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SR0082695
EnvironmentalHealth
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2900 - Site Mitigation Program
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SR0082695
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Entry Properties
Last modified
10/18/2022 2:23:43 PM
Creation date
10/18/2022 2:05:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0082695
PE
2903
FACILITY_ID
FA0016571
FACILITY_NAME
DEUEL VOCATIONAL INSTITUTE
STREET_NUMBER
23500
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23912001
ENTERED_DATE
10/5/2020 12:00:00 AM
SITE_LOCATION
23500 KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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AGENCY CUSTOMER ID : 570000021966 <br /> LOC # : <br /> A ADDITIONAL REMARKS SCHEDULE Page _ of _ <br /> AGENCY NAMED INSURED <br /> Aon Risk services southwest , Inc . JWGUSA Holdings , Inc . <br /> POLICY NUMBER <br /> see Certificate Number : 570082643603 <br /> CARRIER NAIC CODE <br /> see Certificate Number : 570082643603 EFFECTIVE DATE : <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM , <br /> FORM NUMBER : ACORD 25 FORM TITLE : Certificate of Liability Insurance <br /> INSURER ( S ) AFFORDING COVERAGE NAIC # <br /> INSURER <br /> INSURER <br /> INSURER <br /> INSURER <br /> ADDITIONAL POLICIES If a policy below does not include limit information , refer to the corresponding policy on the ACORD <br /> certificate form for policy limits . <br /> POLICY POLICY <br /> INSR ADDL SUBR POLICY NUMBER EFFECTIVE EXPIRATION LIMITS <br /> LTR TYPE OF INSURANCE INSD wVD DATE DATE <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> OTHER <br /> D Env Contr Poll CP012456119 07 /01 / 2020 07 /01 / 2021 Aggregate $ 51000 , 000 <br /> Claims Made - Poll . Liab . Limit <br /> SIR applies per policy to ms & conditions <br /> Per Loss $ 5 , 0003000 <br /> Limit <br /> ACORD 101 (2008/01 ) © 2008 ACORD CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br />
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