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WP0041687
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041687
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Entry Properties
Last modified
3/19/2021 9:48:38 AM
Creation date
3/19/2021 9:43:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041687
PE
4371
STREET_NUMBER
0
STREET_NAME
INGLEWOOD
STREET_TYPE
AVE
City
STOCKTON
Zip
95207-
APN
08114013 (NEAR)
ENTERED_DATE
2/5/2021 12:00:00 AM
SITE_LOCATION
0 INGLEWOOD AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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I ' <br /> Attachment Code:D544797 Certificate ID: 15495702 <br /> I <br /> 2 <br /> AUTOMATIC ADDITIONAL INSURED ENDORSEMENT <br /> i Named Insured Aeglon Corporation <br /> Policy Symbol Policy Number Policy Period <br /> ISA ISAH25302540 7/1/2020 TO 7/1/2021 Effective Date of Endorsement <br /> Issued By(Name o1 Insurance Company) <br /> ACE American Insurance Company <br /> Insert the policy number.The remainder of the information Is to be completed only when this endorsement Is Issued subsequent to the preparation of the policy. <br /> THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> SECTION II - LIABILITY COVERAGE, WHO IS AN INSURED is amended to include as an "insured' any person or <br /> organization you are required In a written contract or agreement to name as an Additional Insured on your policy but only for <br /> "bodily injury"or"property damage"to which this insurance applies if the"accident'is caused by: <br /> 1. You,while using a covered"auto"or <br /> 2. Any other person,while using a covered"auto"with your permission. <br /> The insurance provided by this endorsement shall be subject to the following additional condition: <br /> 1. The Limit of Insurance provided for the Additional insured shall not be greater than those required by contract and, In <br /> no event,shall the policy Limits of Insurance be increased by the contract. <br /> 2, All insuring agreements, exclusions,terms and conditions of the policy shall apply to the coverage (s) provided to the <br /> Additional Insured,and such coverage shall not be enlarged or expanded by reason of the contract. <br /> 3. Coverage provided by this endorsement shall be excess over any other valid and collectible insurance available to <br /> the Additional Insured (s)whether primary, excess,contingent or on any other basis unless the contract specifically I <br /> requires that this insurance be primary or you request that it apply on a primary basis prior to loss. <br /> i <br /> I <br /> i <br /> I <br /> I <br /> I <br /> I <br /> I <br /> i <br /> i <br /> i <br /> i <br /> DA-6.204a(06/14) Page 1 of 1 <br />
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