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2900 - Site Mitigation Program
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PR0541088
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Last modified
5/28/2021 3:54:18 PM
Creation date
5/28/2021 3:52:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541088
PE
2960
FACILITY_ID
FA0023525
FACILITY_NAME
DELTA ISLAND ELEMENTARY SCHOOL
STREET_NUMBER
11022
STREET_NAME
HOWARD
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
18917005
CURRENT_STATUS
01
SITE_LOCATION
11022 HOWARD RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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AccoRti CERTIFICATE OF LIABILITY INSURANCE ‘r----""-' <br />DATE (MM/D/WYTY) <br />10/30/2017 <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 endorsements). <br />PRODUCER <br />Crystal & Company <br />Crystal IBC LLC <br />32 Old Slip <br />New York NY 10005 <br />COATACT <br />NAME: <br />PHONE 800-221-5830 IF" 800-383-1852 vue H., PH). LAX. Nail <br />E-MAIL <br />Aocistags• <br />INSURER1S) AF FORDING COVERAGE NAIC X <br />INSURER A :ACE American Insurance Co 22667 <br />INSURED CASCDR <br />Cascade Drilling, LP <br />17270 Woodinville Redmond Rd NE <br />Suite 777 Bldg A <br />Woodinville WA 98072 <br />INSURER s:ACE Fire Underwriters Insurance Company 20702 <br />INSURER C :Underwriters at Lloyd's London 15792 <br />INSURER D :Allied World Assurance Company (U.S.) I 19489 <br />INSURER E : <br />INSURER F: <br />VERA E T FIC TNUMBER: 1741929087 • <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 <br />LTR <br />ADDL TYPE OF INSURANCE i INSD <br />SUBR <br />VAIO.,, POLICY NUMBER POLICY EFF <br />IMM/00/TYYY) <br />POLICY EXP <br />RAM/DEVYY•rY1 LIMITS <br />C x COMMERCIAL GENERAL LIABILITY <br />X OCCUR <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />11/1/2017 <br />11/1/2017 <br />11/1/2018 <br />11/1/2018 <br />Each Poll Incident 1,000,000 <br />Excess Occurrence $10,000,000 <br />Excess Aggregate $10,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Romanis SO/Wu* may be attached if maws space Is required) <br />GENERAL LIABILITY: Additional Insured status when required by written contract (GAP10286/1/2016, GAP10046/1/2016); <br />Primary/Non-Contributory when required by written contract (GAP10056/1/2016); Waiver of Subrogation when required by written contract <br />(GAP10306/1/2016). <br />AUTOMOBILE: Additional Insured status when required by written contract (DA9U74c0316); Primary/Non-Contributory when required by <br />written contract (DA21886b0614); Waiver of Subrogation when required by written contract (CA04441013) <br />See Attached... <br />CERTIFICATE HOLDER CANCELLATION <br />Cascade Drilling, L.P. <br />17270 Woodinville-Redmond Road <br />Building "A" <br />PO Box 1184 <br />Woodinville, WA 98072 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />AUTHORIZED REPRESENTATIVE <br />atr al- <br /> <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD
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