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COMPLIANCE INFO_2009-2012 DOUBLE CHECK
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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2300 - Underground Storage Tank Program
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PR0231261
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COMPLIANCE INFO_2009-2012 DOUBLE CHECK
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Last modified
11/29/2023 1:56:44 PM
Creation date
6/23/2020 6:45:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012 DOUBLE CHECK
RECORD_ID
PR0231261
PE
2361
FACILITY_ID
FA0002890
FACILITY_NAME
QUIK STOP MARKET #2120*
STREET_NUMBER
9321
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
080-180-05
CURRENT_STATUS
01
SITE_LOCATION
9321 N THORNTON RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231261_9321 N THORNTON_2009-2012 DOUBLE CHECK.tif
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EHD - Public
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AC®RD CERTIFIC T F LIABILITY INSURANOOP ID S <br />wALTo-2 <br />DATE(MMIDDNYYY) <br />.09/25/08 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />TLB, Insurance Services <br />3000 Oak Rd., Suite 210 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND,.EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />DATE MM/DD <br />Walnut Creek CA 94597 <br />Phone: 925-395-2600 F'ax:925-287-0710 <br />INSURERS AFFORDING COVERAGE MAIC# <br />INSURED <br />INSURER A: . Hudson Insurance Company <br />INSURER B: Delos Insurance CO. <br />Dennis Cote' <br />INSURER C: Hartford Insurance CO 34690 <br />Walton Engineering, Inc. <br />INSURER D: State compensation Insurance <br />West SBox acramento CA 95691 <br />INSURER E. <br />VV VF- W_ <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 />BR <br />LTR <br />NS <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DD <br />DATE MM/DDNY <br />LIMITS <br />REPRESENTATIVES. <br />GENERAL LIABILITY <br />Dennis Cote' <br />EACH OCCURRENCE S 1,000,000 <br />PREMISES Eeoccuronce $ 50,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />PEC7001958 <br />03/06/08 <br />03/06/09 <br />MED EXP (Any one person) $5,000 <br />CLAIMS MADE ® OCCUR <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2, 0 0 0,0 00 :. <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG 8 2,000,000 <br />Emp Ben. 11000,000 <br />POLICY X JEC LOC <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUITO <br />DPA5501792 <br />03/06/08 <br />03/06/09 <br />COMBINED SINGLE LIMIT $ 1,000,0.00. <br />(Ea accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE UABIUTY <br />AUTO ONLY - EA ACCIDENT $ . . <br />EA ACC $ <br />OTNER.THAN _ <br />AUTO ONLY: AGG $ <br />ANYAUTO <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ 4,000,000 <br />AGGREGATE $ 4,000,000 <br />A <br />X I OCCUR FICLAIMSMADE <br />FXS7001959 <br />03/66/08 <br />03/06/09 <br />$ <br />$ <br />DEDUCTIBLE <br />$_ ... ... . <br />_ .._ <br />_......RETENTION. $. <br />_ ... _ _ _ .... . . .......................... . <br />.. <br />_ <br />WORKERS COMPENSATION AND <br />X I TORY LIMITSI ER <br />E.L. EACH ACCIDENT . $ 1,.000,000 <br />D000713-4927-2008 <br />EMPLOYERS'- LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />10/01/08 <br />10/01/09 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />Kyea; describe under <br />SPECIAL PROVISIONS below <br />OTHER. .: .. <br />A <br />Pollution/ER&O <br />FEC7001958 <br />03/06/08 <br />03/06/09 <br />Poll/E&O 11000,000 <br />C <br />Installation Fltr <br />I 57MSIZ6050 <br />03/06/08 <br />03/06/09 <br />Inst Fltr 11000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. <br />----1PI^ATC IJ^1 r%=O CANLaLLA 11UN <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <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 REPRESENTATIVE <br />Dennis Cote' <br />ACORD 26 (2001108) a.vr%rvnnnvn lavv <br />
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