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WP0041094
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ZUCKERMAN
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041094
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Last modified
3/3/2021 2:50:23 PM
Creation date
3/3/2021 2:46:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041094
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
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EHD - Public
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DATE(MM/DDNYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 111. � 7/1/2021 1 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 /> PRODUCER Lockton Companies NAMEACT <br /> Three City Place Drive,Suite 900 PHONE AXINC.No.ExllNo <br /> St.Louis MO 63141-7081 E-MAIL <br /> (314)432-0500 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERAAL Insurance America Inc. 24554 <br /> INSURED Corrpro 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 Company 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 /> INSR I ADDLTYPE OF INSURANCE IVSD SUER POLICY NUMBER MM/DDPOLICY <br /> LTR NYYY MM/DDNYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 <br /> 'AMAGE TO RENTED <br /> A X N N CGD300084905 7/1/2020 7/1/2021 <br /> A CLAIMS-MADE 1XI OCCUR XCU/BROAD FORM PD PREMISES Ea occurrence) S 1,000,000 <br /> MED EXP(Any one person) S 10,000 <br /> PERSONAL&ADV INJURY 5 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 <br /> POLICY ]JECOT- LOC PRODUCTS-COMP/OP AGG 5 4,000,000 <br /> OTHER: S <br /> B AUTOMOBILE LIABILITY N N ISAH25302540 7/1/2020 7/1/2021 Ea a8cdentINED SiNGLE LIMIT $ 5,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ Xx){}{x'xx <br /> OWNED SCHEDULED BODILY INJURY(Per accidem)1$ x'x'xxxxx <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE S XXXXXXX <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> s XXXXXXX <br /> DUMBRELLALIAB _V I OCCUR N N 1000095154201 7/1/2020 7/1/2021 EACH OCCURRENCE S M00,000 <br /> 000 <br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE 5 5,000,000 <br /> DED RETENTIONS ! S XXXXXXX <br /> WORKERS COMPENSATION N X STATUTE ER <br /> OTH- <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 /> C ANYCER/MEMB RlPARLUPEDXECUTIVE ❑ NIA EXCLUDING MONOPOLISTIC E.L.EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER F�CCLUDED9 N ( <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE'S 1 000 000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1 O0O 000 <br /> E Conir Prof.Liab N N CE0742002408 7/1/2020 7/1/2021 Per Policy: <br /> E Contr Pott.Liab CPL742035807 7/1/2020 7/1/2021 $10,000,000 per claim/Agg. <br /> E (PROF-CLAIMS MADE) $500,000 SIR each loss <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I 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 /> 0i 61r <br /> ©1988-2 CORD CORPORATI N. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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