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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2010_PS-1002001 thru PS-1002500_ - PS-1002109
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2010_PS-1002001 thru PS-1002500_ - PS-1002109
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Last modified
6/15/2021 3:47:42 PM
Creation date
12/30/2015 8:01:12 AM
Metadata
Fields
Template:
Permits_Development
DocName
PS-1002109
Category07
Encroachment(EP)/Driveway(DW) Permits
SubCategory07
2010\PS-1002001 thru PS-1002500
Year2
2010
Supplemental fields
Applicant
LINCOLN BAND BOOSTERS
Contracts
CrossReference
Date Entered
10/4/2010
Description
ENCROACHMENT PERMIT
DocCategory
Permit Applications (PA)
Notes
Owners
Parcel Address
Primary Parcel
Type (2)
Tags
Permits_Development
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MEMBER CERTIFICATE OF INSURANCE <br /> Thank you for ourehasinc insurance from AIN', Tt,is is vour Member Certificate and should be kept with your permanen'records. <br /> Insures 4 (;A258598 <br /> NAMED INSURED MEMBER: +arced insured&Ma90ngAddress PRODUCER NAME <br /> vsnColn t,ilusic??costers -'— cducatic^Support Purchasing Grouo Elgin 8 A!ien <br /> c+o Ai.",4 I'G Box 742946 <br /> Aitn:Susan Stavtar` p.v.Box 742946 `)altas TX,75374-2946 <br /> r'.SOX 139104.1 Dallas 7 X,75374-2966 <br /> Swcktnn„CA.^,Kee <br /> Company 1 Coverage Policy Effective Dates Deductible Limits of Insurance - -- —.-- <br /> Homeland Ins Co of New York!8Wt-W67 i0,r14/'-0-1011411,1 NONE Fact,Occurrence $1,O0te,000 <br /> Commercial General Liabili; <br /> Genera(Aggregate $2,000,000 <br /> Dreducts-COMP/OPS Aggregate $2,000,000 <br /> Personal&Advertising inur $1,000,000 <br /> Fire Damage(any one f re) $50,000 <br /> Homeland les Co of Ve,r`"or'. 'oVJi34'c' t3r'a."Q-10!14!1, NONE Any One Person 550,000 <br /> Medical(Accident Medica;) <br /> Aggregate 550.000 <br /> Homeland fns Go of,tie i�"orkI6V103e16 ';?1?4r10-10i141'11 $250 Each Occurrence $10,000 <br /> C omrr,'l Crime&Fidelity(Band) <br /> Homeland Ins Co of New York i 9X"333' 10,14;1L'-10114111 ;,500 Aggregate 51:000,000 <br /> Non-profit Prof Liability(O€ficers <br /> Liability)' <br /> 'Annual Aggregate applies to a.' $20,000,000 <br /> rnenber certificate holders <br /> combined. <br /> Petro-active Effective Date: 10,114109 <br /> -- <br /> San Joacuin Co:.,nty Pvhi c vvcrks is adde i Ps an addtional insured under the general liability oolicy only. <br /> y;W-School.%iarohing Bata;Parac:e?Conioeti?ion `:120/2010 <br /> This member certifirate,together L:,ith qje common policy conditions,coverage <br /> Certificate Hcider: i <br /> part(s),coverage forms),and endorsements,if any,complete the above numbered <br /> San Joaquin County PuLAc'vVorr�. policy. Copies of the Master Policies are available upon request or may be printed at <br /> Attn:Scott Cooper `AAq.aim-companies.con, <br /> 1810 E.hazeltorn Ave. <br /> Stockton..CA.95205-623 <br /> { AUTHORIZED REPRESENTATIVE <br /> Page 1 of 2 <br />
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