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REMOVAL_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231210
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REMOVAL_2020
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Entry Properties
Last modified
2/11/2021 7:17:11 PM
Creation date
6/1/2020 10:58:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2020
RECORD_ID
PR0231210
PE
2361
FACILITY_ID
FA0003747
FACILITY_NAME
Shell Oil Products US - Stockton Terminal
STREET_NUMBER
3515
STREET_NAME
NAVY
STREET_TYPE
Dr
City
Stockton
Zip
95203
APN
161-030-02
CURRENT_STATUS
01
SITE_LOCATION
3515 Navy Dr
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CERTIFICATE OF LIABILIkm� TY INSU N.GE DATEIMMfUD/VYYY) <br /> 7111 ,020 - 6/21 /20 !.9 <br /> _ <br /> THIS' EERT(1=fCpTE IS ISSt1ED- AS- A MATTER OF INFORMATION ONLY pKtYS CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER4 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: Afthe-ceTtificate ToldsrisaTi-ADDIT10NAL1NSUR -ADDITIONAL -polk; (tes) must :ADDITIONAL.INSURED-provisionsror be <br /> endorsed: <br /> If SUBROGATION-IS -WAIVED, subject to-the-termsand-conditions of the-policy, certain policies- may require-an-endorsement: -A-statementon <br /> t-his -cevtFfcatedoosanot 400nfer;rights to.the certiftcateholder ln.Ileu .of such':erdorsemengss). <br /> PRODUCER Lockton ColnpSnies ,CONTACT - <br /> NAMMIS: <br /> Three City Place Drive, Suite 900 PHONE <br /> St. Louis MO 63141 -7081MAIL A/c No): <br /> (374) 432-0500 ADDRESS: '. <br /> - INSURER(SIAFFOROINOCOVERAGE -NAI01{- <br /> INSURERAIXL IIlSlll $nC@�1lT1CPLD3 InC ____ _ 2QSSQ <br /> INSURED 13Tinderson, LLC INSURER 8. : AC A "414.LLCa61'Inst '$d1CC 0� 22667 <br /> 1310866 � _S �LC �np� '�_ <br /> -BiindersonGonstructors,-Ina INSURER C :bidelpnityInsurance CoofNorth America 43575 <br /> 19000 MacArthur Blvd., Suite 800 INSURER D ; Starr Indemnity & Liability Company 38318 <br /> Irvine CA 92612 <br /> -INSURERE : ' <br /> INeUREft : '.. <br /> COVERAGES CORC002 CERTIFICATE NUMBER: 13876005 REVISION NUMBER: XXXXXXX <br /> THIS IS TO 'CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED. ABOVE FOR THE POLICY PER10D <br /> INDICATED. -NOTWITHSTANDING, ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 13EEN REDUCED BY PAIDJCLAIMS. <br /> WSR __—_ _ _ <br /> LTR TYPEOFINSURANCE Nl p . '.POLICY NUMBER POLICY¢f RUI,ICYE%P <br /> MPAIDDIYYYY I- MADDMfYY DMRS <br /> A X I COMMERCIAL GENERAL LIABILITY- N N MD300084904 7/1/2019 7/1/2020 EACH OCCURRENCE $ 2000000 <br /> A <br /> 000000A CLAIMS-MADE OCCURD G OR <br /> XCU / BROAD FORM PD PRFMJses {[a _ocaarencek $ 1000000 <br /> — _ MED EXP (Any me person) $ IO OOO — <br /> PERSONAL&AoV INJURY s 2,000,000 <br /> GEWL AGGREGATE LIMIT APPLIES PER: GENERiV- AGGRCCATC- R 4000,OOO _ <br /> POLICY <br /> PRO- LOC- I PRODUCTS- COMP/OPAGG ' s ' 4,000,000 <br /> OTHER: <br /> -D- AUTOMOSILBUASILTfY N -N ISAH252995115 71120 )9 7/12020 E°RINEDaccidenISING &UMR S _S OOO OOO <br /> X ANY AUTO BODILY INJURY (Per person) $ Xy <br /> XXXXX <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ XXXXXXX <br /> AUTOS ONLY AUTOS ONLY NED PROPEsdenjt AGE- $_ XXJCXXXX <br /> _(Por dentl__ _ <br /> $ XXXXXXX <br /> D IIM8REL6Alw® :X I OCCUR N N 1000095151191 711/201'9 1711/2020 EACH OCCURRENCE 5 14005000_ <br /> X -E%GESSI.IAB ' - CLAIMS MADE AGGREGATE $ 10-000000 <br /> OED RETENTION'$ I $ XXXXXXX <br /> WORKERS COMPENSATION _ <br /> - B AND EMPLOYERa' upealiY - N; -WIRC�66038622 (f1Z'CA;Ml1) - -7/1Y2019- � -77172020 - X- -STATUTE �R : _ <br /> O ANY EMPLOETOR/PA BILIT EXECUTIVE YIN WLRC66038580 (AOS 7/1 /2019 7/1/2020 <br /> O OPFICER/MEMBEREXCLUDED? � N / A (EXCLUDING MONO E.L, EACHACCIDENT $ 1 .000,000 <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE j I •000,000 <br /> DESCRIPTION Oder <br /> FOPERATIONS below El, DISEASE POLICY LIMIT $ 1' 0000-00 <br /> DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addillo nsi Remarks Schedule, may be aVachedif more space 11 naeuirad) <br /> -CERTIFICATE-HOLDER - . CANCELLATION - Sm Aftacltmeht j <br /> 1387&005 <br /> FOR INFORMATIONAL PURPOSES ONLY SHOULD ANY OFTHE-ABOVE-DESCRIBED-POLICIESBE-CANCELLED-BEFORE" I' <br /> THE EXPIRATION DATE THEREOF; NOTICE' - WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> - J UTHpftIZEOREPREBENTAT I <br /> -©-195 CORDCORPORATl N, -Alf+lghts,-reserved, <br /> ACORD -26 (2016/03) The-ACORDname and logo-are registered- marks- ofACORD <br />
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