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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HETCH HETCHY AQUEDUCT
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2900 - Site Mitigation Program
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PR0527549
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COMPLIANCE INFO
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Entry Properties
Last modified
2/21/2020 6:15:49 PM
Creation date
2/21/2020 3:12:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0527549
PE
2950
FACILITY_ID
FA0018661
FACILITY_NAME
SF PUC HETCH HETCHY AQUEDUCT
STREET_NUMBER
0
STREET_NAME
HETCH HETCHY AQUEDUCT
City
TRACY
Zip
95304
APN
25517005
CURRENT_STATUS
01
SITE_LOCATION
HETCH HETCHY AQUEDUCT
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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A n <br /> A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/Y <br /> 4/11/20111 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONT <br /> AY <br /> CT <br /> NAME: JO F019e <br /> Risk Strategies Company PHONE . 949-242-9244 FAXA/C Not:949-251-0347 <br /> 2040 Maim, Street -MAIL folse@risk-strategies. <br /> ADDRESS:J com <br /> Suite 580 PRODUCERCUSIQMERID p0019304 <br /> Irvine CA 92614 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:Hartford Casualty Insurance Co 29424 <br /> • <br /> INSURER B:Hartf ord Fire Insurance Co 19682 <br /> ABC Liovin Drilling, Inc. INSURERC: <br /> 1180 East Burnett Street INSURER D: <br /> INSURER E <br /> Signal Hill CA 90755 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL107130243 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 TYPE OF INSURANCE AD0L 0—BRI POLICY EFF POLICY EXP <br /> LTR INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY A E T RENTE D <br /> PREMISES occurrence $ 300,000 <br /> A CLAIMS-MADE FX OCCUR 22UUVTB3037 /1/2010 /1/2011 MED EXP(Any oneperson) $ 10,000 <br /> PERSONAL&ADV INJURY $ 11000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> POLICY X JE OT- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ 1,000,000 <br /> X ANY AUTO <br /> B ALL OWNED AUTOS 22UUVTB3037 /1/2010 /1/2011 BODILY INJURY(Per person) $ <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS Uninsured motorist combined $ 11000,000 <br /> $ <br /> UMBRELLA LAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATIONX WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E EL.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) 22WBVLF8688 /1/2010 7/1/2011 EL.DISEASE-EAEMPLOYE $ 1,0001000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Restrada@sjcehd.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> San Joaquin County <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Environmental Health Department <br /> Attn: Rodney Estrada AUTHORIZED REPRESENTATIVE <br /> 600 East Main Street <br /> Stockton, CA 95202 <br /> Michael Christian/JOF <br /> ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS025/20C909) The ACORD name and logo are registered marks of ACORD <br />
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