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COMPLIANCE INFO_2009-2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2009-2010
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Last modified
1/18/2023 11:36:29 AM
Creation date
6/3/2020 9:56:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2010
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_2009-2010.tif
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EHD - Public
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CERTIFICATE OF LIABILITY INSURANCE DATE <br />M/DD/YYYY)', <br />ACORD � 04/27/ 04/27/2009 <br />;PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />4400 Comerica Bank Tower HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1717 Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Dallas, TX 75201-7357 <br />Attn: dallas.certs@marsh.com 212-9418-0519/866-9664664 <br />j 044933--ALL-09-10 WAYN GAW INSURERS AFFORDING COVERAGE <br />INSURED <br />Dresser, Inc. <br />15455 Dallas Parkway, Suite 1100 <br />Addison, TX 75001 <br />INSURER A: Liberty Mutual Fire Ins CO <br />INSURER B: Liberty Insurance Corporation <br />INSURER C: N/A <br />INSURER D: N/A <br />NAIC # <br />23035 <br />42404 <br />N/A <br />N/A <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />;NSR, ADWILl TYPE OF INSURANCE <br />LTR/ INSRD, <br />POLICY NUMBER <br />POLICYEFFEGTNE <br />DATE (MWDD/YriY) <br />PoucrexrlrulrclN <br />DATE (MWDDlYYYY) <br />LIMITS <br />. GENERAL LIABILITYT62-691-004177-179 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />05/01/2009 <br />05/01/2010 <br />EACH OCCURRENCE 2,000.000! <br />DAMAGE TO RENTED$ 2,000,000 <br />PREMISES Ea occurrence <br />CLAIMS MADE FX OCCUR <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL & ADV INJURY $ 2,000,000 <br />l <br />GENERAL AGGREGATE $ 5,000,000; <br />j, ATE LIMIT APPLIES PER <br />GENERAL <br />_ <br />_..._, PRO- - <br />POLICY j LOC <br />JECT <br />PRODUCTS - COMP/OP AG 5,0 , <br />$-- i <br />- --__- —------ - <br />A :AUTOMOBILE <br />1; X <br />LIABILITY <br />ANY AUTO <br />AS2-691-004177-039 <br />05/01/2009 <br />05/01/2010 <br />COMBINED SINGLE LIMIT $ 2,000,000'' <br />(Ea accident) <br />-- - - <br />BODILYINJURY $ <br />ALL OWNED AUTOS <br />(Per person) <br />SCHEDULED AUTOS <br />INJURY $ <br />HIRED AUTOSBODILY <br />- <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) $ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN _ EA ACC $ <br />AUTO ONLY: $ <br />AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />- OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />----"----_---" -- --' <br />$ <br />RETENTION $ <br />A , WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY <br />BANY PROPRIETOR/PARTNER/EXECUTIVEY/N <br />�. OFFICER/MEMBER EXCLUDED? " -- N-E.L. <br />B (Mandatory in NH) If yes, describe under -- _ -E.L. <br />SPECIAL PROVISIONS below <br />WA7-69D-004177-119 (AOS) <br />WC7-691-004117-129(WI) <br />WA7-69D-OO4177-199(WV) <br />05/01/2009 <br />05/01/2009 <br />05/01/2009 <br />05/01/2010 <br />05/01/2010 <br />O5/O1/ZO1O <br />X WC STATU- OTH- <br />E.LEACH ACCIDENT $ 2,000,000: <br />DISEASE - EA EMPLOYE $ 2,000,000 <br />DISEASE - POLICY LIMIT $ 2,000,0001'', <br />OTHER <br />UhbUKIY I IVN OF VYCKA I IVNJILVIAIIVNJIV CKI1LCJICA11VJI-I1v o- 11-1 --1 1 - - -- <br />RE: DRESSER, INC., DRESSER WAYNE SERVICES GROUP <br />I I <br />CERTIFICATE HOLDER HOU-001132899-11 CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DRESSER, INC., DRESSER WAYNE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />SERVICES GROUP 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br />UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHMORIZEpUSA InREPREc.SENTATIVE <br />of arsh <br />William Hines <br />ACORD 25 (2009/01) ©1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />
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