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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2022_PS-2202501 thru PS-2203000_ - PS-2202852
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2022_PS-2202501 thru PS-2203000_ - PS-2202852
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Last modified
10/13/2022 3:56:32 PM
Creation date
10/13/2022 3:54:52 PM
Metadata
Fields
Template:
Permits_Development
DocName
PS-2202852
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2022
Notes2
Peltier Rd. and Des Moines Rd. W/O HWY 99
Address
265 Lincoln Center, Stockton,CA 95207
Application
Anthony Vice
Type
Temp. Road Closure
Supplemental fields
Cross Ref
PWP7110005
Type (2)
Encroachment Permit (EP)
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POLICY #103 GL 0021111 <br />COMMERCIAL GENERAL LIABILITY <br />T5409-0118 <br />This endorsement modifies insurance provided under the following: <br />A.In the performance of your ongoing operations; or <br />B.In connection with your premises owned by or rented to you. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Section II - Who Is An Insured is amended to include as <br />additional insured the person(s) or organization(s) shown <br />in the Schedule,but only with respect to liability for <br />“bodily injury”, “property damage”or “personal and <br />advertising injury”caused,in whole or in part, by your <br />acts or omissions or the acts or omissions of those acting <br />on your behalf: <br />T5409-0118 © ISO Properties, Inc., 2004 Page 1 of 1 <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Named of Additional Insured Person(s) or Organization(s) <br />M2 Vintners, Inc., 2900 E. Peltier Road, Acampo, CA 98220 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION
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