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COMPLIANCE INFO 2013-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505867
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COMPLIANCE INFO 2013-2015
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Last modified
7/6/2020 4:40:19 PM
Creation date
11/5/2018 4:46:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0505867
PE
2361
FACILITY_ID
FA0007059
STREET_NUMBER
192
STREET_NAME
LATHROP
STREET_TYPE
Rd
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
192 Lathrop Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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\MIGRATIONS\L\LATHROP\192\PR0505867\COMPLIANCE INFO 2013-2015.PDF
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�-1 <br />ACORO' <br />PRODUCER <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94597 <br />Dennis Cote' <br />INSURED <br />COVFRACFS <br />WALTO-2 OP ID:: <br />CERTIFICATE OF LIABILITY INSURANCE°"'�(AWDDNYM <br />10/02/2013 <br />Phone: 925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CA 95691 <br />AFFORDING COVERAGE <br />Co <br />NAIC # <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR <br />THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR A00 <br />sunNce <br />POLICY NUMBER <br />POLICY EFFEC17VE POLICY EXPIRATION <br />GENERAL L1AeBJTY <br />LIMITS <br />A <br />X COMMERCIAL GENERALLIAsarry <br />FEI-ECC-13587-00 <br />EACH OCCURRENCE S 1,000,00 <br />03/06/2013 03/06/2014 <br />A <br />CLAIMS MADEPx� OCCUR <br />ante S 50,00 <br />MEGEXEG EX P (An ore Penonl $ 5,00 <br />PERSONAL& ADV INJURY S 1,000,00 <br />GENERAL <br />GENERAL AGGREGATE $ 2,000,000 <br />GIRL AGGREGATE DMRAPPLIES PER <br />POLICY X PRO- <br />AGS $ 2,000,00 <br />LOC <br />Emp Ben, 1,000,00 <br />AUTOMOBILE LIABIITY <br />B <br />X ANYAUTO <br />A103022402 <br />COMBINED <br />03/06/2013 03/06/2014 (E. m)MGA LIAN s 1,000,00 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(PER PERSON) S <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />S <br />A <br />X Comp Dad-S1,Ooo <br />A1030224 02 <br />(PER ACCIDENT) <br />03/06/2013 03/06/2014 <br />X <br />COO Dad - $1,000 <br />A <br />PA1030224 02 <br />03/06/2013 03106/2014 (ERPROPACC DENT) GE S <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN ACC S <br />AUTO ONLY: <br />EXCESS (UMBRELLA LIABILITY <br />AGO S <br />A <br />X occuR CLAMS MADE <br />FEl-EXS-13588-00 <br />EACH OCCURRENCE S 10,000,000 <br />03/06!2013 03/06/2014 <br />AGGREGATE S 10.000,00 <br />DEDUCTIBLE <br />$ <br />RETENTION S <br />S <br />WORKERS COMPENSATION <br />S <br />C <br />AND EMPLOYERS' LWBILRY <br />Ya <br />X WCSTATUL OTµ <br />ANYPROPRIETORIPARTNER,EXEcurrYE <br />QWC4000674 <br />10/01/2013 10/01/2014 <br />(Mcndriory In NN)EXCLUDEDY <br />EL EACH ACCIDENT $ 11000,00 <br />ifDeSO(pe lAygT <br />SPECW, PROVISIONS beb <br />E.L DISEASE - EA EMPLOYE $ 1,000,00 <br />OTHER <br />E.L DISEASE -POLICY LIMIT S 1,000,000 <br />A PolluUonlE&O <br />FEI-ECC-13587-00 <br />03/06/2013 03/0612014 POIUE&0 <br />D Installation <br />Fltr <br />57MSIZ6050 <br />1,000,000 <br />03/06/2013 03/16/2014 Inst Fltr o GOn eee <br />w $un> AuunueY ENDORBEMENTISPECIAL PROVISIONS <br />days notice applies if cancelled for non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />TOWHOMI SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORE THEEXPINATION <br />To Whom It May Concern ��T^^. <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL K= DAYS WRITTEN <br />WA <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHDRDTDRFPRESENTATMEDenniSCOte' _ <br />ACORD 25 (2009101)��'"�U-'-. <br />©1988-2009 ACORD CORPORATION. q0 rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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