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2900 - Site Mitigation Program
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PR0518875
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Entry Properties
Last modified
11/12/2019 3:31:37 PM
Creation date
11/12/2019 3:25:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0518875
PE
2960
FACILITY_ID
FA0014182
FACILITY_NAME
FORMER BUSY BEE CLEANERS
STREET_NUMBER
40
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
40 N MAIN ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JUN-07-2005 TUE 05:08 PIS LAYNE CHRISTENSEN FAX N0, 909 J90 6097 P. 03 <br /> DATE(MMIDD/YY) <br /> ACORN CERTIFICATE OF LIABILITY INSURANCE o5/o1/200� 04/25/2005 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> +R000CER Loddon CompWieS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 444 W.471h StroOL Sulte 900 HOLDER-THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Kansas City Mo 64112.1906 ALTEESQV RAGE AFFOR <br /> (816)et10-8000 INSURERS AFFORDING COVERAGE <br /> NSUREO URERA: ST A CE C <br /> 126 LAYNE CHRISTENSEN COMPANY INSURER <br /> 11001 ETIWANDA AVENUE <br /> PHONE: (90)390-2833 <br /> FOWANA,CA 92337 <br /> COVERAGES LAYIN01 FK <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME()ABOVE FOR THE POLICY PERIOD INDICATED.CH THIS CERTIFICATE MAY <br /> BENS SUED O <br /> ANY ESPE <br /> MAY PERTAIN, THE INSURANCE CAFFORIDED BYON OF AT E POLNY NICT IBES DESCRIBED HE N IST OR OTHER ESUBJJNT ECT TO ALL THE TERMCT TO IS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> UCOHH <br /> POLICIES.AGGREGATE LIMITS SHOWN WAY HAVE BEEN REDUCED BY PATO CLAIMS-poLICY E PDOUCr EJIPIRATION LIllpry <br /> NSR E POLICY U II <br /> E 000 000 <br /> EAc rl CE <br /> Ge17EAAo_u&BRJTY <br /> MAY 56919 0/01/2005 05/0112006 FIRE oA r me fire f 500 000 <br /> A X COMMERCIN.GENERAL LN8)LffY <br /> CLAIMS MADE � OCCUR MED EXP a aw 10 000 <br /> pEgjOM L ADV*UURY 2,000,000. <br /> X CONTRACTUAJ.-_ - <br /> 5 000 000 <br /> GENERAL AGGREOA <br /> I -CDMPIOP AGG 72 <br /> 0O0 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br /> AUTOMCOLE UA&LITy COMew"s WGLE LIMB" f 2,000,000 <br /> A X ANY AUTO <br /> MWTB 19315 05/01/2005 05/01/2006 (E"6d*r) <br /> ALL OWNED AUTOS BODILY INJURY f xXxxXXx <br /> (PIK"mm) <br /> eCHEDULEDAUTOS <br /> X HIREDAIITOS BOOILYWJURY i xxxxxxx <br /> LPW eccidany <br /> X NON-oWNEDAUTOS <br /> PROPERTY DAMAGE f xxxxxxx <br /> (Par xad-q <br /> ALTO ONLY-EA ACCIOENT �,_ ,XXXXXXX <br /> GARAGELIAB&M c X}(7CXXXX <br /> ,Wye NOT APPLiCAHLE r°,uro O <br /> AG c XXXX30 X <br /> EACH OCCURRENCE f XXXXXXX <br /> JFXCESS L <br /> UIBLITY YXXXxxxX <br /> NOT APPLICABLE AGGREGATE <br /> occua CLAIMS MADE NOT <br /> 0 UMBRELLA xxxxxxx <br /> DEouCTOLE . FORM f xxxxxxx <br /> RETENTION 5 STATU- OT <br /> A YYORKERS COIIfPEN9AT10N AND MWC 111364 00 05/01/2005 05/0112006 X <br /> EMPLOY€RS'LIABILITY EL.EACMACCIDEN7 t 2000000 <br /> -.L DISEASE-FA EMrjOlff: 2000,000 <br /> E.L.DISEASE-POLICY LIMIT l :000.000 <br /> OTHER <br /> OESCRIPTION OF OPERATIONs&oCATIONSNEHICLIiWUCLUSIONG ADDED BY ENDORSE4EHNTlSPEC1A1 PROV1510N6 <br /> T ADOITIONAL INSUAI? INSURER LETTF,F — ANrFI.I.AMON ---- <br /> SHOULD ANY Of THE'ABOVE DESCRIBED POLICIES BE CANCELLED 6EFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 BAYS wRRTEN <br /> NOTICE TO THE CERTIACATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN5URER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AYTNOp17PD REPRESENTATIVE / <br /> ACORD 26-5(7197) FYr qa®wll—ny.aWnO tM wMllk—,�� �w mb.r .aC In IM'v,es�cM ueaan wun ewe�Ih rl�u�nr aos.urwee�. 10ACORD CORPORATION 1908 <br />
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