My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2013-2015
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HAMMER
>
3202
>
2300 - Underground Storage Tank Program
>
PR0231129
>
COMPLIANCE INFO_2013-2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/5/2021 1:25:02 PM
Creation date
6/3/2020 9:45:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0231129
PE
2361
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231129_3202 W HAMMER_2013-2015.tif
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
509
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
OP ID:JM <br /> s <br /> ® C RTIFI ATE F LIABILITY INSu NCE 09126120D 14 <br /> THIS CERTIFICATE M 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. N the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. N SUBROGATION IS WANED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsemen s. <br /> MDUCER C0 n Dennis Cote' <br /> TLB Insurance Services <br /> 5000 Oak Rd„Suite 210 ° E 925-395-2600 N 925-287-0710 <br /> Walnut Creek,CA 94597 <br /> Dennis Cote' <br /> MMUGUR <br /> WALTO-2 <br /> INSURER(S)AFFORDING COVERAGE am 6 <br /> Walton Engineering,Inc. INSURER A:State Compensation Insurance <br /> P.O.Box 1025 INSURERS: <br /> West Sacramento,CA 95691 <br /> INSURERC: <br /> INSURER D: <br /> INSURER E: <br /> ROR F: <br /> r COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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, TELA 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 /> ADM NUIM —MLICY EFF Po <br /> LWI TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE f <br /> COMMERCIAL GENERAL LIABILITY f <br /> E 0 OCCUR MED EXP onsPerm) $ <br /> PERSONAL a ADV INJURY f <br /> GENERAL AGGREGATE f <br /> GENT.AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG f <br /> POLICY LOC f <br /> AUTOMOBILE LIABILITY COMBINED SINGE LIMIT f <br /> ANY AUTO (Es eaddsnt) <br /> All.OWNED AUTOS <br /> BODILY INJURY(Por per) f <br /> SCHEDULED AUT08 <br /> BODILY INJURY(Per acddord) f <br /> PROPERTY DAMAGE <br /> HIRED AUTOS (PER ACCIDENT) f <br /> NON-OWNED AUTOS S <br /> f <br /> Lk� OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLNCIA$ArADE AGGREGATE f <br /> DEDUCTIBLE <br /> S <br /> ON <br /> WORKERS COMPENSATION f <br /> AND EMPLOYERS'LIABILITY X WC STATU- OTH <br /> A ANY ETR EXCLUDED? <br /> Y <br /> IN <br /> OFACERAWMB ® NIA 113339-14 10/01/2014 10/01/2015 E.L.EACH ACGOENT f 1,000,00 <br /> (8Ma mintowin E.L.DISEASE-EA EMPLOYEE f 1,000,00 <br /> H C_OPERA E.L.DISEASE-POLICY LIMIT f 1,00@ 0@ <br /> EC P i x E r) <br /> * OF OPERATIONS!LOCATION8 O VBHIsLES(AVwM ACORD tot.AdlllwM Romuks Sch�nle,N errors apses Is rsqulrod) <br /> 10 days notice applies if cancelled for non-payment of premium. <br /> NOV 2 1 2014 <br /> CERTIFICATE HOLDER CA CELLA ON <br /> TOWHOMI <br /> SHOULD ANY OF THE ABOVE DESC _,.. " .. - CELLED BEFORE <br /> To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHOR=REPRESENTATIVE <br /> Dennis Cote' <br /> ®1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.