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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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ACOR®. CERTIFICATE ®F LIABILITY I SU NCE 9/2 2 2/2M/DD/ <br /> 009YY) <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P. 0. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Santa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br /> INSURED INSURERA:Zurich American Insurance Co. <br /> Tait Environmental Services, Inc. INSURER B: <br /> P.O. Box 11118 <br /> Santa Ana CA 92711-1118 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anyone fire) $ <br /> CLAIMS MADE FIOCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO- <br /> JECT <br /> RO LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATION AND WC 913114 9 0 3 9/l/2009 9/1/2010 X I LgcRY IM u- oTH- <br /> EMPLOYERS'LIABILITY <br /> E.L.EACH ACCIDENT $1,000,000 <br /> E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> 10 Day Notice for Non-Payntnt of Prem <br /> Evidence of coverage in force. <br /> CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br /> For Proposal Use Only WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br /> * CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO <br /> * * * SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br /> HE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Ile <br /> AUTHORIZED REPRESENTATI <br /> ACORD 25-S(7197) ®ACORD CORPO TION 1988 <br />
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