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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0505712
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Last modified
6/1/2020 12:02:30 PM
Creation date
6/1/2020 11:59:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505712
PE
2965
FACILITY_ID
FA0000673
FACILITY_NAME
CITY OF RIPON
STREET_NUMBER
1210
Direction
S
STREET_NAME
VERA
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
25933004
CURRENT_STATUS
01
SITE_LOCATION
1210 S VERA AVE
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ACORD CERTIFIC E OF LIABILITY INSURA E 02%27/ <br /> -PRODUCER (916)646-1919 FAX (916)646-0995 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> McGee & Thielen Insurance Brokers, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3780 Rosin court Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Lic # 0633187 <br /> Sacramento, CA 95934 INSURERS AFFORDING COVERAGE MAID# <br /> INSURED INSURERA Zurich American Insurance <br /> WDC Exploration & Wells, Inc. INSUIRER S: <br /> SOO Main Street INSURER C: <br /> Woodland, CA 95695 INSURER D. <br /> INSURERS <br /> e <br /> OVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWTHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> �R TYPE OF INSURANCE POUOY NUMBER FNIUICYEFFECTWE POI.ICYE0 <br /> ATIWI LIMITS <br /> GENERAL UABRRY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL UAMUI DAMAGE TO RENTED S <br /> CLAIMS MADE OCCUR MEDEXP(AIMmo,pa n) S <br /> PERSONAL B ADV INJURY S <br /> GENERAL AGGREGATE S <br /> GENL AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOPAGG $ <br /> POLICY M JECT LCC <br /> AUTOMOBaE UmLnT COMBINED SINGLE UMR <br /> ANY WTO (Ea QW&A) .S <br /> ALLOANEDAUTOS BOOILYINAIRY <br /> 5CHEOULEDATOS <br /> HIREDAUTOS - BODILY INJURY <br /> NONOWMDAUTOS (Pe .QV x) S <br /> Per DAMAGE S <br /> GARAGE LIABILITY AUTO ON.Y-EAACCIDENT S <br /> ANY AUTO �HjyT EA ACC $ <br /> WTOONLY. AOG S <br /> EXCESSNAffiRELLAIUMMUTY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE S <br /> flETFJnION S i <br /> vATRxERs coMPENsaTNON ANo WC9047569-01 03/01/2007 03/01/2003 X WCsTATu GTI <br /> EMPlmsPco/ABAITY EL.EACH ACCIOEM f 1.000,0 <br /> A �ICROWEEBERIP D�EGt1TIVE EL.DISEASE-EAEMPLOYE S 1,000,000 <br /> Ify a cibeIl%lef <br /> SPECIAL PROVISIONS belowT- EL,OISEASE-POLICYLIMIT I S 1.000,0 <br /> aMER <br /> DESCRFRIONOP9GTIOHS I LOCA IV�c CUES I EXCLUSIONS AVOW BY ENDORSIMI M ISPEC,ALPROVMIONS <br /> vidence of insurance for the above captioned insured <br /> CERTIFICATE CANCELLATION <br /> SHOULD ANY OF THE ASOW DESCRIBED POUCEE BE CANCELLED BEFORETHE <br /> E%PIPATON DATE'THEItEOF,THE ISSImiG 1NGURER SVB.L ENDEAVDR TO MAB. <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> NRC Exploration & Wells BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLBATIDNGR LIABILITY <br /> 500 Main Street OF ANY KIND UPON THE INSURER,nSAGENTS OR REPRESENTATIVES. <br /> Woodland, CA 95695 AUTHOR®REPESENTATNE / !j <br /> John Wood/EN 40� <br /> ACORD 25(2001!08) "CORD CORPORATION 1088 <br />
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