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COMPLIANCE INFO_2009-2011
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231923
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COMPLIANCE INFO_2009-2011
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Last modified
2/1/2024 2:05:50 PM
Creation date
6/23/2020 6:54:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2011
RECORD_ID
PR0231923
PE
2361
FACILITY_ID
FA0003606
FACILITY_NAME
ARCO 05450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
01
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231923_1617 W FREMONT_2009-2011.tif
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EHD - Public
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C RO v® CERTIFIC#E OF LIABILITY INSURAICE OP IDCG °""IM°'D°"YY' <br /> 10/08/10 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol cy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER C TACT <br /> NAME: <br /> PHONE FA% <br /> Bone, Robertson 6 McBride, Inc A/C.No EM): WD.NR): <br /> 2300 Clayton Rd S-1400 E-MMADpRESS: <br /> Concord CA 94520 PRODUCER <br /> CUSTOMER 10 ARMOU-1 <br /> Phone: 925-674-1000 Fax: 925-674-0188 INSURER(b)AFFORDING COVERAGE wucF <br /> INSURED <br /> wbURER 4: tnmisa,ri Aariun Apsuity 41718 <br /> Armour Petroleum Svc 6 Equip C <br /> PO Box 507 <br /> IN <br /> PO Century Nat'l Ins Co 26905 <br /> Vacaville CA 95696-0507 INSURER C: Everest Nat'l Ins Co 110120 <br /> INSURER D: —-- <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE FOUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES L"TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> INSR ADDL BURR <br /> LTµ TYPE OF WSURANCE PDUCY EFF POLICY E%P <br /> INSR WVD POLICY NUMBER (SIAIIDDIYYYy) (MINDDIYYYYI I UMTS <br /> GENERAL LL48UTY l EACH OCCURRENCE I S 1,000,000 <br /> GE <br /> A X COMMERCIAL GENERALLABIUTY 1 ECC101005926-01 02/28/10 1102/28/11 PRAEMSES(EIEPRNnFnn) S 100,000 <br /> -- Ex-1 OCCUR MED EXP(A. —R—) s 5,000 <br /> X Pollution Liab 1 ' PERSONAL A ADV INJURY s 1,000,000 <br /> GENE RAL AGGREGATE s 2,000,000 <br /> GENL AGGREGATE LI MIT APPLIES PER PRODUCTS-COMPIOP AGG 5 2,000,000 <br /> PRO <br /> X POLICY JECT LOL I S <br /> AUTOMOBILE LABILITY 1 <br /> COMBINED SINGLE LIMIT <br /> (EA—") s 1,000,000 <br /> B ANY AUTO BAP160211 102/26/10 02/28/11 <br /> eoaLv INARIY tw Fnwl) s <br /> ALL OWNED AUTOS <br /> � BODILY INJURY(PM ACIWN) t <br /> X SCHEDULED AUTOS i <br /> X HIPROPERTY DALAGE <br /> RED AUTOS <br /> (Para,EFnt) $ <br /> X <br /> NON-OWNED AUTOS I S <br /> 3 <br /> UMBRELLA LAB <br /> OCCUR I EACH OCCURRENCE 3 <br /> EXCESS UAB CLAIMbAIADE I <br /> AGGREGATE i <br /> I <br /> DEDUCTIBLE <br /> I i <br /> RETENTION S i $ <br /> C WOR1e1eGOWENSA71ON 7600003470101 110/01/10 10/01/11 X 1,.V,=.- DER <br /> AND EMiLOYERS'LIABILITY Y I N <br /> ANY PROPRIETC-ARTNI-XECUTIVE <br /> OFFICER/MEMBER EXCLUDEDT rIA I I E.L.EACH ACCIDENT I$ 1,OOO,OOO <br /> ❑ <br /> (MMMIM In NN) I E.LDISEASE-EA EMPLOYEE 11,000,000 <br /> uru,a.aMee IF.eM <br /> DESCRIPnON OF OPERATIONS Wi— E.L`XUASE-POLICY LIMIT S 1,000,000 <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AMACORD TOT.AYOnPnM FN,—%F SOISOWF,it mon•PACO IF n *M <br /> Please see reverse side for special conditions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOME WBA BE DELIVERED W <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> San Joaquin County <br /> Environmental Health Dept. AUTHORIZED REPRESENTATIVE <br /> 304 E Weber Avenue, 3rd Fl <br /> Stockton CA 95202 <br /> CO PO . All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />
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