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COMPLIANCE INFO_2017 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LATHROP
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1137
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2300 - Underground Storage Tank Program
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PR0530093
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COMPLIANCE INFO_2017 - 2018
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Entry Properties
Last modified
11/20/2019 2:36:09 PM
Creation date
11/19/2019 2:48:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
RECORD_ID
PR0530093
PE
2351
FACILITY_ID
FA0019793
FACILITY_NAME
CRUISERS MANTECA #29
STREET_NUMBER
1137
Direction
W
STREET_NAME
LATHROP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19724002
CURRENT_STATUS
01
SITE_LOCATION
1137 W LATHROP RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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CERTIF'�4TE OF LIABILITY INSURANt, <br /> " DATE(MMIDD/YYYY) <br /> [AFFORDED <br /> HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> tvn/zots <br /> OLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE <br /> BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br /> SUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGRATION IS WAIVED, <br /> Subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does <br /> not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER OnPoint Underwriting Inc. CONTACT NAME:Steven McComb <br /> 8390 E Crescent Pkwy, Suite 200 PHONE(A/C,No Exl):(360)828-0644 FAX(A/C,NO):(360)828-0699 <br /> Greenwood Village, CO 80111 <br /> EMAIL ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE i NAIC# <br /> INSURED INSURER A: ACE American Insurance Company 22667 <br /> _ -- — <br /> INSURER B: - <br /> Barrell Business Services,Inc.L/C/F <br /> INSURER C: <br /> LARRY&CLIFF ENTERPRISES,INC. DBA LC INSURER D: VvEL) <br /> SERVICES .. ._..__.,_ <br /> 3887 N VALENTINE INSURER E_ <br /> __ _,_• <br /> INSURER F: -`-�r-11•��+~ •---- <br /> FRESNO,CA 93722 _ . �Ol:, <br /> COVERAGES CERTIFICATE NUMBER: <br /> FINSRS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA REVISION NUMBER: <br /> WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NVUvajodwk� ! IY B ED. <br /> UES OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMSIMWRM NDN MAY BE <br /> H POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NDITIONS OF <br /> TYPE OF IIJSURANCE ADDL SUER POLICYNUMBER �PDLI�CYEFFPOLICY EXP. INSR WVD LIMITS <br /> (MM/DD/YYYY) <br /> GENERAL LIABILITY <br /> COMMERCIAL GENERAL LIABILITY <br /> WEACHOCCURRENCEURRENCE $O RENTED PREMISES(EaCLAIMS-MADE I _ ]OCCUR $LAny one person) $&ADV INJURY $GEN'L AGGREGATE LIMIT APPLIES PER: GGREGATE $IPOLICY -- PROJ- —ILOC -COMP/OP AGG $i ECTAUTOMOBILE LIABILITY $ <br /> BINED SINGLE LIMIT' <br /> ANY AUTO <br /> (Ea accident) $ <br /> - ALL OWNED,AUTOS l�l SCHEDULED AUTOS BODILY INJURY(Per person) g <br /> MIRED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) <br /> PROPERTY DAMAGE $ <br /> UMBRELLA LIAR $ <br /> _ occuR <br /> --- EACH OCCURRENCE $ <br /> EXCESS LIAB OCCUR <br /> "'-- AGGREGATE $ <br /> DED RETENTION$ <br /> A WOR) COMPENSATION AND EMPLOYERS' $ <br /> LIABILITY JJR11/01/16 11/01/2017 / WC STATU- OTFI- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE29521 TORY LIMITS ER <br /> OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $2,000,000 <br /> (Mandatory in NH)If yes,describe undered States: E.L.DISEASE-EA EMPLOYEEDESCRIPTION OF OPERATIONS below $2,000,000 <br /> E.L.DISEASE-POLICY LIMIT $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Allach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Proof of coverage EXPIRATION DATA THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Richard Poling <br /> C)1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD. <br />
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