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COMPLIANCE INFO_2010-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231691
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COMPLIANCE INFO_2010-2015
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Last modified
12/6/2023 4:58:56 PM
Creation date
6/3/2020 9:50:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231691
PE
2361
FACILITY_ID
FA0003593
FACILITY_NAME
Nella Oil #487
STREET_NUMBER
983
STREET_NAME
MOFFAT
STREET_TYPE
Blvd
City
Manteca
Zip
95336
APN
221-15-06
CURRENT_STATUS
01
SITE_LOCATION
983 Moffat Blvd
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231691_983 MOFFAT_2010-2015.tif
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EHD - Public
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WALTO-2 OP ID! sla <br />" ®�.....-"" CERTIFICATE OF LIABILITY INSUkANCE unwin°°m—" <br />LB Phone: 825-395-2600 <br />TLB Insurance Se'ev ess210 <br />03111/2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />WeI Oak Rd., Sults 210 <br />Walnut Creek, CA 94687 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />DertWe Cote' <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Poucv LocPLRAnoN <br />INSURERS AFFORDING COVERAGE MAIC 6 <br />CURED Walton Engineering, Inc. <br />P.O. Box 1025 <br />INSURER A: Admiral Insurance Compa <br />West Sacramento, CA 98691 <br />INSURER B: Wesco Insurance Compaq <br />FEI-ECC-13587-00 <br />INSURER Q QBE Insurance Corp <br />EACH OCCURRENCE $ 1,000,000. <br />INSURER o: Harford Casualty Insurance Co <br />COVERAC4FIt <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <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 PND CLAIMS. <br />I <br />POLICY NUMBER <br />POLICY BPPBCTroB <br />Poucv LocPLRAnoN <br />A <br />03/06/2014 <br />GENERAL LIABILITY <br />Xcmaamk mom m L mmm <br />CLAIMS MADE ® OCCUR <br />FEI-ECC-13587-00 <br />03/0612013 <br />EACH OCCURRENCE $ 1,000,000. <br />$ 60, 004 <br />MED EXP see S 6100 <br />PERSONAL. & ALAI INJURY S 1,000,00 <br />GENERA!. AGGREGATE S 2,000, <br />GEN LAGC POLICY rx-- E LIMIT APPLIES PER <br />x0' `� <br />PRODUCTS - COMPIOP AGG a 2,000,00 <br />Emp Ben. 11000100 <br />AUTOMOBILE <br />LIABILITY <br />B <br />X <br />�.AuTO <br />A1030224 02 <br />03/06/2013 <br />03/06MO14 <br />ED <br />(Ee l ) LrnpT a 11000100 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY a <br />(PER PERSON) <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />RoDILY INJURY <br />(PER ACCIDENT) $ <br />PROPERTY DAMAGE a <br />(PER ACCIDENT) <br />GARAGE LIABILITY <br />AUTO ONLY -EAAOCIDENT i <br />ANY AUTO <br />eA OTHER THAN ACC a <br />AUTO ONLY: AGG S <br />A <br />BxCESS I UMBRELLA LIABILITY <br />X OCCUR ❑ cLAw MADE <br />FEI-EXS-13588-00 <br />03/0612013 <br />03106/2014 <br />EACH OCCURRENCE $ 10,000,00 <br />_ <br />AGGREGATE = — 10,000,00 <br />s <br />DEDUCTIBLE <br />$ <br />RETENTION S <br />$ <br />C <br />WOMIRS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIEr�PamaERroIECU IVE v® <br />OFFIOERAIEMBER EXL..LUED7 <br />(M In NH) <br />PRIO below <br />WC4000674 <br />10/0112012 <br />10/01/2013 <br />X we srATu- OTH- <br />ER <br />E.L. EACH ACCIDENT s 1,000100 <br />E.L. DISEASE - EA EMPLOY a 1,000,00 <br />EL DISEASE - POLICY LIMIT s 11000,00 <br />OTHER <br />APO <br />p <br />O '® <br />Installation Fltr lb7MSIZ6050 <br />FEI-ECC43587-00 <br />03/06/2013 <br />03106/2013 <br />03/06/2014 <br />03/16/2014 lInst <br />PONE&O 1,000,00 <br />Fitr 2,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORBBi4BNr I SPECIAL PROVISIONS <br />'10 days notice applies If cancelled for non-payment of premium. <br />TOWHOMI I BHouLDANYOFTHEABOVEDESCRI wpoucms8ECANCEUJMBEFORETHEEXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL Zr_ DAYS WRITTEN <br />TO Whom Et May ConcernDATE <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ria <br />ACORD 26 (2009101) 01988-2009 ACORD CORPORATION. All Lights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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