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SITE INFORMATION AND CORRESPONDENCE_CASE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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25355
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2900 - Site Mitigation Program
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PR0508370
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SITE INFORMATION AND CORRESPONDENCE_CASE 2
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Last modified
11/19/2024 1:51:34 PM
Creation date
4/1/2020 1:47:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 2
RECORD_ID
PR0508370
PE
2950
FACILITY_ID
FA0008045
FACILITY_NAME
PACIFIC AUTO CENTER
STREET_NUMBER
25355
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
25355 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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w1 DATE(MM1DDIYYYY) <br /> A�C'of oO CERTIFICATE OF LIABILITY INSURANCE 11 12 2009 <br /> PRODUCER Phone: 213-757-1100 Fax: 213-787-1164 THIS CERTIFICATE IS ISSUED AS A'MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> F <br /> Frenkel & Co. , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 725 South Figueroa, Suite #2200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Los Angeles CA 90017 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:Stegdfast Ins Co <br /> Environmental Resolutions, Inc. INSURERB:Zurich American Ins. Co. <br /> 20372 North Sea Circle INSURER UTrav lers Cas & S re o 0 8. <br /> Lake Forest CA 92630 INSURER D: <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. <br /> QTWITHSTANDING 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 <br /> TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS.SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR DD' POLICY NUMBER PDUCYEFFECTIYE POUCYEXPiRATION LAMITS <br /> A GENERAL LIABILITY GPL 9168476-02 DATE <br /> jj&NSR TYPE OF INSURANI- 11/12/2009 11/12/2030 DACH MAGE TOM NCE $1 OO O <br /> �{ COMMERCIAL GENERAL LIABILITY .PREMISES Ea occurrence $100 0 <br /> CLAIMS MADE El OCCUR MED EXP(Any one person) $5-000 <br /> X f'nnt r Pnl 1 Tei ah_ <br /> PERSONAL'&ADV INJURY $1,000, 000 <br /> . <br /> CC ren a Form GENERAL AGGREGATE $2, 000, 090 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPIOP AGG $2,000,000 <br /> X POLICY PRO- LOC <br /> ADTOMOBILEUABILTrY BAP 9168762-02 11/12/2009 11/12/2010 COMBINED SINGLE LIMIT <br /> B , .. L (EaaoddeM) 1, 000,000 <br /> X ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> k GARAGE.LIABILRY AUTO ONLY-EA ACCIDENT $ <br /> - ANY AUTO - OTHER THAN EA ACC S <br /> AUTO ONLY: AGG S <br /> I <br /> EXCESS I UMBRELLA LIABILITY SEO 9168477-02 11/12/2009 11/12/2010 EACH OCCURRENCE $4,000, 000 <br />€ X OCCUR CLAIMS MADE AGGREGATE. $4,000, 000 <br /> i <br /> R <br /> DEDUCTIBLE $ <br /> E <br /> RETENTION $ $ <br /> C WORK ERS COMPENSATION U)3 -3216T905 7/1/2009 7/1/2010 X WC LI- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE� E.L.EACH ACCIDENT $1,000,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1 0004 0 0 0 <br /> If yes,describe under , <br /> SPECIAL PROVISIONS below <br /> El,DISEASE-POLICY LIMIT $ 0 000 <br /> OTHER Each Claim $1,000,000 <br /> A GPL 9168476-02 11/12/2009'11/12/243 0 Professional Liability eneral Aggregate $2,000,000 <br /> Claims Made Form <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> eneral Information Certificate <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED <br />' BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br /> WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10-DAY NOTICE <br /> General Information Certificate FOR NON-,PAYMENT OF PREMIUM) TO THE CERTIFICATE HOLDER NAMED <br /> Environmental Resolutions InC. TO THE DEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> 20372 North Sea Circle OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br /> Lake Forest CA 92630 AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2009101) O 9988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> C <br />
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