <br /> Michael Finn <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> CERT NO.: 5706047 Andrea Chastain 8/31/2009 3:14:51 PM Page 1 of 2 <br />
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