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COMPLIANCE INFO_2011-2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231021
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COMPLIANCE INFO_2011-2015
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Last modified
9/22/2022 2:32:40 PM
Creation date
6/3/2020 9:44:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2015
RECORD_ID
PR0231021
PE
2361
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
01
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231021_2908 W BENJAMIN HOLT_2011-2015.tif
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EHD - Public
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• s <br />ALCORCERTIFICATE OF LIABILITY INSURANCE <br />1 03/31/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COMERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIOS <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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, cwtaln policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such andosem s . <br />HaonucER LIC 80829370 1-925-244-7700 <br />Edgewood Partners Insurance Centers (EPIC) <br />[San Ramon Branch] <br />P. O. Hou 5003 <br />San Ramon, CA 94583 <br />CONTACT <br />NAME: Edgewood Partnere Insurance Center <br />PHONE <br />".N (925) 244-7700 PAXpb, (925) 901-0671 <br />WMAK. <br />ApogM SPICcerta4ledgwroodins.com <br />INSURER AFFORDING COVERAGE MAIC# <br />INSURERA: WZSTCSESTER SURPLUS LINES INS CO 10172 <br />INSURED <br />Gettler-Ryan, Inc. <br />6747 Sierra Court, Suite J <br />Dublin, CA 94568 <br />INSURER 8: PEERLESS INS CO 24198 <br />DSyRgRC; TRAVELERS PROPERTY CAS CO OF AMER 25674 <br />RBRD• <br />INSURER E: <br />IN F: <br />20468751 <br />THIS IS TO CERTIFY THAT THE 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 CONTRACT OR 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 BEEN REDUCED BY PAID CLAIMS. <br />am <br />TYPEOFLTR <br />POLICY <br />POLICY EFF <br />POLICY Ammamm <br />LIMIPS <br />A <br />GENERAL uAsLrry <br />$ COMMERCIAL GENERAL LUIBILITYPREMISES <br />CLAIMS -MADE F X I OCCUR <br />624014484004 <br />04/01/1 <br />04/01/12 <br />EACH OCCURRENCE $_1,00_0,000 <br />(Ea oaurence$ 50, 000 <br />MED EXP ateperson) $5,000 <br />PERSONAL d ADV INJURY $1,000,000 <br />GENERALAGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICYM PRO• LOC <br />PRODUCTS - COMPIOP AGG $2.000.000 <br />S <br />B <br />AUToMonjLIABILITY <br />Y <br />$ <br />ANY AUTO <br />ALL AOSSCHEDULED <br />NO -OOWNED <br />HIRED AUTOS X AUTOS <br />BAS4043 6 <br />1,000,000 <br />_ _S <br />BODILY INJURY ft person) $ <br />ODDLY INJURY (PerS=dwQ $ <br />PROPERTY DAMAGE <br />(Per 224don $ <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LUB <br />I S <br />IOCCUR <br />CLAIMS•MADE <br />624014502003 <br />04/01/1 <br />04/01/12 <br />EACH OCCURRENCE $4,000,0_00 <br />AGGREGATE $4,000,000 <br />DED I $ I RETENTION S 0 <br />$ <br />C <br />WORIGRSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOPJPARTNERtExECunVE <br />OFFICERNEMSER EXCLUDED? <br />In NH) <br />IyM desabe under <br />DESCRIPTION OF OPERATIONS babes <br />NIA <br />DTJUS7827P41511 <br />04/01/1 <br />04/01/12 <br />XjjWCSTATUjOTH• <br />ER <br />--- <br />E.L. EACH ACCIDENT $ 1. 000,.000 <br />._.... _._._... ._._ <br />E.L. DISEASE- EA EMPLOYEE $2,000.000 <br />E.L. DISEASE -POLOMIT ICY $ 1, 000.000 <br />A <br />B <br />A <br />Pollution <br />Rented/used Equipment <br />Professional Liability <br />624014484004 <br />CBP8404796 <br />624014464004 <br />04/61/1 <br />04/01/1 <br />04/01/1 <br />04 02/12 <br />04/01/12 <br />04/01/12 <br />Per Occur - $1NILL DED:101 <br />Per Item - $1001 DED:11 <br />Per Claim - $1NILL DED:101 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUwh ACORD 101, AddMwW Rernoft Salm dam, N more space is required) <br />*EVIDENCE OF COVERAGE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />►_T«i.7:7 7«Ie7:r:Zer:7_`itel`irlTrrMi-I rfTrT'rrl <br />ACORD 25 (2010/05) The ACORD name and logo ore registered marks of ACORD <br />atalebaadeh <br />20468751 <br />
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