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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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ABLEMAI-CL QWATTS <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYYI <br /> 0912612017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsemant(a). <br /> PRODUCER C.2.NJACT <br /> Gene Petersen Insurance Agency,Inc. PHONFAX. <br /> P.O. ox 3539 (A/C,Nao,Edl:(707)526-4150 (A/C No):(707)525-4175 <br /> Santa Rosa,CA 96402 ln! Ins.com <br /> INSURERIS)AFFORDING COVERAGE MAIC# <br /> INSURER A:StOtO Compensation Insurance Fund 35076 <br /> INSURED INSURER 8: <br /> Able Maintenance,Inc. INSURER C: <br /> 3224 Regional Parkway <br /> INSURER D: I <br /> Santa Ross,CA 95403 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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. NOTNTHSTANDING 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. <br /> TNSR TYPE OF INSURANCE AWL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS4ADE F OCCUR en I <br /> MED EXP An orm personj 4 <br /> PERSONAL&ADV INJURY <br /> GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY F]yea 1-1 LOC PRODUCTS-COMPIOP AGG s <br /> OTHER: <br /> EDS <br /> AUTOMOBILE LIABILITY COMBIN <br /> _12JI&E10L LIMN? <br /> 30- <br /> ANY AUTO BODILY Per arson <br /> ffCNLY AS UTOSHEDULED _RODILY INJURY war&;ddenft $S F <br /> 2TS ONLY <br /> UMBRELLA LIAR I ]OCCUR EACH OCCURRENCE $ <br /> EXCESS UAB CLAIMS-MADE AGGREGATE <br /> NTION S <br /> DED RETE S <br /> A WORKERS COMPENSATION _X I ff.RT.TV I I - <br /> AND EMPLOYERS'UABILITY <br /> YIN 73219-17 10/0112017 1010112018 E.L.EACH ACCIDENT <br /> F 000,000 <br /> ANY <br /> F—] N <br /> PROPRIETOR/ IJE I A <br /> f6a <br /> I, <br /> n MAW),PARTNER/EXECUTIEXCLUDED' E.L.DISEASE.EA EMPLOYE E S <br /> 1,000,000 <br /> ff jes describe under <br /> I S OPERATIONS <br /> bekyw 1,000,001) <br /> DF6RIPTION OF OPE E.L.DISEASE-EDUCY LIMIT A <br /> Y <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,maybe aftchad It mote space Is required) <br /> RE: License#312644 <br /> Proof of Coverage <br /> : NED <br /> F <br /> (ECE <br /> AUG <br /> CERTIFICATE HOLDER CANCELLATION I,A r—NIT&L <br /> ENV I <br /> SHOULD ANY OF THE ABOVE DESCRIBE MA <br /> IDI _f1*W&WhL1D BEFORE <br /> THE EXPIRATION DATE THEREOF N 2-RED IN <br /> Contractors State License Board ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 26000 <br /> Sacramento,CA 95926 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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