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COMPLIANCE INFO_2010-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232257
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COMPLIANCE INFO_2010-2015
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Last modified
3/23/2022 8:15:16 AM
Creation date
6/23/2020 6:54:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0232257
PE
2361
FACILITY_ID
FA0000670
FACILITY_NAME
QUIK STOP MARKET #3148*
STREET_NUMBER
205
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04116115
CURRENT_STATUS
01
SITE_LOCATION
205 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232257_205 W LOCKEFORD_2010-2015.tif
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EHD - Public
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,44Cc>Rt " WALTO-2 OP ID: S <br />+......� CERT! ATE OF LIABILITY INS A CEDATEIMNMDOIYYYY) <br />PRODUCER 03/06/12 <br />TLB insurance Services 925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />3000 Oak Rd., Suite 210 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Walnut Creek, CA 94697 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Dennis Cote' ALTER THE Cr1VFRA1,1= Accnoncn n%f Tum .,......._.. _... _... <br />INSURED Walton Eng <br />Engineering, Inc. <br />P.O. <br />INSURERS AFFORDING COVERAGE <br />INSURER& Endurance American <br />MAIC # <br />BOX 1025 <br />Spec Ins CO <br />West Sacramento, CA 95691 <br />INSURER e: Wesco Insurance Company <br />INSUREnC rraetorian Insurance Company <br />INSURER D: Harford Casualty Insurance Co <br />COVERAGES <br />INSURER <br />E <br />TI IE POLICIES <br />OF INSURANCE LI81•ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />ANY REQUIREMENT, <br />PAY PERTAIN, <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />THE INSURANCE <br />ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITI ISTANDING <br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />POLICIES. <br />MAY BE ISSUED OR <br />AFFORDED BY TI IE POLICIES DESCRIBED HEItEIN IS SUBJECT TO ALL TI IETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID <br />INSR ADD <br />CLAIMS. <br />POLICY NUMBER <br />GENERAL LIABILITY <br />POLICY EFFECTNE POLICY EXPIRATION <br />DATE (MWQW_YM DATE IMMIDDIYYYYI LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY ECC10100600103 <br />EACI I OCCURRENCE $ 1,000.000 <br />03/06/12 03/06113 10 <br />CLAIMS MADE ®OCCUR <br />PDAMGE <br />REMISES a occurD $ 50,00 <br />MED EXP (Any one person) $ 5,00 <br />8 ADV INJURY $ 1,000,00 <br />2;000;000 <br />GEN .AGGREGATE LIMIT APPLIES PER: <br />LPERSONAL <br />GENERALAGGREGATE $ <br />POLICY rt0- <br />PRODUCTS • COMP/OP AGG S 2,000,000 <br />LOC <br />AUTOMOBILE LIABILITY <br />Emp Bon. 1,000,00 <br />B <br />X ANYAln"o PA1030224 01 <br />03/06/12 03106/13 (eMBINEDlj ANGLE LIMIT $ 1,000,00 <br />ALL OWNru AUroS <br />SCIICDULEO AUI'OS <br />BODILY INJURY $ <br />(Parporson) <br />I IIREU AUTO$ <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Por accidont) $ <br />PROPERTY DAMAGE $ <br />(Per accidoni) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER TI IAN EA ACC $ <br />AUTO ONLY: AGG S <br />EXCESS I UMBRELLA LIABILITY <br />A -91 <br />EACH OCCURRENCE $ 10,000.000 <br />OCCUR EICLAIMS MAUE EXS10100600203 <br />03/06/12 03/06/13 AGGREGATE $ 10,000,000 <br />DEDUCTIBLE <br />$ <br />X RETENTION E <br />$ <br />WORKERS COMPENSATION <br />$ <br />AND EMPLOYERS' LIABILITY <br />C <br />Ya <br />X I WC STAN-" OTH- <br />ANY PROPRIETORMAIttNERIEXECUTIVE QWC4000674 <br />OFFICEHAAEMBER EXCLUDED? <br />10/01111 10/01/12 E.L.EACJIIACCtDENT $ 1,000,000 <br />IMandatory In NH) <br />tr yyos• doscn under <br />E.L. DISEASE - FA EMPLOYEE $ 1,000,00 <br />lA <br />OTHER PIIOVIStONS botow <br />OTHER <br />E.L. DISEASE - POLICY LIMIT S 1.000,000 <br />D Pollution/E&O ECC10100600103 <br />03/06/12 03106/13 Poll/E&O 1,000,000 <br />D Installation Fitr 57MSIZ6050 <br />03/06/12 03/06/13 Inst Fltr 2,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />"10 days notice applies if cancelled for non-paymont of premium. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />TOWHOMI <br />SHOULDANY OFTHEA13OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />To Whom It May Concern <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 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVEDenniS Cote' <br />ACORD 25 (2009/01) <br />®1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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