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COMPLIANCE INFO_2013-2015
EnvironmentalHealth
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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0507204
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COMPLIANCE INFO_2013-2015
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Entry Properties
Last modified
2/29/2024 11:42:14 AM
Creation date
6/23/2020 6:58:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0507204
PE
2361
FACILITY_ID
FA0007735
FACILITY_NAME
7-ELEVEN INC #32262
STREET_NUMBER
2360
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23819001
CURRENT_STATUS
01
SITE_LOCATION
2360 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0507204_2360 W GRANT LINE_2013-2015.tif
Tags
EHD - Public
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WALTO-2 OP ID:NP <br /> s <br /> '°�`....-R® CERTIF TE OF LIABILITY INS NCE0E"um S <br /> PRODUCER Phone:925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> TLB insurance Services9. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3000 Oak Rd.,Suite 210 �1OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Walnut Creek,CA 94897 kLTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Dennis Cote' '"`` <br /> INSURERS AFFORDING COVERAGE NAIC 9 <br /> INSURED Walton Engineering,Inc. a INSURER A:Admiral Insurance Company <br /> P.O.Box 1025 <br /> West Sacrament,CA 85681 INSURER B;Harford Casual Insurance Co <br /> �-� . � <br /> URER C.State Compensation Insurance <br /> INSURER D.Wesco Insurance Company <br /> INSURER E: <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. <br /> 1 RIAOM POLICY NUMBER POLWIf EPPBCTNE POLICY EXPIRATIONMM rfpil OF WRUBANGL- LIMITS <br /> OENIML LIABILITY EACH OCCURRENCE S 1,000,00 <br /> A X COMMERCIAL GENERAL LwatLITY FEI-ECC-13587.02 03/06/2015 03106/2016 $ 50,00 <br /> CLAM MADE ®OCCUR MED EXP one ) a 5,0 <br /> P:71 PERSONAL&ADV INJURY $ 1,000,0 <br /> GENERAL AGGREGATE $ 2+x+00 <br /> GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AM S 2+x+00 <br /> PoucY X MLoc Emp Ben. 1,000,00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,00 <br /> D X ANYAUTO A103022404 03106/2015 03MW2016 (Ea wd) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (PER PERSON) S <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (PER ACCIDENT) a <br /> Ded-$1,000 A10300310 015 0310&2016 <br /> D DAMAW <br /> �XComp <br /> Coll -$1,000 A7030224 04 <br /> 0310 015 03=12016 PROPERTYDENT) a <br /> GARAGE LIABBJTY AUTO ONLY-EA ACCIDENT a <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY' AGG $ <br /> EXCBSS I UMBRELLA LIABILITY EACH OCCURRENCE S 101000100 <br /> A X OCCUR ®CLAIMS MADE FEI-EXS43688-02 03/06/2015 03/06/2016 AGGREGATE s 10100010 <br /> a <br /> DEDUCTIBLE a <br /> RETENTION S S <br /> WORKERS COMPENSATION X STAT OTI <br /> C AHrDSM0PLOYERS`LIABILITY IPR tiETORIPARTNERIEXECUTWE YIN 9113339-14 10/01/2014 10/01/2015 L�EACHACCIDENT a 1,000,00 <br /> OFFjcEImMBER EXCLUDED? <br /> (Mandatary In NH) E.L.DISEASE-EA EMPLOYE S 1+000+Q <br /> 1MQ==='0NS WW E.L.DISEASE-POLICY LIMIT I S 110001 <br /> onfER <br /> A Pollution IEaO FEI-ECC43687-02 03106/2015 03/06/2016 Poll/ESO 1,000,00 <br /> g nslaliBdon Float 57UUMZC1966 03!0612015 0310612016 lint 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-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD my OFTHEABOVEDaswo EDPOLI7ESBECANCELLEOBEFORETHEEXPIRATION <br /> DATE THEREOF,THE MUM INSURER WILL ENDEAVOR TO MAD.30" DAYS WRITTEN <br /> TO Whom It May Concern NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,13UT FAILURE TO DO SO SHALT. <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVOL <br /> avrNORDxD A"IVEDennis Cote' <br /> ACORD 25(200911111) ®1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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