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ARCHIVED REPORTS_XR0002230
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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575
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2900 - Site Mitigation Program
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PR0542420
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ARCHIVED REPORTS_XR0002230
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Entry Properties
Last modified
1/23/2020 10:11:18 AM
Creation date
1/23/2020 9:28:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002230
RECORD_ID
PR0542420
PE
2960
FACILITY_ID
FA0024376
FACILITY_NAME
FORMER CHEVRON 98632
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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• a Insurance Services Office form number CA 0001 (Ed 1178), Code 1 <br /> ("any auto") an endorsement CA 0025 <br /> b If excess, affords coverage which is at least as broad as the primary <br /> insurance forms referenced in the proceeding section (1) <br /> 4 SEVERABILITY OF INTEREST The insurance afforded by this policy <br /> 1 apples separately to each insured that is seeking coverage or against whom <br /> a claim is made or a suit is brought, except with respect to the Company's <br /> limit of liability <br /> s PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT <br /> OR LOSS Any failure to comply with reporting provisions of the policy shall <br /> not affect coverage provided to the City, its elected or appointed officers, <br /> officials, employees or volunteers <br /> 6 CANCELLATION NOTICE The insurance afforded by this policy shall not be <br /> ' suspended, voiced, canceled, reduced in coverage or in limits except after <br /> thirty (30) days prior written notice by certified mail return receipt requested <br /> has been given to the City Such notice shall be addressed as shown in the <br /> heading of this endorsement <br /> C) INCIDENT AND CLAIM REPORTING PROCEDURE <br /> Incidents and claims are to be reported to the insurer at <br /> ATTN <br /> (Title) (Department) <br /> (Company) <br /> Street Address <br /> (City) (State) (Zip) <br /> (Telephone Number) <br /> D) SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE <br /> INSURER <br /> August 2001 Division IV-33 Ball Park& Park & Ride Wells Ph 1 <br />
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