My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2024
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CENTER
>
430
>
2300 - Underground Storage Tank Program
>
PR0231425
>
COMPLIANCE INFO_2024
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/1/2026 8:07:17 PM
Creation date
4/16/2024 8:20:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231425
PE
2361 - UST FACILITY
FACILITY_ID
FA0003838
FACILITY_NAME
FRONTIER CALIFORNIA INC. MANTECA CO
STREET_NUMBER
430
Direction
W
STREET_NAME
CENTER
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21721070
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
430 W CENTER ST MANTECA 95336
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
191
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
MJKCONS-01 GOEI <br />ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE (MMIDDIYYYY) <br />11, <br />1 /30/2022 <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 endorsement(s). <br />PRODUCER License # OE67768 CONTACT Elizabeth Lisek <br />NAME: <br />IOA Insurance Services PHONE FAX <br />130 Vantis (A/C, No, Ext): (949) 680-1783 52015 (A/C, No):(949) 297-5960 <br />Suite 250 ADD"RIESS: elizabeth.lisek@ioausa.com _ <br />Aliso Viejo, CA 92656 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: Nautilus Insurance Company 17370 _ <br />INSURED <br />Sunwest Engineering Constructors, Inc. <br />4780 Cheyenne Way <br />Chino, CA 91710 <br />INSURER B: Key Risk Insurance Company 10885 <br />INSURERC:State Compensation Insurance Fund of CA 35076 <br />INSURERD:Colony Insurance Company 39993 <br />INSURER E: <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 <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />AUTHORIZED REPRESENTATIVE <br />INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP <br />LTR INSD WVD MMIDDIWYY MMI..= <br />LIMITS <br />A X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE X OCCUR ECP202766215 12/1/2022 12/1/2023 <br />_ <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />100,000 <br />$ <br />5,000 <br />MED EXP (Any one person) <br />$ <br />2,000,000 <br />PERSONAL & ADV INJURY <br />$ <br />4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY X JERef LOC <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />Deductible: $5,000 <br />PRODUCTS LIABIL <br />Included <br />OTHER: <br />$ <br />B AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />1,000,000 <br />$ <br />X ANY AUTO BAP202766114 12/1/2022 12/1/2023 <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />WN <br />AUTOS ONLY AUOTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A UMBRELLA LIAB X OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X EXCESS LIAB CLAIMS -MADE FFX202766314 12/1/2022 12/1/2023 <br />AGGREGATE <br />$ 2'000'000 <br />DED RETENTION $ <br />$ <br />C WORKERS COMPENSATION <br />X TUTE ER <br />STAH <br />AND EMPLOYERS' LIABILITY <br />YIN9243819-22 12/1/2022 12/1 /2023 <br />1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />EXCLUDED? NIA <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A PL - Per Claim $1 MIL ECP202766215 12/1/2022 12/1/2023 <br />Per Aggregate <br />2,000,000 <br />D Excess Liability EX04281658 12/1/2022 12/1/2023 <br />2nd Layer Limit <br />6,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Proof of Coverage <br />Contractors Pollution <br />Carrier: Nautilus - Policy #ECP202766215 <br />Effective: 12/01/2022 to 12/01/2023 <br />Aggregate: $4MIL - Each Claim: $2MIL - Ded: $5,000 <br />Occurrence Basis <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <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 />I r V ification <br />ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.