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WP0037725
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037725
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Entry Properties
Last modified
11/19/2024 10:36:11 AM
Creation date
7/24/2018 11:19:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037725
PE
4372
STREET_NUMBER
0
STREET_NAME
I-5
City
STOCKTON
Zip
95203-
APN
NEAR 13701001
ENTERED_DATE
12/21/2017 12:00:00 AM
SITE_LOCATION
0 I-5
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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,4coRd CERTIFICATE OF LIABILITY INSURANCE,D;TE <br />IN� <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 certtflute holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />conMcate holder in Ilsu of such endorseme s . <br />PRODUCER <br />GENERAL LIABILITY <br />x COMMERCIAL GENERAL LIABILITYPREMISES <br />CLAIMS•MADE a OCCUR <br />JILT S Ity USA <br />135 Vain Street <br />PHONE FAX <br />No): <br />#TAIL <br />Suite 11300 <br />8/1/2018 <br />San Francisco CA 94105 <br />INSURER E AFFORDING COVERAGE NAIC 0 <br />INSURER A Axis Surplus Insurance Company 26690 <br />INSURED GREGDRI-01 <br />INSURER e gurirh ArnefiCan Insurance Company 165M <br />INSURER C: <br />Pitcher Drilling <br />Co. <br />218 Demeter Street <br />East Palo CA 94303 <br />INSURER 0: <br />LULaRNTYBAP02353e2-DD <br />AUTO <br />ALL OVMN£0 SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS ANO VMNED <br />UT <br />INSURER E <br />INSURER F: <br />5/112017 <br />COVERAGES CER77FICATE NUMBER: 10937.530RR 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 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 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN� <br />TYPE OF INSURANCE <br />ADOL <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />UMTS <br />GENERAL LIABILITY <br />x COMMERCIAL GENERAL LIABILITYPREMISES <br />CLAIMS•MADE a OCCUR <br />SPOO2682-01.2017 <br />811/2017 <br />8/1/2018 <br />EACH OCCURRENCE _$1,000,000 <br />(En occasrence) $500,000 <br />MED EXP a $25,000 <br />PERSONAL 8 ADV INJURY $1 000 DDO <br />GENERAL AGGREGATE $2.000,000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO- LOC <br />PRODUCTS - COMP/OP AGO 12,000,000 <br />$ <br />B <br />AUTOMOBILE <br />X1ANY <br />LULaRNTYBAP02353e2-DD <br />AUTO <br />ALL OVMN£0 SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS ANO VMNED <br />UT <br />5/112017 <br />8/112019 <br />000 000 <br />BODILY INJURY (Por p0non) $ <br />BODILY <br />BODILY INJURY (Pw Kddua) 3 <br />P $ <br />i <br />X <br />UNGRELLA LIAR <br />EXCESS LJAa <br />X <br />OCCUR <br />CLAIM34AADE <br />SX002683-01-2017 <br />5/112017 <br />8/1/2018 <br />EACH OCCURRENCE N,DO0,D00 <br />AGGREGATE $4,000,000 <br />DED L J RETENTION <br />S <br />B <br />WORRERSCOMPENSATION <br />AND EMPLOYERS LIABILITY Y / N <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERMEMBER EXCLUDED? NN <br />(W-wwwr M NH) <br />M gem, deawbo urxw <br />DESCRIPTION OF OPERATIONS beim <br />N / A <br />VYCO235381-00 <br />8/112017 <br />8/1=18 <br />X TA - I TH- <br />FR <br />E.L. EACH ACCIDENT $1,D00.000 <br />E.L. DISEASE - EA EMPLCYEE $1 DOO 000 <br />EASE - POLICY LIMIT $1,000,000 <br />Con"Cli s Po lulbn Liability <br />Profmional Liability <br />SP002082-01-2017 <br />$1112017 <br />811/2DIS <br />lm $1,000,000 <br />i $1,000,000 <br />Fm <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AUnch ACORD 101, AddM1aW Remarlm Sch�duh, K mor♦ space Is rsqW W) <br />Professional Liability is claims made. Per Project General Aggregate excludes Professional Liability. Umbrella is excess over General <br />Liability, Pollution and Professional Liability, Automobile and Employers Liability coverages. <br />4 I leR I C aalJL w ! AU/ =! I AT M <br />EVidenoe o1(:OVe rap <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CA <br />ACCORDANCE W$TH THE POLICY PROVISIONS, <br />AUTHORED REPRESENTATIVE <br />0 IVGU-2010 AGORD CORPORATION. All rights reserved. <br />ACORD 26 (2010(06) The ACORD name and logo are registered marks of ACORD <br />
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