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COMPLIANCE INFO_2010-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231127
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COMPLIANCE INFO_2010-2018
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Last modified
3/10/2021 2:55:56 PM
Creation date
6/23/2020 6:44:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0231127
PE
2361
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
01
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231127_1612 W HAMMER_2010-2018.tif
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EHD - Public
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WALTO-2 OP ID: NP <br />w <br />'`�' ® CERTIFITE OF LIABILITY INSU NCE <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 POLICtES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CtAtMS. <br />03110 12015 <br />PRODUCER Phone: 925.395-2600 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94597 <br />Dennis Cote' <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POLICY EXPIRATION <br />LIMITS <br />INSURERS AFFORDING COVERAGE „� <br />C S <br />mum Walton En peering, Inc. <br />P.O. Box 1D25 <br />West Sacramento, CA 95691 <br />muRERA-Admiral Insurance Company <br />INSURER a: Harford Casualty Insurance Co <br />INSURER c: State Compensation Insurancer ; <br />EACH OCCURRENCE S 1,000,00 <br />INSURER o: Wesco Insurance Company <br />= <br />MURER E: 1= <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 POLICtES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CtAtMS. <br />ION <br />POLICY NUMBERPOLICY <br />BPPBCTWB <br />POLICY EXPIRATION <br />LIMITS <br />R1:PRBSBN7'A <br />GENERAL LIABILITY <br />EACH OCCURRENCE S 1,000,00 <br />S 50,00 <br />A <br />X coraAlERcla ORAL uaslurr <br />FEN -ECC -13587-02 <br />03/06/2015 <br />03/06/2016 <br />MED EXP (Any are ) S 6,0 <br />CLAIMS MADE ® OCCUR <br />PERSONAL & ADV INJURY i 1,000,0 <br />GENERAL AGGREGATE S 2,000,00 <br />GEN'L AGGREGATE LIMIT APPUES PER <br />PRODUCTS - COMPIOP AGO S 2,000.00 <br />Emp Ben. 11000, <br />POLICY X PRO- LOC <br />D <br />AUTOMOBILE LIABILITY <br />X ANY MTO <br />WPA1030224 04 <br />03RI6=15 <br />03106/2016 <br />COMBINED SINGLE LIMIT $ 11000, <br />(Ea l ad) <br />BODILY INJURY <br />(PER PERSON) S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />D <br />D <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />X Comp Ded - $11000 <br />WPA1030224 04 <br />A7030224 04 <br />03MMIS <br />03M=016 <br />0310612016 <br />O 16 <br />BODILY IN URY $ <br />(PER ACCIDENT) <br />DAMAGE <br />PROPERTYICIENn s <br />X <br />Coll Ded - $1,000 <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ _ <br />AUTO ONLY. AGG $ <br />ANY AUTO <br />A <br />EXCESS I UMBRELLA LIABILITY <br />X OCCUR ® CLAIMS MADE <br />FEI-EXS43688.02 <br />03106=15 <br />03/08/2016 <br />EACH OCCURRENCE $ 10,000,00 <br />AGGREGATE s 101000100 <br />S <br />s <br />DEDUCTIBLE <br />= <br />RETENTION 5 <br />Womm" t OBPENSAXION <br />X VifC STATU- oTH- <br />C <br />ANY rRtAno�iETORP unvE LIABILITY YIN <br />(M iN EXCLUDED? L J <br />n NHj <br />H G�fbs <br />MMONS below <br />10101120 10/0112014 <br />10101!2015 <br />EL EACH ACCIDENT $ 1,000,00 <br />EL. DISEASE - EA EMPLOYEE$ 1,000,0001 <br />E.L. DISEASE - POLICY LIMIT s 1,000,00 <br />A <br />B <br />OTHER <br />Pollution IE&O <br />mtaltation Float <br />FEI-ECC43687-02 <br />157UUMZCIM <br />03/06/2015 <br />03106/2015 <br />03/06/2016 <br />03106/2016 <br />PoiUE&O 1.000,00 <br />lint FI& 2,000,00 <br />DHSCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />"10 days notice applies If cancelled for non-payment of premium. <br />/ AYrcff ■ MTff" l <br />{iC 1 1' _ir. nbMgmm <br />TOWHOMI <br />sHOULDANYopTHEABOnm=RompoLXXEsaECANCELLEDBEPORBTHEEXP=T= <br />DATE THEREOF, THE MUM INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />To Whom It May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT$ AGENTS OR <br />R1:PRBSBN7'A <br />AUnORQED ATIVEDennis Cote' <br />ACORD 25 (2009101) 6 1966466i A;iW KU %i%JKrWr-^ 11WN- rul "I f"M MUUF U - <br />The ACORD name and logo are registered marks of ACORD <br />
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