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WP0039426
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039426
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Entry Properties
Last modified
4/29/2019 2:29:50 PM
Creation date
4/26/2019 12:06:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039426
PE
4372
STREET_NUMBER
2201
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95203-
APN
14503001
ENTERED_DATE
3/13/2019 12:00:00 AM
SITE_LOCATION
2201 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SALEENG-01 MMAZZA <br /> '4coRo CERTIFICATE OF LIABILITY INSURANCE DATE 11!(MM/29!20182018 ) <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 certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER License#OE02096 CONTACT <br /> DiBuduo&DeFendis Insurance Brokers,LLC PHONE,Ext:(559)432-0222 ac,No):(559)431-7941 <br /> P.O.Box 5479 <br /> Fresno,CA 93755-5479 E-MAIL <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A Valley Forge Insurance Co 20508 <br /> INSURED INSURER B:Continental Casualty Company 20443 <br /> Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 <br /> 4729 W.Jacquelyn Ave. INSURER D:American Casualty Company of Reading PA 20427 <br /> Fresno,CA 93722 <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MMIDD/YYYY MMIDDIYYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE aOCCUR X 6015893246 12/01/2018 12/01/2019 DAMAGE TO RISES(EaENTED $ 300000 <br /> MED EXP(Any oneperson) $ 15,000 <br /> PERSONAL&ADV INJURY $ 2,000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 <br /> POLICY X JECTT F—]LOCPRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER $ <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> X ANYAUTO 045473729 12/01/2018 12/01/2019 BODILY INJURY Per person)— <br /> OWNED SCHEDULED <br /> AURRTEEO��S ONLY AUUTNOSSW Ep BODILY INJURY Per accident) <br /> AUT&ONLY AUTOS ONNLY PROPERTY DAMAGE <br /> Per accident <br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 <br /> EXCESS LIAB CLAIMS-MADE 6015893232 12/01/2018 12/01/2019 AGGREGATE $ 6,000,000 <br /> DED I X I RETENTION$ 10,000 <br /> D WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY <br /> STA <br /> YIN 6020581635 12/01/2018 12/01/2019 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E .DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If es,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Prof./Pollution Liab EH591895527 12/01/2018 12/01/2019 Each Claim 2,000,000 <br /> B Prof./Pollution Liab TEH591895527 12/01/2018 12/01/2019 aggregate 4,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more apace is required) <br /> * Actual Certificate to be issued upon request** <br /> Certificate Holder is named Additional Insured(including Completed Operations and Primary Non-Contributory Wording)as respects General Liability per <br /> attached blanket policy form CNA75079XX(10-16). <br /> **Professional/Pollution Liability deductible per claim-$25,000 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ' SAMPLE CERTIFICATE** THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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