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COMPLIANCE INFO_2008-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BANNER
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6437
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2300 - Underground Storage Tank Program
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PR0506004
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COMPLIANCE INFO_2008-2009
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Last modified
9/12/2024 4:07:28 PM
Creation date
6/23/2020 6:57:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2009
RECORD_ID
PR0506004
PE
2361
FACILITY_ID
FA0007140
FACILITY_NAME
FLAG CITY SHELL*
STREET_NUMBER
6437
Direction
W
STREET_NAME
BANNER
STREET_TYPE
ST
City
LODI
Zip
95242
APN
05532019
CURRENT_STATUS
01
SITE_LOCATION
6437 W BANNER ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0506004_6437 W BANNER_2008-2009.tif
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EHD - Public
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DATE(MM/DD/YYYI) <br /> ACORQ, CE TIFIC T F LIABILI I SU N WAoP 2 ID s <br /> LTO- 09/25/08 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,.EXTEND OR <br /> 3000 Oak Rd., Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Hudson Insurance Compare <br /> INSURER B: Delos Insurance Co. <br /> Walton Engineering, Inc. INSURER C: Hartford Insurance Co 1 34690 <br /> West SBox acramento CA 95692 INSURER D: erste Compensation xnauranae <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.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 CLAIM& <br /> INPOLICY EXPIRATION <br /> LTR roUCYEFFECTIVE <br /> NS TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE _$ 1,000,000 <br /> EU- <br /> A X COMMERCIAL GENERAL LIABILITY FEC7001958 03/06/08 03/06/09 P'RE MISES�o�xuranca $ 50,000 <br /> CLAIMS MADE X]OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GE NERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 <br /> POLICY X JEC LOC EMp Ben. 11000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,060 <br /> B g ANY AUTO DPA5501792 03/06/08 03/06/09 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT <br /> EA ACC..$.. <br /> " <br /> ANY AUTO OTHER.THAN _ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 <br /> A X". OCCUR O CLAIMSMADE FXS7001959 03/06/08 03/06/09 AGGREGATE s4,000,000 <br /> DEDUCTIBLE $ <br /> - __.....RETENTION.- .$. _. ...__. . ._................ .. ...._....._ .. . $... <br /> WORKERS COMPENSATION ANDX TORY LIMITS ER <br /> D EMPLOYERS'.LIABILITY 000713-4927-2008 . 10/01/08 10/01/09 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> if yea;describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> SPECIAL.PROVISIONS below <br /> OTHER. .:. <br /> A Pollution/8&O FEC7001958 03/06/08 03/06/09 Poll/E&O 1,000,000 <br /> C Installation Fltr 57MSIZ6050 03/06/08 03/06/09 Inst Fltr 11000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of. premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Dennis Cote' %; <br /> ACORD 25(2001/08) © ORD CORPORATION 1988 <br />
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