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COMPLIANCE INFO_2009-2011
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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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CERTIFICATELIABILITYI DATE(MMiDDIYYYY) <br /> 03/31/2011 <br /> THIS CERTIFICATE 18 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 BN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED,the pollcy(hes)must be endorsed. If SUBROGATION 18 WAIVED,subject to <br /> the terns and conditions of the policy,certain policies may require an ondoreemeft A statement on this certificate does not confer rights to the <br /> certMeate holder In lieu of such en meat a. <br /> PRODUCER LIC 0229370 1-925-244-7700 Sdgewood Partnere Inaurance Center <br /> Edgewood Partners insurance Centers (EPIC) Pion, <br /> ESAU Raton Branch] (925) 244-7700 • (925) 901-0671 <br /> P. O. Box 5003 EPICcertaGedgewoodine.com <br /> San Ramon, CA 94483 INSURER(11)AFFORDING COVERAGE NAICA <br /> INHIURERA: WESTCHESTER SURPLUS LINES INS CO 10172 <br /> INSURED INSURER B: PEERLESS INS CO 24198 <br /> Gettler-Ryan, Inc. <br /> INSURER C: TRACERS PROPERTY CAS CO 08 AKRR 29674 <br /> 6747 Sierra Court, Suite J URERO: <br /> Dublin, CA 94568 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20468751 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> AWL IM POLICY <br /> LN TYPE OF INSURANCE VAM POLICY NUMBER Lam <br /> A GENERAL uABrrY 624014404004 04/01/1 04/01/12 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL UA8IUTY encel $S0,000 <br /> CLAIMS-MADEa OCCUR MED EXP one n $5,000 <br /> PERSONAL&ADV INJURY $1,0001000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOPAGO $2,000,000 <br /> POLICYM PRO- LOC $ <br /> H SA 3 1,000,000 <br /> % ANY AUTO BODILY INJURY(Per person) $ <br /> �� <br /> ED SCHEDULED BODILY INJURY(Per acddenQ $ <br /> xx AU <br /> ED PROPERTY D E $ <br /> HIREDAUTOS AUTOS <br /> S <br /> AUMBRELLA Una x OCCUR 624014502003 04/01/1 04/01/12 EACH OCCURRENCE $4,000,000 <br /> % EXCESS UAB CLAIMS4AADE AGGREGATE $4,000,000 <br /> IED I% I RETENTION 10 $ <br /> C WORIMRSCOMPENSATION DTJUS7827P41511 04/01/1 04/01/12 % WCSTAT - O R <br /> AND YERS'LUUMITY YIN <br /> ANY PROPRIETORIPARTNEIVEXECUrnE—I E.L.EACH ACCIDENT $1,000,000 <br /> OFFICERIME M EXCLUDED? ly INIA <br /> yy aas F-L DISEASE-EA EMPLOYE $1,000,000 <br /> DESC R OF OPERATIONS below E.L.DISEASE-POLICY UM1T $2,000,000 <br /> A Pollution 0324014484004 04 02/2 04/02/12 Per Occur - $1NILL DEDs10X <br /> B Rented/Leased Equipment CBP0404796 04/01/1 04/01/12 Per Item - $100% DSDsl% <br /> A Professional Liability 624014484004 04/01/1 04/01/12 Per Claim - $1=LL DEDslOR <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(A4tash ACORD 107,Addidanal Rwneft edoduk,U mme speca Is mquUed) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> *SVIDENCS Of COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AurdORM REPRESENTATIVE <br /> ®1980-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> ztalebzadeh <br /> 20468751 <br />
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