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SR0083942
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SR0083942
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Entry Properties
Last modified
1/10/2023 1:55:07 PM
Creation date
1/10/2023 1:51:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0083942
PE
2903
FACILITY_ID
FA0026668
FACILITY_NAME
DELTA WIRELESS AND PORTSIDE MACHINE SHOP
STREET_NUMBER
1700
Direction
W
STREET_NAME
FREMONT
City
STOCKTON
Zip
95203
APN
13508009
ENTERED_DATE
7/8/2021 12:00:00 AM
SITE_LOCATION
1700 W FREMONT
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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DATE(MM/DDIYYYY <br /> CERTIFICATE OF LIABILITY INSURANCE9/22/2020 <br /> THIS CERTIFICATE IS ISSUED ASA 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 /> REPRESENTATIVEDR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificateholder is an ADDITIONALINSURED,the policy(ies)must be endorsed.If SUBROGATIONIS WAIVED,subjectto <br /> the terms and conditions of the policyFertain policiesnayrequirean endorsement.A statementon this certificatedoes not conferrights tothe <br /> certificateholder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME DINA ATHEY <br /> ISU INS SERV - BC ENV BROKERAGE PHONE FAX <br /> (AVC,No,Ext): (916) 939-1080 (,,c No): (916)939-1085 <br /> 1037 Suncast Ln Ste 103 E-MAIL <br /> ADDRESS: <br /> E1 Dorado Hills, CA 95762 <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> INSURERA: ADMIRAL INSURANCE COMPANY 24856 <br /> INSURED ENVIRONRNTAL CONTROL ASSOCIATES, INC. INSURER B: STATE COMP. INS. FUND 35076 <br /> 3011 TWIN PALMS DRIVE INSURERC: <br /> INSURERD: <br /> APTOS, CA 95003 INSURER E <br /> NSURERF: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWNMAY HAVEBEEN REDUCED BYPAID CLAIMS. <br /> INSR kDDL SUBR POLICY EFF POLICY EXP <br /> LTR TV PEOFINSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2 000 1 000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 50 000 <br /> X CONT.POLLUTION MED EXP(Anyone person) $ 5,000 <br /> FEI-ECC-22900-04 08/01/20 08/01/21 <br /> A y y PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PEP LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABI LITV COMBINED SI NGLEUMIT $ <br /> E.accident) <br /> ANVAUTO <br /> BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED (Paraccident) <br /> TY DAMAGE $ <br /> HIRED AUTOS AUTOS <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> F1 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION $ $ <br /> WORKERS COMPENSATIONX PER ()TH <br /> AND EMPLOVERS'LIABILITV STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1972096-20 05/01/20 05/01/21 E.L.EACH ACCIDENT $ 1,000,000 <br /> B OFFICERIMEMBER EXCLUDED? NIA <br /> Y <br /> (Mandata)in NH) II��JJ E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> Ifyos,describe under 1,000,000 <br /> DESCRIPTION OFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A JE&O LIAB. FEI-ECC-22900-04 08/01/20 08/01/21 $2,000,000 OCCURRENCE <br /> CLAIMS MADE Y RETRO: 08/11/93 $2,000,000 AGGREGATE <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> Re: All Operations <br /> General Liability, Workers Compensation/Employer's Liability and Professional Liability. <br /> (Blanket Endorsements Attached) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. Al I rights reserved. <br /> ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD <br />
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