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COMPLIANCE INFO_2010-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FRANK WEST
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2300 - Underground Storage Tank Program
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PR0515365
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COMPLIANCE INFO_2010-2018
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Last modified
7/11/2023 3:11:49 PM
Creation date
6/3/2020 9:59:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0515365
PE
2361
FACILITY_ID
FA0012107
FACILITY_NAME
A TEICHERT & SON INC*
STREET_NUMBER
120
STREET_NAME
FRANK WEST
STREET_TYPE
CIR
City
STOCKTON
Zip
95206
APN
19342006
CURRENT_STATUS
01
SITE_LOCATION
120 FRANK WEST CIR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0515365_120 FRANK WEST_2010-2018.tif
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EHD - Public
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ACORD CERTIFICAT F LIABILITY I S RA S <br />WALTOLTO-2 <br />DATE(/1DD/YYYY) <br />09 16 10 <br />PRODUCER <br />TLB Insurance Services <br />3 000 Oak Rd., Suite 210 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POLICY NUMBER <br />DATE MCY EON <br />M/DDS E <br />Walnut Creek CA 94597 <br />Phone: 925-395-2600 Fax:925-287-0710 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURER A: endurance American Spec ins Co <br />ECC101006001-01 <br />INSURER B: Delos Insurance Co. <br />03/06/11 <br />EACH OCCURRENCE $ 1,000,000 <br />INSURER C: SeaBright Insurance Co <br />MED EXP (Any one person) $ 5,000 <br />Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento CA 95691 <br />INSURER D: Hartford Insurance Co <br />34690 <br />INSURER E: <br />Gu V CMAt.7CJ <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 PAID CLAIMS. <br />LTR <br />NSRrGENERAL <br />PE OF INSURANCE <br />POLICY NUMBER <br />DATE MCY EON <br />M/DDS E <br />DATE MM/DD� <br />LIMITS <br />A <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />IABILITY <br />ERCIAL GENERAL LIABILITY <br />LAIMS MADE OCCUR <br />ECC101006001-01 <br />03/06/10 <br />03/06/11 <br />EACH OCCURRENCE $ 1,000,000 <br />UAMAU <br />PREMISES(Eaoccurence) $ 50,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL& ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />n Arnon 11floonDATinM 40RR <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO-JECT LOC <br />Em Ben. 11000,000 <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />DPA5501792@2 <br />03/06/10 <br />03/06/11 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />ANY AUTO <br />F1 <br />A <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR FICLAIMSMADE <br />EXS101006002-01 <br />03/06/10 <br />03/06/11 <br />EACH OCCURRENCE $ 10,000,000 <br />AGGREGATE $ 10,000,000 <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />$81103003 <br />10/01/10 <br />10/01/11 <br />_ <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT $ 11000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />A <br />D <br />Pollution/E&O <br />I Installation Fltr <br />ECC101006001-01 <br />I 57MSIZ6050 <br />03/06/10 <br />03/06/10 <br />03/06/11 <br />1 03/06/11 <br />Poll/E&O 11000,000 <br />1 Inst Fltr 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. <br />t;tK I H -11,A I t MULVGR <br />- ---- - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />TOWHOMI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTAT <br />/ <br />CC <br />Dennis Cote' <br />n Arnon 11floonDATinM 40RR <br />ACORD 25 (2001/08) <br />
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