My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2012 - 2015
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
L
>
LOUISE
>
85
>
2300 - Underground Storage Tank Program
>
PR0231656
>
COMPLIANCE INFO_2012 - 2015
Metadata
Thumbnails
Annotations
Entry Properties
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
Scanner
KBlackwell
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
408
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
'4C(:>R CERTIFICATE OF LIABILITY INSURANCE D03/31/20111� <br /> 03/31/Zoll <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 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 LIC iOB29370 1-925-244-7700 NAME:A� Hdgetrood Partnere Ineuraace Center <br /> Hdgevood Partners Insurance Centers (EPIC) PHONE (925) 244-7700 FAX <br /> [San Ramon Branch] __- WC No): (925) 901-0671 <br /> P. O. Boz 5003 UEAX EPICcertsiedgewoodine.com <br /> San Ramon, CA 94583 _ INSURERS AFFORDING COVERAGE NAZCA <br /> INSURERA: WESTCHESTER StrRPLUS LINES INS CO 10172 <br /> INSURED INSURER B: PEERLESS INS CO 24198 <br /> Gettler-Ryan, Inc. <br /> INSURERC: TRAVELERS PROPERTY CAS CO OF AMER 25674 <br /> 6747 Sierra Court, Suite J INSURER 0: <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 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 BY PAID CLAIMS. <br /> INSR ADDL TYPE OF INSURANCE UBR POLICY EFF PODCY EXP <br /> LTR POLICY NUMBER MMIDD M D LIMBS <br /> A GENERAL UABILMY 624014484004 04/01/1 04/01/12 EACH OCCURRENCE 31,000,000 <br /> X COMMERCIAL GENERAL LIABILITY , P � �occrareng $50,000 <br /> CLAIMS-MADE O OCCUR MED EXP(Any one person S 5,000 <br /> ' <br /> PERSONAL 8 ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 <br /> ECT <br /> POLICY X PR0. LOC $ <br /> B AUTOMOIULE LIABILITY BA8404396 COM I IN LIMIT <br /> (Ea .nt 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS (P., <br /> t S <br /> S <br /> A UMBRELLA LIAB X OCCUR 624014502003 04/01/1 04/01/12 EACH OCCURRENCE S 4,000,000 <br /> X EXCESS LIA8 CLAIMS-MADE AGGREGATE s4,000,000 <br /> DED I X I RETENTION 0 $ <br /> C WORKERS COMPENSATION DTJUB7827P415ll WC STATU- OTH- <br /> ANDEIPLOYERS'LIASILn-Y YIN i ER <br /> 04/01/1 04/01/12 X T <br /> ANYPROPRIETORIPARTNER/EXECUTIVE❑ NIA E.L EACH ACCIDENT 51,000,000 <br /> OFFICERMIEMBER EXCLUDED? Y <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> _ <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Pollution 024014484004 04 O1 1 04/01/12 Per Occur - $1NILL DED:lOX <br /> B Rented/Leased Equipment CBP8404796 04/01/1 04/01/12 Per Item - $100K DED:1K <br /> A Professional Liability 624014484004 04/01/1 04/01/12 Per Claim - $1MILL DEDr10X <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule.M mon 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 /> AUTHORDfD REPRESENTATIVE <br /> & . ate <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> ztalebzadeh <br /> 20468751 <br />
The URL can be used to link to this page
Your browser does not support the video tag.