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COMPLIANCE INFO_2009-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231416
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COMPLIANCE INFO_2009-2011
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Last modified
2/21/2024 3:53:46 PM
Creation date
6/3/2020 9:48:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2011
RECORD_ID
PR0231416
PE
2361
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
01
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231416_3425 TRACY_2009-2011.tif
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EHD - Public
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C(C3 LIABILITY DATE(MMM <br /> CERTIFICATE 03/31/2011 <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMA71ON 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 BN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT. If the cartificate holder Is an ADDITIONAL INSURED,the policypes)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the Ums and conditions of the policy,certain policies may require an andomement. A staternard on this certificate does not confer rights to the <br /> certificate holder In lieu of such ondomement s. <br /> PRODUCER LIC #0829370 1-925-244-7700 Sdgewood Partners Insurance Center <br /> Eftewood Partners Insurance Centers (SPIC) PHONE <br /> [San Ramon Branch] . (925) 244-7700 (9a5D 901-0671 <br /> F. O. Box 5003 AppgM; EPICcarts@edgewoodine.com <br /> San Ramon, CA 94583 INSURE AFFORDING COVERAGE NAICS <br /> IRB A: WESTCHESTER StIRPLUS LINES IHS CO 10172 <br /> INSURED INSURERS: PEERLESS IHS CO 24198 <br /> Gettler-Ryan, Inc. <br /> IpBUC; TRAVELERS PROPERTY CAS CO OF A3MR 25674 <br /> 6747 Sierra Court, Suits J OMRERD: <br /> Dublin, CA 94568 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20468751 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.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 /> INSR AWL=1 POUCYEPP POLICYEXP <br /> A GENERAL LIABILITY 024014484004 04/01/1 04/01/12 EACH OCCURRENCE $1,000,000 <br /> $ COMMERCIALGTRALUABIUTY �— $50,000 <br /> CLAI I OCCUR MED EXP one rson $5,000 <br /> PERSONAL 8 ADV INJURY $1,000#000 <br /> NERAL AGGREGATE $2,000,000 <br /> GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-coMProPAGO $2,000,000 <br /> POLICY MJ LOC $ <br /> H AuTomosLE LiAsLay BA8404396 (En acddmfl 1,000,000 <br /> Y ANY AUTO BODILY INJURY(Per porn) $ <br /> ALL <br /> ED BODILY INJURY(Per aoddeny $ <br /> $ H03EDAUTOS HISCHO$EOULED <br /> ANOON-OWNED PROPERTY DAMAGE $ <br /> UTOS (Pereoddifflt) $ <br /> A LUIS % OCCUR 024014502003 04/01/1 04/01/12 EACH OCCURRENCE $4,000,000 <br /> X EXCESS LIAS CLAIMS•MADE AGGREGATE $4,000,000 <br /> DEC I:$ I RETE11TION 10 <br /> c WORKERSCOMPENSATION DTMM7827P41511 04/01/1 04/01/12AM EMPLOYERS'LIABILITY E wCSTAT oTt� <br /> YIN <br /> ANY PROPRIETORMARTNER(F.XECun F-L EACH ACCIDENT $1,000,000 <br /> OFFI R EXCLUDED? Y❑ MIA <br /> as, In KH) E.L DISEASE-EA EMPLOYE $1,000,000 <br /> yye <br /> DESCRIPTION OF PERATIONS bebw E.L.DISEASE-POLICY LIMIT 1,000,000 <br /> A Pollution 024014484004 04/02/1 04/01 12 Per Occur - $1MILL DED:10$ <br /> 8 Rented/Leased Wpipment CBP8404796 04/01/1 04/01/12 Per Item - $100& DHD:1S <br /> A Professional Liability IG24014484004 04/01/1 04/01/12 Per Claim - $1111ILL DSD:IOJL <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Apach ACORD 101,Addidowl Rmwks Sdndute.N mora space Is reqWmM <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> *SVIDENCS OF COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ®188&2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> stalebaadsh <br /> 20468751 <br />
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