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2900 - Site Mitigation Program
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PR0543548
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COMPLIANCE INFO
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Entry Properties
Last modified
6/3/2020 11:15:53 AM
Creation date
6/3/2020 10:30:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543548
PE
2960
FACILITY_ID
FA0024728
FACILITY_NAME
SUPER STORE INDUSTRIES LATHROP DISTRIBUTION CENTER
STREET_NUMBER
16777
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19816026
CURRENT_STATUS
01
SITE_LOCATION
16777 HOWLAND RD
P_LOCATION
07
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Policy DT-C0-2J407688-PHX-18 <br /> COMMERCIAL GENERAL LIABILITY <br /> 3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS <br /> TION III—LIMITS OF INSURANCE: 1. The following replaces Paragraph 1.b. of <br /> Subject to 5. above, the Damage To Prem- SUPPLEMENTARY PAYMENTS — COVER- <br /> ises Rented To You Limit is the most we will AGES A AND B of SECTION I — COVER- <br /> pay under Coverage A for damages because AGE: <br /> of "premises damage" to any one premises. b. Up to $2,500 for the cost of bail bonds <br /> The Damage To Premises Rented To You required because of accidents or traffic <br /> Limit will apply to all "property damage" law violations arising out of the use of any <br /> proximately caused by the same "occur- vehicle to which the Bodily Injury Liability <br /> rence", whether such damage results from: Coverage applies. We do not have to fur- <br /> fire; explosion; lightning; smoke resulting from nish these bonds. <br /> such fire, explosion, or lightning; or water; or 2, The following replaces Paragraph 1.d. of <br /> any combination of any of these causes. SUPPLEMENTARY PAYMENTS — COVER- <br /> The Damage To Premises Rented To You AGES A AND B of SECTION I — COVER- <br /> Limit will be: AGES: <br /> a. The amount shown for the Damage To d. All reasonable expenses incurred by the <br /> Premises Rented To You Limit on the insured at our request to assist us in the <br /> Declarations of this Coverage Part; or investigation or defense of the claim or <br /> b. $300,000 if no amount is shown for the "suit", including actual loss of earnings up <br /> Damage To Premises Rented To You to $500 a day because of time off from <br /> Limit on the Declarations of this Coverage work. <br /> Part. D. INCIDENTAL MEDICAL MALPRACTICE <br /> 4. The following replaces Paragraph a. of the 1. The following is added to the definition of"oc- <br /> definition of "insured contract" in the DEFINI- currence" in the DEFINITIONS Section: <br /> TIONS Section: <br /> "Occurrence" also means an act or omission <br /> a. A contract for a lease of premises. How- committed in providing or failing to provide <br /> ever, that portion of the contract for a "incidental medical services", first aid or <br /> lease of premises that indemnifies any "Good Samaritan services"to a person. <br /> person or organization for "premises <br /> damage" is not an "insured contract"; 2. The following is added to Paragraph 2.a.(1) of <br /> SECTION II—WHO IS AN INSURED: <br /> 5. The following is added to the DEFINITIONS <br /> Section: Paragraph (1)(d) above does not apply to <br /> bodily injuryarising out of providing or fail- <br /> "Premises damage" means "property dam- ing to provide: <br /> age"to: <br /> (i) "Incidental medical services" by any of <br /> a. Any premises while rented to you or tem- <br /> your 'employees who is a nurse practi- <br /> porarily occupied by you with permission tioner, registered nurse, licensed practical <br /> of the owner; or nurse, nurse assistant, emergency medi- <br /> b. The contents of any premises while such cal technician or paramedic; or <br /> premises is rented to you, if you rent such it First aid or"Good Samaritan services" by <br /> premises for a period of seven or fewer ( ) <br /> consecutive days. any of your "employees" or "volunteer <br /> workers", other than an employed or vol- <br /> 6. The following replaces Paragraph 4.b.(1)(b) unteer doctor. Any such "employees" or <br /> of SECTION IV — COMMERCIAL GENERAL "volunteer workers" providing or failing to <br /> LIABILITY CONDITIONS: provide first aid or "Good Samaritan ser- <br /> (b) That is insurance for "premises damage"; vices" during their work hours for you will <br /> or be deemed to be acting within the scope <br /> 7. Paragraph 4.b.(1)(c) of SECTION IV — of their employment by you or performing <br /> COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your busi- <br /> DITIONS is deleted. ness. <br /> Page 2 of 6 ©2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 11 11 <br />
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