My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2007-2010
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
1580
>
2300 - Underground Storage Tank Program
>
PR0231476
>
COMPLIANCE INFO_2007-2010
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/9/2024 12:59:20 PM
Creation date
6/23/2020 6:49:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2010
RECORD_ID
PR0231476
PE
2361
FACILITY_ID
FA0000684
FACILITY_NAME
QUIK STOP MARKET #3125
STREET_NUMBER
1580
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
259-090-21
CURRENT_STATUS
01
SITE_LOCATION
1580 W MAIN ST
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231476_1580 W MAIN_2007-2010.tif
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
313
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Y OP ID S�O3 <br />/YYYY) <br />A*0gR-D ERTIFICA F LIABILITY INSU WALTO-2 07 <br />fPRouucER THIS CERTIFICATE SUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LB Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1000 Broadway Suite 289 <br />Oakland CA 94607-4090 <br />Phone: 510-628-9100 Fax:510-628-9115 <br />Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento CA 95691 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER X. <br />Evanston Insurance Co. <br />INSURERB: <br />Redland Insurance Company <br />INSURER C: <br />state Compensation Insurance <br />NNSURERD: <br />Hartford Insurance G'o34690 <br />INSURER e. <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <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. 0 <br />POLICY NUMBER DATE (MM/DD DATE MMIDD <br />EACH OCCURRENCE $ 1, 000, 000 <br />PREMISES (Ea occurence) $50,000 <br />MED EXP (Any one Person) $5,000 <br />PERSONAL& ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2,000,000 <br />PRODUCTS - COMP/OP AGG s2,000,000 <br />Bmn Ben. 1,000,000 <br />LIMITS <br />GENERAL LIABILITY <br />A 4X$L5,000 <br />OMMERCIAL GENERAL LIABILITY 07PKGO1395 <br />CLAIMS MADEN] OCCUR <br />Ded <br />A <br />GENT AGGREGATE LIMIT APPLIES PER: <br />F] PRO- n LOC <br />POLICY JECT <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />GARAGE LABILITY <br />7 ANY AUTO <br />8001121446 <br />EXCESS/UMBRELLA LABILITY <br />7 OCCUR El CLAIMSMADE I 07EFX00007 <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LABILITY 713000492706 <br />C <br />ANY <br />OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE <br />If yes, describe under <br />SPECAL PROVISIONS below <br />03/06/07 <br />03/06/07 <br />03/06/07 <br />03/06/08 <br />03/06/08 <br />03/06/08 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />i <br />$ <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EACH OCCURRENCE <br />$4,000,000 <br />AGGREGATE <br />$ 4, OOO, OOO <br />$ <br />XTORY LIMITS ER <br />10/01/06 10/01/07 E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT $ 1, 0 0 0 , 0 0 0 <br />v, non <br />A Pollution/S&O 07PKGO1395 03/06/07 03/06/08 <br />D Installation Fltr 57MSIZ6050 03/06/07 03/06/08 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENY ! SPECIE PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. <br />CERTIFICATE HOLDER <br />To Whom It May Concern <br />Poll/E&O $1,000,000 <br />Inst Fltr $1,000,000 <br />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 />IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />Dennis Cote' <br />© ACORD CORPORATION 1988 <br />ACORD 25 (2001/08) <br />
The URL can be used to link to this page
Your browser does not support the video tag.