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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WETMORE
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2231-2238 – Tiered Permitting Program
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PR0547106
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/29/2023 2:30:34 PM
Creation date
8/22/2023 4:53:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0547106
PE
2238
FACILITY_ID
FA0026714
FACILITY_NAME
SAN JOAQUIN COUNTY DEPT OF PUBLIC WORKS
STREET_NUMBER
210
Direction
E
STREET_NAME
WETMORE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
CURRENT_STATUS
04
SITE_LOCATION
210 E WETMORE AVE
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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AGENCY CUSTOMER ID: CN103174067 <br />LOC #: Philadelphia <br />ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> <br />— <br />AGENCY <br />Marsh USA L LC <br />NAMED INSURED <br />Clean Earth Environmental Solutions, Inc <br />933 First Avenue, Ste. 200 <br />King of Prussia, PA 19406 POLICY NUMBER <br />CARRIER NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Contractors Professional and Pollution Liability <br />Carrier Allied World Assurance Company US Inc., NAIC#: 19489 <br />Policy: 0312-3010 <br />Effective Date: 06/30/2023 <br />Expiration Date: 06/30/2024 <br />Per Incident $10,000,000 <br />Aggregate $10,000,000 <br />SIR: $250,000 <br />Pollution Legal Liability <br />Carrier: Allied World Assurance Company US Inc., NAIC#: 19489 <br />Policy: 0312-3009 <br />Effective Date: 06/30/2023 <br />Expiration Date: 06/30/2024 <br />Per Incident $10,000,000 <br />Aggregate $10,000,000 <br />SIR: $250,000 <br />Excess Contractors Professional & Pollution Legal Liability <br />Carder Indian Harbor Insurance Company <br />Policy #: XEC0063739 <br />Effective Date: 06/30/2023 <br />Expiration Date: 06/30/2024 <br />Limit: $15m xs of $10m <br />0 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 101 (2008/01)
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