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REMOVAL_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3515
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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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AC v® CERTIFICATE OF LIABILITY INSURANCE DA E (MMO°"""' <br /> 01 /23/2020 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Stacy Maldonado <br /> NAME: <br /> Tolman & Wiker Insurance Services, LLC AICC No Ext (661 ) 616-4700 _ _ Fp/C Nob <br /> (6fi1) 61fi-4500 <br /> 5001 California Ave. E-MAIL smaldonado@tolmanandwikeccom <br /> ADDRESS: <br /> Suite 150 INSURER(S) AFFORDING COVERAGE NAIC # <br /> Bakersfield CA 93309wSURERA : Western World Ins Co 13196 <br /> INSURED INSURER B : Nationwide Mutual Ins. Co. 23787 <br /> INSURER C : Travelers Prop Cas Cc of Amer 25674 <br /> Soils Engineering Inc. INSURER D : Pacific Compensation Ins Cc 11555 <br /> 4400 Yeager Way INSURER E : AGCS Marine Ins Cc 22837 <br /> Bakersfield CA 93313 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 19120 GL/AU/XSANCAM REVISION NUMBER: <br /> THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 TYPE OFADDLhUBK POLICY EFF POLICY EXP <br /> LTR INSD VAD POLICY NUMBER MMIDD/YYYY MMIDOIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1 ,000,000 <br /> DAMAGE TORE TED 50,000 <br /> CLAIMS-MADE FxI OCCUR PREMISES Ea occurrence S <br /> MED EXP (Any one person) 5 10,000 <br /> A EVP1003214-00 12/18/2019 12/18/2020 PERSONAL & ADV INJURY 5 1 ,000,000 <br /> GEWLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 5 21000,000 <br /> X POLICY ❑ PRCOT LOC PRODUCTS - COMPIOP AGG $ 21000,000 <br /> OTHER: Pollution Liability $ 33000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 1 ,000,000 <br /> X ANYAUTO BODILY INJURY (Per person) $ <br /> B OWNED SCHEDULED ACP3038017681 12/18/2019 12/18/2020 BODILY INJURY (Per accident) 5 ' <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Jeers Id o <br /> $ <br /> X UMBRELLALIAB X OCCUR EACHOCCURRENCE $ 9,000,000 <br /> C EXCESS LIAR CLAIMS-MADE ZUP-71NO6456-19-NF 12/18/2019 12/18/2020 AGGREGATE $ 9,000,000 <br /> DED I X1 RETENTION $ 1DJRm $ <br /> WORKERS COMPENSATION X STA UTE EERH <br /> AND EMPLOYERS' LIABILITY YIN 1 ,000,000 <br /> D ANY PROPRIETORIPARTNERIEXECUTIVE N /A WA002856-02 04/01 /2019 04/01/2020 E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED'! 1 ,000,000 <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under 1 ,000,000 <br /> DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ <br /> Rented/Leased Equipment Limit 100,000 <br /> E SML93037319 12118/2019 12/18/2020 Deductible 11000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached it more space is required) <br /> RE: Project: Shell Stockton Water System <br /> Verification of Coverage <br /> CERTIFICATE HOLDER CANCELLATION '.. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Brinderson Constructors, Inc. <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3070 Bay Vista CL, Ste E l <br /> AUTHORIZED REPRESENTATIVE // <br /> Benicia CA 94510 ' y 6 , <br /> © 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD '... <br />
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