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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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PR0231111
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
2/1/2026 12:24:56 PM
Creation date
8/1/2025 4:48:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0231111
PE
2361 - UST FACILITY
FACILITY_ID
FA0001659
FACILITY_NAME
QUIK STOP MARKET #039
STREET_NUMBER
2285
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14121403
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
2285 E FREMONT ST STOCKTON 95205
Tags
EHD - Public
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Client#: 20779581 ABBLEMAAII <br /> ACORD. CERTIFICATE <br /> OF LIABILITY INSURANCE <br /> - <br /> DATE(MM/DD/YYYY) <br /> 10/01/2025 <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(les) must have ADDITIONAL INSURER 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 any rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER I NAME T Rhonda Scialpi <br /> USI Insurance Services NW CL1 PHONE - - - <br /> A/C No 4t .503 224-8390 PAS <br /> 825 NE Multnomah, Suite 1500 1 E-MAIL ' _._ WC! No);_1— <br /> Portland, OR 97232 I 610 362-8130 <br /> ADDRESS: rhonda.scialpi@usi com <br /> 503 224-8390 - -- - -- - <br /> INSURER(S)AFFORDING COVERAGE MAIC 0-- - — <br /> INSURER A:Zurich American Insurance Company 16535 <br /> INSURED INSURERS: <br /> Able Maintenance, Inc. <br /> 3224 Regional Parkway INSURER C:— <br /> Santa Rosa, CA 95403 INSURER D <br /> INSURER E: <br /> INSURER F: <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 CONTRACTOR 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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR _ .-.._. -.. ,jjApDDL U8R! _ .-. - POLICY EFF POLICY EXP <br /> LTR -- TYPE OF INSURANCE jINSR WVD POLICY NUMBER MMMD/YYYY MMIDDYYYYI LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> --_ _-I CLAIMS-MADE OCCUR & ENTED ---- ---�- <br /> ❑ Ea <br /> _ MED EXP An oocxurrenc�,+_ $ _ <br /> I <br /> ne person) $ <br /> PERSONAL&ADV INJURY <br /> _ $_ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: �— <br /> PRO- <br /> GENERAL AGGREGATE, i $ <br /> . _.._-._._. <br /> POLICY I JECT LOC PRODUCTS-COMP/OPAGG $ <br /> OTHER: - ------ -- - —i -- $ -- <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> -- (Ea accident} c <br /> ANY AUTO j BODILY INJURY(Per person) : $ <br /> -- - OWNED _- SCHEDULED `- <br /> ._. ._ AUTOS ONLY __ AUTOS BODILY INJURY(Per accident)( $ <br /> -- PROPERTY DAMAGE _--- _---- -._---. <br /> HIRED NON-OWNED <br /> AUTOS ONLY AUTOS ONLY ! er accidentL____.. $ <br /> _ --------- _ $ <br /> —_ - <br /> UMBRELLA LIAR ! 1 OCCUR <br /> EACH OCCURRENCE $ <br /> EXCESS LIAR I CLAIMS-MADE <br /> AGGREGATE g <br /> --_ -- _ — <br /> __ DED : RETENTION $ <br /> _ — t +-- - ---- --..-- -- - - __..- <br /> WORKERSCOMPENSATION <br /> YERS' SA ILIT <br /> A AND EMPLOYERS'LIABILITY Y/N j 8897913 10/01/2025 10I01/202& X _VTR _ OTH•, <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERlMEMBER EXCLUDED? !N 1 A EL.EACH ACCIDENT.,_.._ $1 000,000 _ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> It yes,describe under I -- <br /> "":DESCRIPTION OF OPERATIONS,below _ E.L.DISEASE-POLICY LIMIT $1.000,000 <br /> i <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORO 101,Addltlonal Remarks Schedule,may be attached It more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> FOR INFORMATION ONLY 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 /> © 1988.2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #SS10999941MS1070548 PDNZP <br />
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