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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 COMMERCIAL GENERAL LIABILITY <br /> 3. The following is added to Paragraph 5. of 4. Any organization you newly acquire or form, <br /> SECTION III —LIMITS OF INSURANCE: other than a partnership, joint venture or lim- <br /> For the purposes of determining the applica- ited liability company, of which you are the <br /> ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma- <br /> omissions committed in providing or failing to jority ownership interest, will qualify as a <br /> provide "incidental medical services", first aid Named Insured if there is no other insurance <br /> or"Good Samaritan services" to any one per- which provides similar coverage to that Or- <br /> son will be deemed to be one 'occurrence". ganization. However: <br /> 4. The following exclusion is added to Para- a. Coverage under this provision is afforded <br /> graph 2., Exclusions, of SECTION I — COV- only: <br /> ERAGES —COVERAGE A BODILY INJURY <br /> AND PROPERTY DAMAGE LIABILITY: (1) Until the 180th day after you acquire or <br /> form the organization or the end of the <br /> Sale Of Pharmaceuticals policy period, whichever is earlier, if you <br /> "Bodily injury" or "property damage" arising do not report such organization in writing <br /> out of the willful violation of a penal statute or to us within 180 days after you acquire or <br /> ordinance relating to the sale of pharmaceuti- form it; or <br /> cals committed by, or with the knowledge or (2) Until the end of the policy period, when <br /> consent of, the insured. that date is later than 180 days after you <br /> 5. The following is added to the DEFINITIONS acquire or form such organization, if you <br /> Section: report such organization in writing to us <br /> "Incidental medical services" means: within 180 days after you acquire or form <br /> a. Medical, surgical, dental, laboratory, x-ray it, and we agree in writing that it will Con- <br /> or nursing service or treatment, advice or tinue to be a Named Insured until the end <br /> instruction, or the related furnishing of of the policy period; <br /> food or beverages; or b. Coverage A does not apply to "bodily injury" <br /> b. The furnishing or dispensing of drugs or or "property damage" that occurred before <br /> medical, dental, or surgical supplies or you acquired or formed the organization; and <br /> appliances. c. Coverage B does not apply to "personal in- <br /> "Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an <br /> gency medical services for which no compen- offense committed before you acquired or <br /> sation is demanded or received. formed the organization. <br /> 6. The following is added to Paragraph 4.b., Ex- F. WHO IS AN INSURED — BROADENED NAMED <br /> cess Insurance, of SECTION IV — COM- INSURED—UNNAMED SUBSIDIARIES <br /> MERCIAL GENERAL LIABILITY CONDI- <br /> TIONS: The following is added to SECTION II —WHO IS <br /> AN INSURED: <br /> The insurance is excess over any valid and <br /> collectible other insurance available to the in- Any of your subsidiaries, other than a partnership, <br /> sured, whether primary, excess, contingent or joint venture or limited liability company, that is <br /> on any other basis, that is available to any of not shown as a Named Insured in the Declara- <br /> your "employees" or "volunteer workers" for tions is a Named Insured if you maintain an own- <br /> "bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi- <br /> failing to provide "incidental medical ser- ary on the first day of the policy period. <br /> vices", first aid or "Good Samaritan services" No such subsidiary is an insured for "bodily injury" <br /> to any person to the extent not subject to or "property damage" that occurred, or "personal <br /> Paragraph 2.a.(1) of Section II — Who Is An injury" or "advertising injury" caused by an of- <br /> Insured. fense committed after the date, if any, during the <br /> E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an <br /> OR FORMED ORGANIZATIONS ownership interest of more than 50% in such sub- <br /> The following replaces Paragraph 4. of SECTION sidiary. <br /> II—WHO IS AN INSURED: <br /> CG D3 16 11 11 @2011 The Travelers Indemnity Company.All rights reserved. Page 3 of 6 <br />
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