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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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® DATE (MMIDDNYYY) <br /> AC Ro CERTIFICATE OF LIABILITY INSURANCE <br /> 8/27/2018 <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(les) 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 rights to the certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER <br /> GMGS Risk Management & Insurance Services NAME: Ashley Brewster <br /> 12 Truman P"CN o Ext); 949-559-3377 PAC No): 949-559-6703 <br /> Irvine , CA 92620 E-MAIL <br /> ADDRESS : ashle b m S . COm <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> WWW' gmgS . Com OB84519 INSURERA : Travelers Pro e Casualty Co of America 25674 <br /> INSURED INSURER B : <br /> Tait & Associates , Inc. <br /> Tait Environmental Services , Inc . INsuRERC : <br /> 701 Parkcenter Dr. wsURERD : <br /> Santa Ana CA 92705 1 INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 43842198 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 /> INSR I ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> RENTEDDAMAGE TO <br /> CLAIMS-MADE OCCUR PREMISES (Ea occu ne) $ <br /> MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ <br /> POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ <br /> JECT <br /> OTHER: $ <br /> CMBIA AUTOMOBILE LIABILITY 810-7138R642-TIL- 18 9/1 /2018 9/1 /2019 EaaccidentSINGLELIMIT $ 110009000 <br /> ✓ ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> ✓ AHIRED UTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE $ <br /> Y <br /> $ 1 ,000 Comp. Ded . Per accident <br /> $ 1 000 Coll . Ded . $ <br /> UMBRELLA LIABOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> A WORKERS COMPENSATION UB-4J588939- 18-43-G 9/1 /2018 9/1 /2019 ✓ STATUTE ER" <br /> AND EMPLOYERS' LIABILITY <br /> Y / N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000, 000 <br /> OFFICERIMEMBER EXCLUE N / A <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ft0001000 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 1000000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space Is required) <br /> RE: Evidence of Insurance <br /> 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 <br /> AUTHORIZED REPRESENTATIVE 9 <br /> Michael Finn <br /> © 1988-2015 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br /> 43842198 1 18 - 19 A/W I Ashley Brewster ( 8 /27 / 2018 10 : 36 : 02 AM ( PDT) I Page 1 of 1 <br />
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