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COMPLIANCE INFO_2010-2012
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2300 - Underground Storage Tank Program
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PR0232355
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COMPLIANCE INFO_2010-2012
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Last modified
2/7/2024 4:20:47 PM
Creation date
6/23/2020 6:55:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2012
RECORD_ID
PR0232355
PE
2361
FACILITY_ID
FA0000591
FACILITY_NAME
QUIK STOP MARKET #2152
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
062-060-48
CURRENT_STATUS
01
SITE_LOCATION
1721 S CHEROKEE LN # 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232355_1721 S CHEROKEE_2010-2012.tif
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EHD - Public
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CETT. ATE OF LIABILITY INS* WALTO-2 OP ID:SH <br /> t�A N�� DATE(MM/DDJYYYY) <br /> PRODUCER 925-395-2600 03/06/12 <br /> TLB Insurance Services THIS GERTIFICATE 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 94597 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Dennis Cote' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURED Walton Engineering, Inc. INSURERS AFFORDING COVERAGE NAIC# <br /> P.O. Box 1025 INSURERA Endurance American Spec Ins Co <br /> West Sacramento,CA 95691 INSURER D:Wesco Insurance Company <br /> INSURER c:Praetorian Insurance Company <br /> INSURER D.Harford Casualty Insurance Co <br /> COVERAGES INSURER E" <br /> THE"OLICIES OF INSURANCE LISTED E3ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI'I1IS1'ANDING <br /> ANY ItE(?UIREMENT, 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 TI IE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI IE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUI)" S.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> /NSR ADD' <br /> S POLICY NUMBER POLICY EFFECTIVE "POLICY EXPIRATION -- <br /> GENERAL LIABILITY D LIMIT"S <br /> A X COMMFHCIALGCNERALLIAUILI'fY ECC10100600103 EACIIOCCURRENCE $ 1,000,000 <br /> 03!06/12 03/06/13 PREMI ESSEa ro�nco $ 50,000 <br /> CLAIMS MADE ®OCCUR <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> 2;000;000 <br /> GENT.AGGREGATE-LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> POLICY PRr O- PRODUCTS•COMP/OP AGG $ 2,000,000 <br /> t.oc Emp Bon. 1,000,000 <br /> AUTOMOBILE um <br /> nuTY <br /> B X ANY AUTO WPA103022401 03/06/12 03/06/13 COMINED <br /> (Ea acBcidant)SINGLE Lima <br /> aaccdant)INGLEUMI'r $ 1,000,000 <br /> ALL OWNED AU"I'OS <br /> SCHEDULED AUTOS BODILY INJURY $ ' <br /> (Por person) <br /> HIRED AUTOS <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Par accident) <br /> PROPFRrY DAMAGE $ <br /> GARAGE LIABILITY (Per accident) <br /> ANY AUTO AUTO ONLY-EA ACCIDENT $ <br /> OTHER TI LAN EA ACC $ <br /> EXCESS J UMBRELLA LIABILITY AUTO ONLY: AGG $ <br /> A X OCCURcwMs MnDE EX51010Q600Z03 03!06/12 03!06/13 EACH OCCURRENCE $ 10,000,000 <br /> AGGREGATE $ 10,000,000 <br /> DEDUCTIBLE $ _ <br /> X RETENTION $ _ $ <br /> WORKERS COMPENSATION $ <br /> C AND EMPLOYERS'LIABILITY X WC-LI OTH- <br /> OFFANYICE MEMUER EXCLUI-WE•XECUTIVE Y� QWC4000674 10/01111 10/01/12 J3I A c _ <br /> (Mandatory In ER EXCLU)ED? E.L.EAC/l ACCIDENT $ 1,000,000 <br /> (Mandatory In NII) <br /> S yes,describe under <br /> SI'L•CW.PROVISIONS below E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> OTHER E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> D Pollution/E&O ECCIOI00600103 03/06/12 03/06/13 Poll/E&O <br /> D installation Fitr 57MSIZ6050 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/OSPE0CIAL PROVISIONS03IO6J13 Inst Fifr 2,000,000 <br /> "10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> TOWHOMI SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THEEXP,RATION <br /> To Whom It May Concern 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, FTS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORMEDREPRESENTATIVEDennis Cote' <br /> ACORD 25(2009101) <br /> ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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