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WP0041646
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041646
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Entry Properties
Last modified
4/14/2021 12:17:12 PM
Creation date
4/14/2021 10:23:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041646
PE
4372
STREET_NUMBER
2482
Direction
E
STREET_NAME
CARPENTER
STREET_TYPE
RD
City
STOCKTON
Zip
95205-
APN
17914018
ENTERED_DATE
1/26/2021 12:00:00 AM
SITE_LOCATION
2482 E CARPENTER RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Baja Exploration, David Hogan dba: <br />Endorsement Number: 20 <br />Additional Insured — Owners, Lessees or Contractors — <br />Completed Operations <br />This endorsement, effective 7/26/2020 attaches to and forms a part of Policy Number <br />FEI-ECC-16885-07 This endorsement changes the Policy. Please read it carefully. <br />In consideration of an additional premium of $Applied, this endorsement modifies insurance provided <br />under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s): <br />Location And Description Of Completed <br />Operations <br />Any person(s) or organization(s) whom the Named Insured <br />agrees, in a written contract, to name as an additional insured, <br />However, this status exists only for the project specified in that <br />contract. <br />Those project locations where this <br />endorsement is required by contract. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to include as an additional insured <br />the person(s) or organization(s) shown in the Schedule, but only with respect to <br />liability for "bodily injury" or "property damage" caused, in whole or in part, by <br />"your work" at the location designated and described in the schedule of this <br />endorsement performed for that additional insured and included in the "products- <br />completed operations hazard". <br />CG 20 37 07 04 © ISO Properties, Inc., 2004
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