My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO 2012 - 2018
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
P
>
PACIFIC
>
6425
>
2300 - Underground Storage Tank Program
>
PR0231211
>
COMPLIANCE INFO 2012 - 2018
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/15/2019 5:10:41 PM
Creation date
5/15/2019 2:24:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2018
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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.
/
518
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
CERTIFICATE OF LIABILITY INSURANCE ABLEMAI CL HFA <br />THIS CERTIFICATE IS ISSUED qS TI MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER71FICg7E HOLDER. THIS <br />DATE (NMIppI*; 7 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE D 10/1/2014 <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOOLDER.TUTE q CONT <br />IMPORTANT, If the Certificate holder is an ADDITIONAL INSURED, the CONTRACT BETWEEN THE ISSUING INSURER S <br />the terms and conditions of the Polley, certain poll 1 11: may y (), AUTHORIZED <br />policy(ies) must be endorsed, If SUBROGATION IS WAIVED,101..t to <br />certificate holder In Iieu of such endonement(s). Y re ulre an endorsement. A statement on this Certificate does not Confer right, to the <br />PRODUCER <br />3eorge Petersen Insurance Agency, Inc. c NTACT <br />'.O. Box 3539 NAME: <br />lanta Rosa, CA 95402 PRONE <br />INSURED <br />Able Maintenance Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />rIUATE MAY BE ISSUED OR `WUIHEMENTN TH, INS <br />TERM OR CONDITION OF <br />ISIONS AND CONDITIONS OF SUCH 0 LCIEPERTAIS LIMITS SHORANCE AFFORDED E <br />TYPE OF INSURANCE VVfI MAY HAVE BEEN <br />COMMERCIAL GENERAL LIABILITY POLICY NUMBER <br />CLAIMS-MAOE O OCCUR <br />Dollution & 22070800009 <br />GENL AGGREGATE LIMIT <br />APPLIES PER'. <br />POLICY ff TR(?T <br />❑LOC <br />OTHER. <br />AUTOMOSILELU IUTY <br />X ANY AUTO <br />/LLL OYmEO <br />AUTOS <br />n o UU ZA 80304711 <br />HIRED ANDS <br />NONOwNED <br />AUTOS <br />UMBRELLA LIAR x <br />C EXCESSLM0 <br />DFn .,.-�_.._._. <br />CLAIMSMgpE AE 15114937 <br />C <br />KACT OR OTHER DOCUMENT ,/vc FOR THE POCK) <br />9 y IESPAI DESCRIBED HEREIN IS WITH <br />ECT TO ALL THE <br />BY PAID CLAIMS. <br />10/11/2013110/11/2014 <br />04/01/2015 <br />04/0112014104/01/2016 <br />'0101/2014110/01/2018 <br />DESCRIPTION OPERATIONS /LOCATION, / YENIC <br />'roof IP coverage LES (ACORD 1a1. AddillPRal Rem.As ,cftadule, mry Ee ...d IT mere •peAe is royulntl) <br />Proof Of Coverage <br />ACORD 25 (2014/01) <br />EDGILY INJURY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />THE EXPIRATION DATE THEREOF, BE DELNERED IN NOTICE WILL <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTTHHO��RIIZED r\R'1EPPR�ESENTATNE <br />6. Y U <br />The ACORD name and lo4 —ACOR <br />go are registered marks 2oflACORD <br />All rights reserved. <br />
The URL can be used to link to this page
Your browser does not support the video tag.