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Environmental Health - Public
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EHD Program Facility Records by Street Name
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MARIPOSA
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2900 - Site Mitigation Program
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PR0541650
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Last modified
3/11/2020 8:18:41 PM
Creation date
3/11/2020 2:33:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
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AC"o® CERTIFItOATE OF LIABILITY INSUANCE <br /> PRODUCER Ed9ewood Partners Insurance Center(EPIC) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 19000 MacArthur Blvd. PH Floor ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Irvine, CA 92612 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 949 263-0606 INSURERS AFFORDING COVERAGE NAIC# <br /> www.edgewoodins.com 949 263-0906 <br /> INSURED Environ Strategy Consultants Inc. INSURERA Endurance American Specialty Ins,Co. _ <br /> 1036 W. Taft Avenue INSURER B: American States Insurance 19712 <br /> Suite 200 <br /> Orange CA 92865INSUSURER cU.Gran' State Insurance Company 23809 <br /> INRER <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 ISSUED 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 ADD'L POLICY NUMBER POUCYEFFECTIVE PDATE IMMVDD/YYYYIDOU YEXPIRATION1M hm TYPE OF INSURANCE LIMRS <br /> A GENERAL LIABILITY ECC101002469-03 8/26/2011 8/26/2012 EACH OCCURRENCE $ 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY ECC101002469-03 8/26/2011 8/26/2012 REMISET ao Dn $ 50,000 <br /> A 7 CLAIMS MADE F/I OCCUR ECC10100246M3 8/26/2011 8(26/2012 MED EXP(Any are W.) $ 5,000 <br /> A Cord Pollution PERSONAL B ADV INJURY $ 11000,000 <br /> Prof Liab GENERAL AGGREGATE $ 2,000,000 <br /> GEN'LAGGREGATE DMR APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> 1 17POLICY ECTPRC- LOC Ded/Condition $5,000 <br /> B AUTOMOBILE LJABILTY OICGO71396-1 8126/2011 8/26/2012 COMBINED SINGLE LIMIT <br /> ANY AUTO Ise accident) 1,000,000 <br /> 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Paryemmn) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accidwt) $ <br /> No Deductible PROPERTY DAMAGE $ <br /> (Per amtlan[) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EAACC S <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> C WORKI COMPENSATION 009054789 4/1/2011 4/1/2012 e/ WC$TATU- ✓ STR- <br /> ER <br /> AND EMPLOYERS LIABILITY <br /> ANY PROPRIETOR/PARTNERECUTNE YIN <br /> /IXEL EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEM NH)IXCLUOED4 EL DISEASE-EA EMPLOYE $ 1,000,000 <br /> I FICERIMancletoU in NX) <br /> H yea,Ce=be under <br /> SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate holder is additional insured with respects to liability but only if required by written contract with the <br /> named insured prior to an occurrence subject to all policy terms and Conditions. Additional Insured form FE1319ECC0708 <br /> Waiver of Subro form FE1320ECCO708 and Primary&Non-contributory form FE1548ECC0708 apply. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL IVdift MAIL 39 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> MOORWAUXAW -10 Days for Non-Payment of Premium. <br /> AUTHORIZED REPRESENTATIVE <br /> Timothy Caldwell <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> CELT NO.: 12392313 Jan Scbwartz 2/13/2012 3:32:44 PN Page 1 of 4 <br />
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