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Environmental Health - Public
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EHD Program Facility Records by Street Name
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VIA NICOLO
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17950
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2900 - Site Mitigation Program
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PR0516772
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Last modified
6/1/2020 12:40:03 PM
Creation date
6/1/2020 12:21:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516772
PE
2965
FACILITY_ID
FA0012793
FACILITY_NAME
MUSCO OLIVE LAND APP/TITLE 27
STREET_NUMBER
17950
Direction
W
STREET_NAME
VIA NICOLO
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20911032
CURRENT_STATUS
01
SITE_LOCATION
17950 W VIA NICOLO RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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ACORD CERTIFICATE OF LIABILITY INSURANCE OBT!06/2009E IMMIODNYYY�) <br /> _ 06 <br /> PRODUCER CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br /> MARSH RISK 8 INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 345 CALIFORNIA STREET,SUITE 1300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> CALIFORNIA LICENSE NO,0437153 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> SAN FRANCISCO,CA 94104 <br /> 103244-PRODU-09 10 INSURERS AFFORDING COVERAGE !NAIC 0 <br /> INSURED INSURER A Zurich American Insurance Company 16535 <br /> Musco Family Olive Company - .. __. —.__ __ _._.— <br /> Musty Olive Products,Inc. INSURER a St.Paul Fire 8 Marine Ins Cc .124767 <br /> Studley Company INSURER c, . . - <br /> 17950 Me Nicolo Road <br /> Tracy, 95377 .. <br /> Y INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED N THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT S OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br /> MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AN <br /> CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> $ NSN TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE POLICY EXPIRATION OMITS <br /> LTR INSR DATE IMM/ODNY) DATE(MMIDDIYY) <br /> GENERALUABILITY EACHOCCURRENCE�-, 7000,.QQ <br /> A -- CPO 3785322-04 07/01/09 07/01/10 DAMAGEIORENTEO <br /> X COMMERCIAL GENERAL LIABILITY _PREMISES(Eab uMrcq)_ 1$ _. 50,0 <br /> ,, CLAIMS MADE t^ 'OCCUR MED EXP(MY are,xo a ) Is 10,00 <br /> PERSONALSADVINJURY I$ 1,006,00 <br /> GENERALAGGREGATE i^y 2,000,000 <br /> GENERAL CrGATEUMITAPPUESPER FRDDUCTS_COMPI0PAG9^$_ 2,000000 <br /> �( POLICY 'ECT : LOC <br /> AUTOMOBILE UABIUTY CPO 3785322-04 07/01109 07/01/10 <br /> A COMBINED SINGLE LIMIT $ 1,000,00 <br /> X .I ANY AUTO ( (Ea an5sM14 <br /> �ALLOWNED AUTOS BODILY INJURY $ <br /> I j SCHEDULED AUTOS (Per pasua) <br /> IIX HIREDAUTOS <br /> � BODILY INJURY I$ <br /> I)( I NON-OWNED AUTOS (Per aWdent) <br /> M_ -p-I.—I-1-1-1... _—_.._ _. <br /> X I COMP DED$250ROPER e^IDAMAGE $ <br /> X_l COLL DED S500 <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT,$ <br /> ANY AUTO OTHERTHAN EAALL �$ <br /> AUTO ONLY: AGO 1$ - <br /> EXCESSIUMBRELLAUABILITY OK09400832 07/01/09 07/01/10 EACH OCCURRENCE $ 25,000,00 <br /> X OCCUR D CLAIMSMAOE AGGREGATE J$ 25,000,00 <br /> i$ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION 5 <br /> A WORMERS CDMPExsAnON ANO WC 298110104 ' 07101/09 07101110 X '^'LORSTAT <br /> ! US OTH- <br /> i EMPLOYERS'LIABILITY I — -----^ <br /> ANY PROPRiETORIPARTNERUEXECUTIVE LEACH ACCIDENT $ 1,000,000. <br /> OFRCEPJMEMSER EXCLUDED? .L DISEASE-EAEMPLOYE $ 1,000,0001 <br /> Ntleecnbe ender , —.. <br /> SPECIAL PROVISIONSbeta E.L.DISEASE-POLICY LIMIT $ 1,000,00 <br /> OTHER <br /> i <br /> DESCRIPTION OF OPERATIONSAACAI*NSNEHICLESIEXCWSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> CERTIFICATE HOLDER SEA-001172096-06 CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Tracy Hills LLC EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Atm:Mark Enes $Q__DAYS WRNTEN NOTICE TO THE CERTIFICATE HOWER NAMED TO THE LEFT, <br /> 7700 College Town Drive,Ste 100 <br /> Sacramento,CA 95826 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UMUTY OF ANY MIND <br /> UPON <br /> NTHE INSURER, ITS AGENTS. OR REPRESENTATIVES. <br /> o1TNms Taums ESENTATIV( <br /> �Nbh AiaWnnu fierrkea �^^^�NNrrr�F���111�MMMe�MM�RRi��i/ <br /> Dennis DVmsend <br /> ACORD 25(2001108)_-- -- -- -- -- --- O ACORD CORPORATION 1988 <br />
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