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ARCHIVED REPORTS XR0006644
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6425
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2900 - Site Mitigation Program
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PR0519189
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ARCHIVED REPORTS XR0006644
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Entry Properties
Last modified
8/21/2019 3:40:57 PM
Creation date
8/21/2019 3:16:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006644
RECORD_ID
PR0519189
PE
2950
FACILITY_ID
FA0014347
FACILITY_NAME
CURRENTLY VACANT
STREET_NUMBER
6425
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741031
CURRENT_STATUS
02
SITE_LOCATION
6425 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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@4/17/2001 15 48 15304584735 1CLAIMS PAGE 02 <br /> ACO—RD,. CERTIFICATE OF LIABILITY INSURANCE Miii2o 1 <br /> P DucFA (530)458-883 S FAX (530)453-5693 THIS CERTIFICATE ISIED AS A MATTER OF INF0i50 TIO <br /> co-Leavitt Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> 0. Box 988 <br /> Cal usa, C4 9593Z-0938 INSURERS AFFORDING COVERAGE <br /> INWRIED western coo End neers Inc IwSURERA ADMIRAL INSURANCE COMPANY <br /> 1396 East Beamer Street INSURERS Allstate Insurance Co <br /> Woodland, CA 95776 ,NaL Rc STATE COMPENSATION INS FUND <br /> KSLAER D <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 /> R TYPE OF INSURANCE POLICY NUMBRrIt LIMITS <br /> GENERALUAIVUrY 499CBOBSSB 08/02/2000 08/02/2001 EACH OCCURRENCE I 1900010 <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Arty tM N!) I S0 0 <br /> CLAIMS MADE D OCCUR MED EXP(Any try pamon) I 5 <br /> A PERSONAL S ADV INJURY I 1 000 <br /> GENERAL A60REt4ATE i 1.000.00 <br /> GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS COMPrOP AGG I 1 000 00 <br /> POtIGY j�CT LOC <br /> AUTOMOBILI LIA$ILITY 50202426 11/14/2000 11/14/2001 COMOINED SINGLE LIMIT <br /> T ANY AUTO (E•awdv°) ' 1 OQO 00 <br /> ALL QWNED AUTOS BODILY INJURY <br /> P <br /> SChEDi1tE 0 AUTO S I <br /> HIRED AUTOS BODILY INJURY <br /> (Porbeftiu ) <br /> � NON-OWNED AUTOS <br /> PROPERTY DAMAGE a <br /> (Par amid. ) <br /> GARAGE LIABILITY AUTO ONLY EA ACCIDENT <br /> ANYAUTO NO COVERAGE CERTIFIED OTHER THAN EA A= I <br /> AUTO ONLY A00 I <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> OCCUR ❑CLAIMS MADE 40 COVERAGE CERTIFIED AGGREGATE t <br /> i <br /> DEDUCTAILE I <br /> RETENTION S I <br /> WORKERS COMPENSATION AND 161608900 12/19/2000 12/01/2001 1 TORY LIMITS I ER <br /> EMPLOYERLIAWEILITY E L EACH ACCIDENT I 1.00010 <br /> C 00 <br /> S' E L DISEASE-EA EMPLOYSR I 1.000.000 <br /> E L DISEASE-POLICY LIMIT I I 2,000.00 <br /> OTHER 40 COVERAGE CERTIFIED <br /> DESCRIPTION OF OpERAT10NSILOCATIONSMEHiMESIEXCLUSIONE AWED BY ENDORSEMENTMASCIAL PROVISIONS <br /> ertiCate Holder is named Add-itional Insured <br /> CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION <br /> SHOULD ANY OF THE ADM DUCRIBED POUCIL►a BE CANCELLED SNORE THE <br /> EXPIRATION DATE THEREOF,THE ISSWMO COMPANY WILL jWtVbVM MAIL <br /> - City of Stockton 30 UAY✓S WRITTEN NOTICE TO THE CERTIFICATIE HOLDER NAURU TD TH£LEFT, <br /> Risk M�Inayement VANNNUXXXWOKMY <br /> NNNIMMMUWAM <br /> 4ZS North Eldorado �IKxXXXXXx <br /> Stockton, CA 95202 AUTNORom PwREvrNTATIY <br /> ACORD 2r3-${7/07) FAX: (209)937-8833 D CORPORATION 4p88 <br />
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