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WP0042260
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042260
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Entry Properties
Last modified
11/19/2024 1:59:20 PM
Creation date
7/28/2021 2:40:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042260
PE
4372
STREET_NUMBER
8086
Direction
S
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18114021
ENTERED_DATE
7/8/2021 12:00:00 AM
SITE_LOCATION
8086 S HWY 99 E FRONTAGE RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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POLICY NUMBER: U20AC81810-06 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organ izations : <br />Locations Of Covered Operations <br />Any person or organization for whom you are performing <br />operations during the policy period when you and such <br />person or organization have agreed in writing in a contract <br />or agreement that such person or organization be added <br />as an additional insured on your policy. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury' <br />caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a <br />principal as a part of the same project. <br />CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 <br />
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