My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SITE HISTORY_CASE 2
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
M
>
MARIPOSA
>
2431
>
2900 - Site Mitigation Program
>
PR0538868
>
SITE HISTORY_CASE 2
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/13/2020 2:22:30 AM
Creation date
3/12/2020 11:32:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
FileName_PostFix
CASE 2
RECORD_ID
PR0538868
PE
2950
FACILITY_ID
FA0022329
FACILITY_NAME
BLINCO TRUCKING
STREET_NUMBER
2431
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17130003
CURRENT_STATUS
01
SITE_LOCATION
2431 E MARIPOSA RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
62
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
NIETIL. UIdGIU InSurantx droners IIZb=10bIU) q <br /> �a CERTIFI(�.` TY TE OF LIABILIINSURt,�CE DATE <br /> .... 4 <br /> �� c 2/11/2014 <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 CONTACT <br /> NAME: Kathy Williams <br /> Mt. Diablo Insurance Brokers, Inc. n1°'N rt (925)297-4070 FAX A1C No: !925)297-4074 <br /> 3557 Mt. Diablo Boulevard EMAIL)DRESS.kathy@rntdiabloinsurance.com <br /> Suite 21 <br /> INSURER(S)AFFORDING COVERAGE NAIC a <br /> Lafayette CA 94549 INSURERA Everest Indenmity 10851 <br /> INSURED INS URERB:Everest National Insurance Co. 10120 <br /> INSURERC State Comp. Ins. Fund of CA 35076 <br /> L & B Environmental, Inc. INSURERD <br /> 893 Boggs Terrace INSURER <br /> Fremont CA 94539 INSURER F' <br /> COVERAGES CERTIFICATE NUMBER:CL1393003353 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 BYPAID CLAIMS. <br /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 2,000,000 <br /> GAMAG O RENTED <br /> X COMMIA <br /> ERCL.GENERAL LIABILITY FREMI'ES Ea occurrence $ 50,000 <br /> A CLAIMS-MADE ❑X OCCUR. X Y EF4ML050813131 0/1/2013 0/1/2014 MED EXP(Any one person) $ 5,000 <br /> X Pollution Liability PERSONAL&ADV INJURY $ 2,000,000 <br /> X Asbestos S Lead GENERAL AGGREGATE $ 2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP,'OP AGG $ 2,000,000 <br /> POLICY X PRO LOC Mold Abotement $ 1,000,000 <br /> AUTOMOBILE LIABILITYIN L LI I <br /> Ea accident 1,000,000 <br /> B ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED X SCHEDULED F4CA0012B131 0/1/2013 0/1/2014 GODILY IN JURY Per occident $ <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPERTY O4MAGE $ <br /> AUTOS Per acddent _ <br /> UMBRELLA LIAR f CC iP FAl':H OCCI IRRFNL- $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION YW;STATIJ- OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N X TORY LIMITS I I ER <br /> ANY PRO PRIETORJPARTNER/EXECU"I VE E.L EACH ACCIDENT $ 1,000,0 0 <br /> C OFFI�EWMEMBEP EXCLUDED? .1A <br /> (Mandatory in NH) 907337513 0/1/2013 0/1/2014 EL.DISEASE-EAEMPLOYE $ 1,000,000 <br /> A(lyes,describe under <br /> RIPI ION OF OPERA IONS below EL DISEASE-POLICY L11111 $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> The certificate holder is recognized as additional insured, but only as respects liability arising from <br /> named insureds operations. Policy endorsements apply and are attached hereto_ <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Robert Salvo/[CATHY •- <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025,261005)01 The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.