My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0041093
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Z
>
ZUCKERMAN
>
2121
>
4200/4300 - Liquid Waste/Water Well Permits
>
WP0041093
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/17/2021 11:55:04 AM
Creation date
10/19/2020 4:24:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041093
PE
4371
STREET_NUMBER
2121
Direction
N
STREET_NAME
ZUCKERMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
12908009
ENTERED_DATE
8/13/2020 12:00:00 AM
SITE_LOCATION
2121 N ZUCKERMAN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
14
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DATE(MM/DD/YYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 7/1/2021 6/23/2020 <br /> THIS CERTIFICATE IS 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 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER Lockton Companies NAME: <br /> Three City Place Drive,Suite 900 PHONE — FAX <br /> AJCN Exit, IA/C, <br /> IC Not: <br /> St.Louis MO 63141-7081 E-MAIL <br /> (314)432-0500 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC A <br /> INSURERA:XL Insurance America Inc. 24554 <br /> INSURED Cori-pro Companies,Inc. INSURER B:ACE American Insurance Company 22667 <br /> 1316349 18852 72nd Ave.South INSURER c:Indemnity Insurance Co of North America 43575 <br /> Kent WA 98032 INSURER D:Starr Indemnity&Liability Company 38318 <br /> INSURER E:Indian Harbor Insurance Com any 36940 <br /> INSURER F: <br /> COVERAGES CORC002 CERTIFICATE NUMBER: 10499965 REVISION NUMBER: XXXXXXX <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 /> INR EFF <br /> SR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDOiLICY/YYYY MMIDD/YYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 <br /> DAMAGE TO RENTED <br /> A X N N CGD300084905 7/1/2020 7/1/2021 <br /> A __ __ CLAIMS-MADE a OCCUR XCU/BROAD FORM PD PREMISES Ea occurrence) 5 1,00 000 <br /> MED EXP(Any one person) S 10,000 <br /> PERSONAL 8 ADV INJURY S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 <br /> POLICY❑X jE LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: S <br /> B AUTOMOBILE LIABILITY N N ISAH25302540 7/1/2020 7/1/2021 COM BINEDSNGLE LIMIT $ <br /> Ea accident 51000,000 <br /> I <br /> ANY AUTO BODILY INJURY(Per person) S XXXXXXX <br /> OWNED SCHEDULED BODILY INJURY(Per accident) S XXXXXXX <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE S XXXXXXX <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> s XXXXXXX <br /> D UMBRELLA LIAB X OCCUR N N 1000095154201 7/1/2020 7/1/2021 EACH OCCURRENCE S 5,000,000 <br /> )( EXCESS LIAB CLAIMS-MADE AGGREGATE 5 5,000,000 <br /> DED I I RETENTIONS <br /> SXXXXXXX <br /> WORKERS COMPENSATION j� X I STATUTE ER <br /> H <br /> B AND EMPLOYERS'LIABILITY WLRC67457262(CA/MA) 7/1/2020 7/1/2021 <br /> C Y/N WLRC67457225(AOS) 7/1/2020 7/1/2021 <br /> AN'PROPRIETOR/PARTNER/EXECUTIVE ) E.L.EACH ACCIDENT $ 1,000,000 <br /> C OFFICER/MEMBEREXCLUDED? N; N/A (EXCLUDINGMONO'OLISTIC <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000,000 <br /> E Centr Prof.Liab N N CE0742002408 7/1/2020 7/1/2021 Per Policy: <br /> E Ccntr Poll.Liab CPL742035807 7/1/2020 7/1/2021 $10,000,000 per ciaim/Agg- <br /> E (PROF-CLAIMS MADE) $500,000 SIR each loss <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION See Attachment <br /> 10499965 <br /> FOR INFORMATIONAL PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATI <br /> I <br /> ©1988-2 CORD CORPORATI N. All rights reserved. <br /> I <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> I <br />
The URL can be used to link to this page
Your browser does not support the video tag.