My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2013-2015
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
N
>
99 (STATE ROUTE 99)
>
4943
>
2300 - Underground Storage Tank Program
>
PR0506488
>
COMPLIANCE INFO_2013-2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 1:51:13 PM
Creation date
11/5/2018 8:25:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0506488
PE
2361
FACILITY_ID
FA0007458
FACILITY_NAME
7-ELEVEN INC #32190
STREET_NUMBER
4943
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4943 S HWY 99
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\4943\PR0506488\COMPLIANCE INFO 2013 TO 2015.PDF
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
232
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
WALTO-2 OP ID: SY <br /> ATECERTIFICATE OF LIABILITY INSURANCE °0 02/128812014120142 ' <br /> PRODUCER Phone:925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> TLB Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3000 Oak Rd.,Suite 210 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Walnut Creek,CA 94597 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Dennis Cote' <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Walton Engineering,Inc. [NSURERA Admiral Insurance Company <br /> P.O.Box 1025 <br /> West Sacramento,CA 95691 INSURER B:Harford Casualty Insurance Co <br /> INSURER c:QBE Insurance Corp <br /> INSURER D.Wesco Insurance Company <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADO1 I <br /> POLICY NUMBER POLICY EFFECTIVE POLICY'EXPIRATION LLMrrS <br /> -DATE IMIM02M2M <br /> GENERAL LIABILITY EACH OCCURRENCE ; 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY FEI-ECC-13587-01 0310612014 0310612015pREMI E muen <br /> a oce S 50,000 <br /> CLAIMS MADE F30 OCCUR MED EXP(Arry one p=on) 3 5,000 <br /> PERSONAL d ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE S 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO s 2,000,00 <br /> POLICY X PRO' LOC Emp Ben. 1,000,000 <br /> AUTOMOBILE LIAB;L" <br /> D X ANYAUTo WPA1030224 03 03/0612014 03106/2015 COMaBINED SINGLE LIMIT $ 9,000,000 <br /> (EaALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY IN3URY $ <br /> (PER PERSON) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (PER ACCIDENT) <br /> D X Comp tied-$1,000 WPA1030224 03 03/06/2014 03106/2016 <br /> D X Coll Ded-$1,000 PA1030224 03 03106/2014 03106120'18 <br /> PROPERTY <br /> GE s <br /> 711E <br /> LIABILI Y AUTO ONLY_EA ACCIDENT s <br /> AUTO <br /> OTHER THAN EA ACC $ <br /> FAjTO ONLY. AGG 3 <br /> EXCESS!UMBRELLA LIABILITY EACH OCCURRENCE ; 10,000,00 <br /> A x OCCUR FICLAIMS MADE FEI-EXS-13588-01 03/0612014 03106/2018 AGGREGATE ; 10,000,000 <br /> s <br /> DEDUCTIBLE - <br /> s <br /> RETENTION $ S <br /> WORKERS COMPENSATION WC STATU• OTH- <br /> AND fMPLOYERe'LIABILITY �� <br /> C ANY PROPMETORIPARTNERIDIECUTNE YIN QWC4000674 10101/2013 10/0112014 E.LEACHACCIDENT ; 1,000,00 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NN) <br /> tt E.L.DISEASE-EA EMPLOYEE ; 1,000,000 <br /> yE deswbe wider <br /> SPEC IAL PROVISIONS below E.LDISEASE-POLICY LIMIT s 1,000,00 <br /> OTHER <br /> A Poilutlon IE&O FEI-ECC-13587-01 03/0612014 03/0612015 <br /> PIDiUE&O 1,000,000 <br /> B Installation Float <br /> 57 MS IZ6050 03106/2014 03/06/2016 1 Int FItr 2,000,00 <br /> DESCRIPTION OP OPERATIOAS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> "10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL,3O• • DAYS WRITTEN <br /> To Whom it May Concern 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 /> AUTHORVEDREPRESENTAT1VEDennis Cote' <br /> ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.