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WP0041563
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041563
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Entry Properties
Last modified
3/4/2021 1:12:32 PM
Creation date
3/4/2021 12:22:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041563
PE
4372
STREET_NUMBER
1780
STREET_NAME
WHIRLAWAY
STREET_TYPE
LN
City
TRACY
Zip
95376-
APN
24402040
ENTERED_DATE
12/29/2020 12:00:00 AM
SITE_LOCATION
1780 WHIRLAWAY LN
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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DATE(MM/DDYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 414/2020 <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 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 CONTACT <br /> NAME: <br /> Laurie Brennan Hauck PHONE 7149654701 FAX 11.N 7026296701 <br /> 9114 Adams Ave #182 E-MAIL renco ao .com <br /> ADDRESS, <br /> Huntington Beach, Ca 92646 INSURERS AFFORDING COVERAGE NAIC# <br /> OC98533 INSURER A: The Hartford <br /> INSURED Aesco, Inc. INSURER B: Burlington Insurance Company <br /> 17782 Georgetown Lane INSURER C.Houston Casualty Company <br /> Huntington Beach, Ca 92647 INSURERD:The Hartford <br /> (714)375-3830 INSURER E, <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONDITIONSOF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. <br /> ILTR TYPE OF INSURANCE P LI Y N MBER POLICY EFF <br /> POLICY <br /> M DD YYVV LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $2 OOO 000. <br /> ENIED <br /> X COMMERCIAL GENERAL LIABILITY PREMI E E urr n $ 100 000. <br /> CLAIMS-MADE r R OCCUR MED EXP(Anyone person) $ 5000 <br /> BR Y 154BW52114 6/24/2019 6/24/2020 PERSONAL&ADV INJURYs2,000,000. <br /> GENERAL AGGREGATE s2,000,000. <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG s2'000' 000. <br /> IPPT —1 OG <br /> POLICY M PRO- L $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) <br /> IxANYAUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED 72UECTQ7770 7/7/20197/7/2020 BODILY INJURY(Per accident) $AAUTOS AUTOS XY $NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS X AUTOS (Peraccident) <br /> UMBRELLA LIABOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETEN I <br /> WORKERS COMPENSATION }[I WC STATU- I OTH- <br /> AND EMPLOYERS'LIABILITY y�N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE L•'--1 72WECKU6/�780 4/11/2020 /11/2021 E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICER/MEMBER EXCLUDED? N/A Y <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1100010 <br /> If yes,describe under 1,00-0,000 <br /> DESCRIPTION F T I E. .DISEASE-POLICY LIMIT <br /> C Professional Liab. HCC 1923509 07/09/1907/09/20 $2,000,OOO.per claim <br /> $2,000,000. aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach AGO RD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> 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 /> AUTH REPRESENTATIV <br /> R�i <br /> ©1988#010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />
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