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COMPLIANCE INFO_2006-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231400
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COMPLIANCE INFO_2006-2012
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Last modified
11/19/2024 10:19:32 AM
Creation date
4/27/2020 12:24:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2012
RECORD_ID
PR0231400
PE
2361
FACILITY_ID
FA0003539
FACILITY_NAME
S B GAS & MARKET
STREET_NUMBER
515
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23309031
CURRENT_STATUS
01
SITE_LOCATION
515 W ELEVENTH ST STE 301
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231400_515 W ELEVENTH_2006-2012.tif
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EHD - Public
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ACORD T I F I F I IIT I OP,D - DATE(MM/DDIYYYY) <br /> TOWN&-1 10/15/08, <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br /> ISU Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Atwood Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 800 Pacific Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> Placerville CA 95667 <br /> Phone: 530-626-2533 Fax:530-622-5221 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: Westchester Surplus Lines Ins <br /> INSURER B: Peerless Insurance Company <br /> '.Town & Country Contractors Inc INSURER C: <br /> 3181A Luyung Drive INSURER D: <br /> Rancho Cordova CA 95742 <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 /> POLICY NUMBER LI Y EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR NSR TYPE OF INSURANCE DATE%M! DATE MM/DDIYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> A X COMMERCIAL GENERAL LIABILITY G22063832005 10/19/08 10/19/09 PREMISES(Ea occurence) $50000 <br /> CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 5000 <br /> PERSONAL&ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 <br /> POLICY 7 PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> B X ANY AUTO BA8397514 02/27/08 02/27/09 (Ea accident) $ 1000000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s4,000,000 <br /> A X7 OCCUR 7CLAIMSMADE 623804372002 10/19/08 10/19/09 AGGREGATE $4,000,000 <br /> DEDUCTIBLE $ <br /> X RETENTION $0 $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> B Equipment Floater CBP8397414 02/27/08 02/27/09 L/R/B $75,000 <br /> Leased/Rented Ded $1,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Contractors Pollution Liability - included $1,000,000 primary - claims Made <br /> - $10,000 Ded. <br /> Professional Liability Insurance - included $1,000,000 primary - claims made <br /> $25,000 Ded. <br /> CERTIFICATE HOLDER CANCELLATION <br /> INTERNA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL XXX DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Internal Use only IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AU ORI D REPRESE TATIVE <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1 <br />
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