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COMPLIANCE INFO_2012 - 2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOUISE
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2300 - Underground Storage Tank Program
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PR0231656
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COMPLIANCE INFO_2012 - 2015
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Last modified
5/8/2020 4:03:34 PM
Creation date
5/8/2020 11:48:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2015
RECORD_ID
PR0231656
PE
2351
FACILITY_ID
FA0003635
FACILITY_NAME
ARCO 06080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
01
SITE_LOCATION
85 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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ATE <br /> A�iY CERTIFICATE OF LIABILITY INSURANCE UO3/31/201 W) <br /> 03/31/2011 <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(les)must be endorsed. If SUBROGATION IS WANED,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 LIC #OB29370 1-925-244-7700 CONTACT <br /> Edgenood Partnere Insurance Centers (EPIC) NAMES Sdgerrood Partners insurance Center <br /> PHON[San Ramon Branch] . (925) 244-7700 A/C No: (925) 901-0671 <br /> P. 0. Box 5003 ppwp L EPICcerta®edgevoodine.com <br /> San Ramon, CA 94583 INSURERS AFFORDING COVERAGE NAIL# <br /> _ INSURERA: WESTCHESTER SURPLUS LINES INS CO 10172 <br /> INSURED INSURER B: PEERLESS INS CO 24198 <br /> Gettler-Ryan, Inc. <br /> INSURER C: TRAVELERS PROPERTY CAS CO OF AMER 25674 <br /> 6747 Sierra Court, Suite J INSURERD: <br /> Dublin, CA 94568 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20468751 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 PERTA)N, 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 BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL D POLICY EFF POLICY EXP <br /> LTR JUA&WvDPOLICY NUMBER MM/DD M D LIMITS <br /> A GENERALLIABL.rrY G24014484004 04/01/1 04/01/12 EACH OCCURRENCE $ 1,000,000 <br /> uplwm <br /> X COMMERCIAL GENERAL LIABILITY50,000 <br /> PR IS_S(Ea oocurre_nyg? $ <br /> CLAIMS-MADE OCCUR MED EXPAn one <br /> ( person) j 5,000 <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 /> POLICYrq PRI jECTLOC $ <br /> B AUTOMOBILE LfAeILRY BA84043 6 COMBINED SINGLE LIMIT <br /> Ea 'dent _ S 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per socias j <br /> AUTOS AUTOS ^q <br /> HIRED AUTOS X NON-OWNED PROPERTY DAMAGE j <br /> AUTOS P r 'dent <br /> $ <br /> A UMBRELLA LIAB X OCCUR 624014502003 04/01/1 04/01/12 <br /> EACH OCCURRENCE S 4,000,000 <br /> X EXCESS L1A8 CLAIMS-MADE AGGREGATE $4,000,000 <br /> DED I X I RETENTION 0 $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> C DTJUB7827P41511 04/01/1 04/01/12 X <br /> AND EMPLOYERS'LUIBILITY - I ER <br /> ANY PROPRIETOR/PARTNERIFXECLr IVE Y/N E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? 1Y IN/A <br /> (Mande"In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> H yea,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT i$ 1,000,000 <br /> A JPollution 024014484004 04/01/1: 04/01 12 Per Occur - $IMILL DED:10K <br /> B Ranted/Leased Equipment CBP8404796 04/01/1 04/01/12 Per Item - $100R DED:1R <br /> A lProfessional Liability 1024014484004 04/01/1 04/01/12 Per Claim - $lKILL DED:10K <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> *EVIDENCE OF COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> a� <br /> ©1968-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> ztalabzadeh <br /> 20468751 <br />
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