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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2007_EP-07-301 thru EP-07-400_ - EP-07-358
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2007_EP-07-301 thru EP-07-400_ - EP-07-358
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Last modified
6/15/2021 10:47:17 AM
Creation date
12/30/2015 10:19:18 AM
Metadata
Fields
Template:
Permits_Development
DocName
EP-07-358
Category07
Encroachment(EP)/Driveway(DW) Permits
SubCategory07
2007\EP-07-301 thru EP-07-400
Year2
2007
Supplemental fields
Applicant
LAWRENCE FRANK MD,
Contracts
CrossReference
Date Entered
11/29/2007
Description
ENCROACHMENT PERMIT
DocCategory
Permit Applications (PA)
Notes
Owners
Parcel Address
MANTHEY RD. HOWARD RD AND MATHEWS
Primary Parcel
Type (2)
Tags
Permits_Development
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CERTIFICATE OF INSURANCE 12/19/2007 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> American Specialty Insurance&Risk Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND,OR <br /> 142 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. <br /> Roanoke,Indiana 46783 <br /> INSURED INSURERS AFFORDING COVERAGE <br /> USA Track&Field, Inc. INS.A: Philadelphia Indemnity Insurance Company <br /> 1 RCA Dome,Suite 140 INS.B: <br /> Indianapolis,IN 46225-0120 INS.C: <br /> SUNDANCE RUNNING CLUB <br /> 3808 FALMOUTH COURT <br /> STOCKTON,CA 95219 <br /> CERT NUMBER: 1000590702 <br /> EVENT CODE:08-38-031 <br /> COVERAGES <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, NOT WITHSTANDING 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 /> EXCLUSIONS AND CONDITION OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS POLICY POLICY POLICY <br /> LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS <br /> General Aggregate-Per Event 2,000,000 <br /> GL PHPK262716 11/01/2007 11/01/2008 Products-Completed Operations Aggregate 1,000,000 <br /> A Personal and AdvertisingIn'ur 1,000,000 <br /> 12:01 a.m. 12:01 a.m. Each Occurrence 1,000,000 <br /> Damage to Premises Rented to You(Any One Premises 1,000,000 <br /> Medical Expense Limit(Any One Person Excluded <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> The Certificate holder is an Additional Insured in accordance with the provisions and limitations of Form PI-AM-002-Additional Insured-Certificateholders with respect to the <br /> CALIFORNIA 10 on January 13,2008. <br /> Coverage applies to USA Track&Field sanctioned events and registered practices,including any directly related activities,such as event set-up and tear-down,participant check-in and <br /> award ceremonies. <br /> CERTIFICATE HOLDER CANCELLATION <br /> COUNTY OF SAN JOAQUIN SHOULD ANY OF THE ABOVE DESCRIBED <br /> 1810 EAST HAZELTON AVENUE POLICIES BE CANCELED BEFORE THE <br /> STOCKTON,CA 95205 EXPIRATION DATE THEREOF,THE ISSUING <br /> COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE <br /> HOLDER,BUT FAILURE TO MAIL SUCH NOTICE <br /> SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY,ITS <br /> AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> w y�/vwaJ <br /> American Specialty Insurance&Risk Services, Inc.also conducts business as A.S.I.R.S.I. Insurance Agency in the state of California. <br />
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