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FIELD DOCUMENTS_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOOMIS
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2969
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3500 - Local Oversight Program
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PR0545428
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FIELD DOCUMENTS_FILE 2
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Last modified
3/9/2020 11:04:11 AM
Creation date
3/9/2020 9:51:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545428
PE
3528
FACILITY_ID
FA0005487
FACILITY_NAME
MARCIS DIESEL SERVICE
STREET_NUMBER
2969
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2969 LOOMIS RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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RESOINTd1 CAKR <br /> �, Z �W.9 DATE(NA/DD/YYYY) <br /> ACORD,, CERTIFICAT�'OF LIABILITY IN 11►aizoo9 <br /> PRODUCER License#OB50501 (530)668-2777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNATION <br /> Armstrong&Associates Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEN3 OR <br /> f rise#OB50501 ALTER THE COVERAGE AFFORDED BY THE POLICIES EELOW. <br /> F Box 1270 <br /> Woodland,CA 95776-1270 INSURERS AFFORDING COVERAGE NAI,.. # , <br /> INSURED ResonantSonic International, Inc. INSURER A:Westchester Surplus Line Insurance Com <br /> RSI Drilling INSURER B:ACE American Insurance Company <br /> 220 N. East Street INSURER C:Majestic Insurance Company <br /> Woodland, CA 95776- INSURER D:Travelers Insurance Company <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSLED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR NDD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE IMM/DnfyyiLTYPE OF INSURANCE <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY G23799807003 1/31/2009 1/31/2010 DAMAGE TO PREMISES KENT recce) $ 550,000 <br /> CLAIMS MADE a OCCUR MED EXP(Any one person) $ 55,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X POLICYLK PRO- LOC Prof/Pollution/Railroac 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> B X ANY AUTO <br /> H084155OA003 1/31/2009 1/31/2010 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS Per accident <br /> C This sit new certificate for worke 'Compensatio only. ( ) <br /> see previous certificate for a Additional insured PROPERTY DAMAGE $ <br /> (Per accident) <br /> 'APR*r_pfai;anced <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> F I ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 <br /> A X OCCUR FICLAIMSMADE G23799819003 1/31/2009 1/31/2010 AGGREGATE $ 4,000,000 <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND X TORY LIMITS OER <br /> C EMPLOYERS'LIABILITY C20090676801 12/1/2009 12/1/2010 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under 1 000 000 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ , , <br /> OTHER <br /> D Property [QQT6605436BO08TIL09 <br /> T6605436BO08TIL09 1/31/2009 1/31/2010 Building-$1000dedt 650,000.0 <br /> D Equipment Floater 1/31/2009 1/31/2010 Scheduled Equip-$1000 de 1,715,907.0 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> A Blanket Waiver of Subrogation has been requested from the Workers'Compensation Carrier and will be forwarded upon receipt." <br /> Certificate holder named additional insured per attached endorsement. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Geological Technics Inc DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> 1101 7th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Modesto, CA 95354- <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE !r 1 <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />
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