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COMPLIANCE INFO_2011-2012
EnvironmentalHealth
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2011-2012
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Last modified
1/18/2023 11:55:25 AM
Creation date
6/3/2020 9:56:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2012
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_2011-2012.tif
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EHD - Public
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AC®REA° WALTO-2 OP 1D: SH <br />ka.� CERTIIWATE OF LIABILITY INSAANCE. DATE(MMMDIYYYY) ODUCER 03/06/12 <br />PR <br />TLB Insurance Services 925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />3000 Oak Rd., Suite 210 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Walnut Creek, CA 94597 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br />Dennis Cote' AlTFR TUG envcoAr•m ... _.._ ___ t____ <br />INSUREDWalton n. <br />EglneeringInc. <br />P.Q. Bo <br />INSURERS AFFORDING COVERAGE NAIC # <br />Endurance - <br />1025 <br />INsuRERA American Spec Ins Co <br />West <br />West Sacramento, CA 95691 <br />INsuRER D: Wesco Insurance Company — <br />INSURERc: Praetorian Insurance Company <br />INSURER D: Harford Casualty Insurance Co <br />COVERAGES <br />INSURER E' <br />TI )E POLICIES OF INSURANCE LISTEU BELOW HAVE BEEN ISSUED TO THE INSURED <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY TI IE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL TI IE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <br />ASR ADO' <br />CLAIMS. <br />POLICY NUMBER <br />POLICY EFFECTIVE POLICY EXPIRATION <br />N[20fyyyyi <br />GENERAL LIABILITY <br />AMIEjMMtwMxyji UNIn s <br />A X COMME14CIAL GENERAL LIABILITY ECC10100600103 <br />EACI I OCCURRENCE $ 1,000,000 <br />03/06/12 03/06/13 WERTEly-O <br />CLAIMS MADE � OCCUR <br />pREMI ES S 50,00 <br />MED EXP (Any ona person) $ 5,00 <br />_ <br />PERSONAL & ADV INJURY $ 1,000,000 <br />2,000;000 <br />CiEN'1. AGGREGATE LIMIT APPLIESPER:GENERAL <br />AGGREGATE $ <br />PRO <br />POLICYIx I LOC <br />PRODUCTS •COMP/OP AGG $ 2,000,00( <br />Emp Bon. 1,000,000 <br />AUTOMOBILE LIABILITY <br />B X ANYAUIO WPA103022401 <br />03/06/12 03/06/13 (Eaalccdent)INGLELIMIT $ 1,000,000 <br />ALL OWNI:O ADIOS <br />SCIIEDULC•UAUI'OS <br />BODILY INJURY $ <br />(Per person) <br />I11REU AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Por accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER TI IAN EA ACC $ <br />EXCESS I UMBRELLA LIABILITY <br />AUTO ONLY: AGG $ <br />A X OCCUR D CLAIMS MAUE EXS10100600203 <br />EACH OCCURRENCE $ 10+000+000 <br />03/06/12 03/06/13 AGGREGATE 10,000,000 <br />$ <br />DEDUCTIBLE <br />X RETENTION $ <br />_ $ <br />WORKERS COMPENSATION <br />$ <br />AND EMPLOYERS' LIABILITY <br />C ANY PROP R!ETOR/F'ARTNElt/EXECUTNE Y� QWC4000674 <br />OFFICERIMEMUER <br />X WRY LATU- OTIi- <br />10/01111 10!01/12 <br />EXCLUDED? <br />(Mandatory In NII) <br />E.L. EACl1 ACCIDENT $ 1,000,000 <br />It yea.dosWbounder <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -EA EMPLOYEE S 1,000 00 <br />OTHER <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />D PolfutionfE&O ECC10100600103 <br />D Installation Fltr <br />03/06/12 03/06/13 Poll/E&O 1,000,000 <br />57MSIZ6050 <br />03/06/12 03/06/13 Inst Fltr 2,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />'10 days notice applies if cancelled for non-payment <br />of premium. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />TOWHOMI <br />SHOULDANYOFTHEA13OVEDESCRIBED POLICIES 13ECANCELLEDBEFORE THE EXPIRATION <br />To Whom It May Concern <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 />AUTHORIZED REPRESENTATIVE Dennis Cote' <br />ACORD 25 (2009101) <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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