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FIELD DOCUMENTS_PART 2 FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HOWLAND
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16777
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2900 - Site Mitigation Program
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PR0009015
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FIELD DOCUMENTS_PART 2 FILE 2
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Last modified
6/3/2020 2:22:01 PM
Creation date
6/3/2020 2:05:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
PART 2 FILE 2
RECORD_ID
PR0009015
PE
2960
FACILITY_ID
FA0004094
FACILITY_NAME
J R SIMPLOT (OCCIDENTAL CHEMICAL)
STREET_NUMBER
16777
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19818005
CURRENT_STATUS
02
SITE_LOCATION
16777 HOWLAND RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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CERTIFICATE OF LIABILITY INSURANCE DAT 06104120114 <br /> THIS CERTIFICATE IS 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: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,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 endorsement(s). <br /> PRODUCER SACT <br /> Aon Risk Services South, Inc. <br /> PHONE <br /> Franklin TN office (NC.Nm E:t): (866) 283-7122 FMC No 800-363-0105 `y <br /> 501 Corporate Centre Drive E4"L 12 <br /> Suite 300 ADDRESS: O <br /> Franklin TN 37067 USA <br /> 2 <br /> INSURER(S)AFFORDING COVERAGE NAIC S <br /> INSURED INSURERA: Greenwich Insurance Company 22322 <br /> Arcadis U.S, Inc. <br /> 630 Plaza Drive INSURER B: XL Specialty Insurance Co 37885 <br /> suite 200 INSURER C: <br /> Highlands Ranch Co 80129 USA <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:570054015644 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. Limits shown are as requested <br /> imam AOOL aUEIR POLICY EFF POLICY LTR TYPE OF INSURANCE INSIDyyyD POLICY NUe®ER LIMITS <br /> X COMMERCIAL GENERAL LIABILITY GES EACH OCCURRENCE 51,000,000 <br /> CLAIMS-MADE ❑X OCCUR PREMISES E■ocwmnce S1,000,000 <br /> X Cordracluel LIabllity MED EXP(Any one Person) S10,000 <br /> PERSONAL B ADV INJURY 51,000,000 <br /> GEN'L AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE 52,000,000 <br /> POLICY PEST X�LOC PRODUCTS-COMP/OP AGG S2,000,000 <br /> OTHER: g <br /> B AUTOMOBILE LIABILITY AECOO1075812 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT 51,000,000 <br /> AOS a n „ <br /> 0 XANYAUTO AECO01719510 01/01/2014 01/01/2015 BODILY INJURY(Per Person) Z <br /> AUTOS AUTOS <br /> ALLOWNED SCHEDULED MA BODILY INJURY(Peremdent) of <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS Par accident W <br /> X Property Darnall.1. <br /> A X UNMRELLALUB X OCCUR UECO01075912 01/01/2014 O1 Ol/ 015 EACH OCCURRENCE $1,000,000 V <br /> EXCESS LUB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED I X RETENTION$10,000 <br /> B WORXERS COMPENSATION AND RwD 43 630 Z-170-1/ PER 7H. <br /> EIAPLOYERS'LIABILITY X STATUTE <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE YIN All Other States <br /> B OFFICEREMBEREXCLUDED? NIA RWR943516708 01/01/2014 01/01/2015 EL EACH ACCIDENT 51,000,000 <br /> /M <br /> (Nlendatory 1.NH) wi E.L DISEASE-EA EMPLOYEE $1,000,000 <br /> M yea,dosulbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S1,000,000— <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be ft.had S mora sped Is nqulred) <br /> RE: Arcadis Project No. RV009840.0012.90003. Glenn springs Holdings, Inc., 324 Sycanda, LLC and Melvin Kauffman are included <br /> as Additional insured in accordance with the policy provisin <br /> Otis of the General Liability policy. <br /> L <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> Arcadis U.S., Inc. AUTHORED REPRESENTATIVE <br /> Attn: Scott Hackman <br /> 630 Plaza Drive, suite 100 <br /> Highlands Ranch Co 80129 USA 1�JL <br /> 01988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD <br />
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