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COMPLIANCE INFO_2008-2012
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2300 - Underground Storage Tank Program
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PR0231939
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COMPLIANCE INFO_2008-2012
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Last modified
10/23/2023 12:51:19 PM
Creation date
6/3/2020 9:55:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2012
RECORD_ID
PR0231939
PE
2361
FACILITY_ID
FA0002570
FACILITY_NAME
QUIK STOP MARKET #3144
STREET_NUMBER
7272
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
094-040-13
CURRENT_STATUS
01
SITE_LOCATION
7272 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231939_7272 WEST_2008-2012.tif
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EHD - Public
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DATE(MM/DDIYYYY) <br /> ACORD OP ID S <br /> CERTIFICATE OF LIABILITY INSURANCE WAOPID 2 1 09/29/09 <br /> PR6DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3000 Oak Rd., Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: SeaBrigbt Insurance Co <br /> INSURER B: <br /> Walton Engineering, Inc. INSURER C: <br /> P.O. BOX 1025 INSURER D: <br /> West Sacramento CA 95691 <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 /> 119W ADDTL POLICY NUMBER POLICY EF ECTIVE POLICY EXPIRATION <br /> LTR NSR TYPE OF INSURANCE DATE MMIDD DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL <br /> D-- <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occcurence) $ <br /> CLAIMS MADE 0 OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO i (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br /> 1 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 /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE - AGGREGATE $ <br /> $ <br /> DEDUCTIBLE i $ <br /> RETENTION $ $ . <br /> 61A U-1 IUIH- <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> A EMPLOYERS'LIABILITY BB1093003 10/01/09 10/01/10 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> K yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <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 /> To Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTA <br /> Dennis Cote' " <br /> ACORD 25(2001108) ©ACORD CORPORATION 1988 <br />
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