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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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2300 - Underground Storage Tank Program
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PR0508352
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/22/2022 11:52:32 AM
Creation date
9/23/2020 1:33:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0508352
PE
2361
FACILITY_ID
FA0008044
FACILITY_NAME
CHEVRON STATION #1731*
STREET_NUMBER
3355
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12618007
CURRENT_STATUS
01
SITE_LOCATION
3355 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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AC"Ro® CERTIFICATE OF LIABILITY INSURANCE <br /> DATE(h1 M11IODryYYYI <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFNO RIGHTS UPON THE CERTIFICATE HOLDER,THIS/17/2018 <br /> ERS <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 policy(les)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 <br /> NAME:cc <br /> CT Catherine Montoya <br /> Milestone Risk Management 6 Insurance Services PHONE <br /> C Ext (949)852-0909 FAx 19491652-1131 <br /> License No. OB72766 E-MAIL A/C No: <br /> ADDRESS: cmOntoya@mi.lestonepromise.COm <br /> 8 Corporate Park, Suite 130 <br /> Irvine CA 92606 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA:Everest Inclenlnit Insurance 10851 <br /> Wayne Perry, Inc. <br /> INSURERS:West American Insurance Com an 44393 <br /> 8281 Commonwealth Ave. INSURER C:Everest National Insurance Com an 10120 <br /> INSURERO:Ohio Casualty Insurance Com an --- <br /> Buena ParkCA 90621 INSURER E: <br /> ERE; <br /> COVERAGES NSUR <br /> CERTIFICATE NUMBER- B-19 All Other Master <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A REVISION <br /> ONUMBER: <br /> EP OLRICY 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 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 /> IM7 <br /> ADpL SUERF INSURANCE SPOLICY NUlABER POLICY EFFPOLICY EXP <br /> ENERAL LIABILITY MIAIDOlYYYY MM/DDlYYYY LIMITS <br /> EFIML00079-181ADE �OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A A E TOREN D <br /> lution Liab REMISES Ea occurrence 5 300,000 <br /> $1,000,000 Each Occurrence 12/31/2018 12/31/2019 MED EXP(Any one person) 5 25000 <br /> - Claims Made $1,000,000 each claim <br /> GENIAGGREGATE LIMITAPPLIES PER Each Subject to $2,000,000 PERSONAL a ADV INJURY S 1,000,000 <br /> POLICY FX PRO. El GENERAL AGGREGATE S 2,000,000 <br /> JECT LOC Policy Aggregate <br /> OTHER* <br /> PRODUCTS-COMPlOP AGG S 2,000,000 <br /> AUTOMOBILE LIABILITY 5 <br /> COMBINED SINGLE LIMIT <br /> (, B X ANY AUTO Ea accident 5 1,000,000 <br /> ALL OWNED SCHEDULED BODILY INJURY(Per person) 5 <br /> AUTOS AUTOS BAA(19)59235968 12/31/2018 12/31/2019 BODILY INJURY(Per accident) $ <br /> HIREDAUTOS NON-OWNED <br /> AUTOS PROPERTY DAMAGE $ <br /> Per accident <br /> UMBRELLA LIAR X OCCUR $ <br /> A X EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ 10,000,000 <br /> AGGREGATE S 10,000,000 <br /> DED X RETENTIONS o EF1CU00052-181 12/31/2018 12/31/2019 <br /> WORKERS COMPENSATION S <br /> AND EMPLOY ERS'LIA BILITY X PER OT - <br /> ANYPROPRIETOR/PARTNER)EXECUTNE YIN TATUTE ER <br /> C OFFICER/MEMBER EXCLUDED? Y N/A E.L.EACH ACCIDENT S 1 000 000 <br /> (Mandatary In NH) CA10003737-181 12/31/2018 12/31/2019 <br /> DIf yes,describe under E.L.01 EASE EMPLOYEE S 1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> E.L.DISEASE-POLICY LIMIT 5 1,)00,000 <br /> Installation Floater <br /> D Rented/Leased £qu;pment Installatlon Flcater UmA; $250,000 <br /> eM05921636e 12/31/2018 12/31/2019 Rented Leased Equip.1.4nil: <br /> $150,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> **PROOF ONLY** THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Teresa Shen/ECAP <br /> ACORD 25(2014/01) The ACORD name and logo are registered mOarks of ACORD198 2014ORD CORPORATION. All rights reserved. <br /> INSD25(2014111) <br />
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