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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231035
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
11/5/2025 1:37:53 PM
Creation date
1/21/2025 9:31:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0231035
PE
2361 - UST FACILITY
FACILITY_ID
FA0006773
FACILITY_NAME
ARCO 02186
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
3212 N CALIFORNIA ST STOCKTON 95204
Tags
EHD - Public
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Page 1 of 2 <br />®' DATE (MMIDD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 03/20/2025 <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 CONTACT WT4T Certificate Center <br />NA E: <br />Willie Towers Watson Northeast, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 <br />c/o 26 Century Blvd AIC No: <br />P.O. Box 305191 ADDRESS: certificates8wtwoo,com <br />Nashville, TN 372305191 USA INMIRFR(Al AFFnROING COVERAGE NAIC# <br />Westchester Surplus Linea Insurance Cc ant <br />INSURED <br />velers <br />Nwestco dba Gettler-Ryan Inc. <br />115 Industrial Ct <br />Kalispell, MT 59901 <br />COVERAGES <br />CERTIFICATE NUMBER: W38193328 <br />B: Tra <br />10172 <br />REVISION NUMBER:.. , , ;r- � 1 TU <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENPWRAAH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTRWma <br />TYPE OF INSURANCE <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SUER <br />POLICY NUMBER <br />MMID�Y� <br />MMI'DDIYY Y <br />LIMITS <br />Stockton, CA 95205 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE ❑X OCCUR <br />rADDL <br />PREMISES EaoccuErence <br />$250,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />A <br />y <br />G28147545 005 <br />09/30/2024 <br />09/30/2026 <br />PERSONAL&ADV INJURY <br />$ 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2 , 000 , 000 <br />POLICY ❑X PJERO- LOC <br />CT <br />PRODUCTS - COMP/OP AGG <br />$ 21000,000 <br />OTHER: <br />�LIMIT <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLff <br />Ea accident <br />$ 11000,000 <br />BODILY INJURY (Per person) <br />$ <br />X ANY AUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />y <br />y <br />810 -7W248878 -24-14-G <br />09/30/2024 <br />09/30/2025 <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY <br />Per accident) <br />DAMAGE <br />$ <br />$ <br />A <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS•MADE <br />G28147557 009 <br />09/30/2024 <br />09/30/2025 <br />EACH OCCURRENCE <br />$ 41000,000 <br />X <br />AGGREGATE <br />$ 41000,000 <br />DEDRETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? No <br />(Mandatory in NH) <br />N/A <br />y <br />UB -7W459264 -24-14-G <br />09/30/2024 <br />09/30/2025 <br />X <br />STATUTE <br />ERH <br />E.L. EACH ACCIDENT <br />$ 1,0001000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Certificate Holder is included as an Additional Insured as respects to General Liability and Automobile Liability, <br />General Liability policy shall be Primary and Non -Contributory with any other insurance in force for or which may be <br />purchased by Additional Insured. <br />Waiver of Subrogation applies in favor of Additional Insured with respects to General Liability, Automobile Liability <br />CFRTIFICATF HnI OFR <br />CANCELLATION <br />©1988-2016 ACORD CORPORATION. All rights reserv <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />and logo are <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />County of San Joaquin <br />er.Tcs: 3884564 <br />AUTHORIZED REPRESENTATIVE <br />1810 East Hazelton Ave. <br />Stockton, CA 95205 <br />ed. <br />ACORD 25 (2016/03) <br />The ACORD name <br />and logo are <br />registered marks of ACORD <br />8R ID; <br />27467720 <br />er.Tcs: 3884564 <br />
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