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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231963
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COMPLIANCE INFO
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Entry Properties
Last modified
12/23/2019 2:45:45 PM
Creation date
12/23/2019 2:27:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Client# : 422600 TAITASSOC <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) <br /> 8/22/2018 <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 any rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER NAME: T Adriana Medina <br /> Marsh & McLennan Agency LLC <br /> (PAH <br /> No HONE Ext : 949-900 -2264 FAA/C, No): <br /> Marsh & McLennan Ins . Agency LLC ADDResS: Adriana. Medina@MarshMMA . com <br /> 1 Polaris Way #300 Lic# OHI 8131 INSURER(S) AFFORDING COVERAGE NAIC # <br /> Aliso Viejo, CA 92656 INSURERA : AXIS Surplus Insurance Company 26620 <br /> INSURED INSURER B : <br /> Tait & Associates , Inc. <br /> INSURERC : <br /> 701 N . Parkcenter Drive <br /> INSURER D <br /> Santa Ana , CA 92705 <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 /> ADD L SUB POLICY EFF POLICY EXP <br /> I TR TYPE OF INSURANCE ( INSR WVD POLICY NUMBER MM/DDIYYYY MMIDD/YYY LIMITS <br />[ A X COMMERCIAL GENERAL LIABILITY SP002747022018 09/01 /2018 09/01 /2019 EACHOCCURRENCE x2, 000 , 000 <br /> DAM AGET RENTED <br /> CLAIMS-MADE OCCUR PREMISES Eaoccurrence) S50000 <br /> X Professional Liab MEED EXP (Any one person) s5 ,000 <br /> X Polilution Liab PERSONAL & ADV INJURY S2, 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000, 000 <br /> [ XI <br /> PRODUCTS - COMP/OP AGG 52, 000,000 <br /> POLICY I� JECT LOC <br /> OTHER: Deductible x $ 10 ,000 <br /> COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY Ea accident S <br /> ANY AUTO BODILY INJURY (Per person) S <br /> OWNED SCHEDULED BODILY INJURY (Per accident) S <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> S <br /> A UMBRELLA LIAB OCCUR SX002748022018 09/01 /2018 09/01 /2019 EACH OCCURRENCE S9 000 000 <br /> X EXCESS LIAB X CLAIMS-MADE AGGREGATE $9 , 000� 000 <br /> DED X RETENTION SO <br /> WORKERS COMPENSATION ! PER OTH- <br /> AND EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L. EACH ACCIDENT is <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE S <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> I <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> *Professional Liability is Claims Made coverage* <br /> Re : Evidence of Insurance. FOR PROPOSAL USE ONLY. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Tait & Associates , Inc . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 11118 ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Santa Ana , CA 92711 -0000 <br /> AUTHORIZED REPRESENTATIVE <br /> t4Y <br /> © 1988-2015 ACORD CORPORATION . All rights reserved. <br /> ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S3617200/M3616912 WOACM <br />
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