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Environmental Health - Public
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EHD Program Facility Records by Street Name
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12TH
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2900 - Site Mitigation Program
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PR0516350
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Entry Properties
Last modified
5/8/2020 12:33:52 PM
Creation date
5/8/2020 12:01:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0516350
PE
2950
FACILITY_ID
FA0012574
FACILITY_NAME
LEWIS MANOR - MUNI MW (4)
STREET_NUMBER
902
Direction
W
STREET_NAME
12TH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23229069
CURRENT_STATUS
02
SITE_LOCATION
902 W 12TH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> 4 . SEVERABILITY OF INTEREST. The insurance afforded by this <br /> policy applies separately to each insured who is seeking coverage or <br /> against whom a claim is made or. a suit is brought, except with <br /> respect to the Company's limit of liability. <br /> 5- PROVISIONS REGARDING THE INSURED'S DUTIES AFTER <br /> ACCIDENT OR LOSS. Any failure to comply with reporting <br /> provisions of the policy shall not affect coverage provided to the City, " <br /> its elected or appointed officers, officials, employees or volunteers. <br /> 6 . CANCELLATION 'NOTICE. The insurance afforded by this policy . <br /> shall not be suspended, voided, canceled, reduced in coverage or in <br /> limits except after thirty (30) days prior written notice.by certified mail <br /> return receipt requested has been given to the City. Such notice shall f <br /> be addressed as shown in the heading of this endorsement. <br /> C) CLAIM REPORTING INCIDENT AND PROCEDURE <br /> Incidents and claims are to be reported to the insurer at: <br /> ATTN: <br /> (Title) (Department) <br /> (Company) <br /> (Street Address) <br /> (City) (State) (Zip) <br /> + -(Telephone Number) . <br /> D) SIGNATURE OF INSURER:OR AUTHORIZED REPRESENTATIVE OF THE <br /> INSURER: <br /> i. (print/type name), warrant that I have <br /> authority to bind the below listed insurance company and by my <br /> signature herein do so bind this.company. <br /> SIGNATURE OF AUTHORIZED REPRESENTATIVE <br /> (original signature.required on <br /> endorsement furnished to the City) <br /> ' ORGANIZATION: TITLE: <br /> ADDRESS: TELEPHONE: <br /> DIVISION IV-26" <br /> 4 ' <br />
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