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COMPLIANCE INFO_2007-2013
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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PR0508090
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COMPLIANCE INFO_2007-2013
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Last modified
11/29/2023 9:01:09 AM
Creation date
6/23/2020 6:58:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2013
RECORD_ID
PR0508090
PE
2361
FACILITY_ID
FA0007938
FACILITY_NAME
CHEVRON #208117**
STREET_NUMBER
755
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
24202029
CURRENT_STATUS
01
SITE_LOCATION
755 S TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0508090_755 S TRACY_2007-2013.tif
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EHD - Public
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�A CERTIFICATE OF LIABILITY INSURANCE DATE(Mtt�tff: <br /> E/2/20Z3 <br /> THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DIES 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 HOLDEIL <br /> IMPORTANT. IF the certificate holder Is,an ADDITIONAL INSURED,the pollcy(les)must be endersed. IF SUBROGATION 18 WIW/AWED,subject to <br /> the tarms and conditions of the policy,certain policies may require an anda m emenL A Statement on this Certificate does not Confer rights to the <br /> Certificate holder In lieu of such endorseman o'. <br /> PRODUCER ,jA Michelle Sanchez <br /> Milestone Risk Managment G Insurance AgeanW .==I..940;-379-6956... � <br /> License EKY®. OB72766 D.aI L tzmancaez@milEiBp °so.am <br /> S Co >o to Park, Ste 130 INGUReRI MFOiW1NGCI RAGE MAIC 91 <br /> Irvine CA 92506 'NSURERA-StarV Insutrance 13606 <br /> INSURED . <br /> IMRSR®���ner I Lns. Co. o� rices 4732 <br /> Wayne Pere, Inc. INIIURERC-Tedaral insurance Co. 0281 <br /> 8281 Commonwealth Ave. INSURER -T Pgext & Casualty Co 5674 <br /> INSURER E I <br /> Buena Park CA 90621 1 INSURE . <br /> COVERAGES CERTIFICATE NUMBERc12/13 Wasten 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 PER105 <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY DE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> TOM ROUL BUSH LTR TYPE OF INSURANCE LICY ®t FOLDPP PQLIC f LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 9 1 004 6 00 <br /> 1 COIV RCIAL GENERAL,LIABILITY P ami c 4 a 300,000 <br /> A CIAims-MADE M OCCUR BLSLMXL79023212 12/31/201 2/91/2012 MED EXP A are :onW 0 23,000 <br /> Cmratr Pollution Liub 1.,000,000 Each Occurs ca PERSONAL 6AOYiNJURY S 1a0OO,Q0O <br /> X Prof i iab -- Claim Made 01,000,000 Each Claim GENERAL AGGREGATE. s 2,04Q 000 <br /> GEN'LAGGREGATE LIMIT APPLiEBPER: Subject to $2,000,000 PROD60TS-COMPIOPAGO 0 1,000 000 <br /> POLICY Fxl PRO• LCC aggregate Limit 0 <br /> AUTOMOBILE LIABILITY <br /> IN =.8 1,04Q 000 <br /> X ANY AUTO BODILY INJURY(Per perean) � <br /> ALLO ED SA SULED 4-CC-305967-lit 2/31/201212/11/2012 y30DILYINJURY(per aacoddont)TOS 6 <br /> HIRED AUTOS Na9N otANED i PR® t G <br /> AUF0$ <br /> Com otNeimaDadaadfbb � 1 0QQ <br /> UMBRELLA LIAa [!fCCCUR EACHOCCURRENCE $ 9,000,000 <br /> A XEXCDBGLIAG LAIMS-MADE AGGREGATE $ 91000,000 <br /> ® ow I 9LOIJM773017212 12/31/2012 22/31/2013 � <br /> C >WORKERGCOMPENSATION xa IPttC 3TATU- OTaF <br /> AND EMPLOYERS°LIABILITY <br /> ANY P ROPRIE90ER PA TNERE,EC�� YIN NIA E.L.EACH ACCIDENTOfFi ®00 <br /> (Mandatory In MR) OQ472p227 12/31/2052 2/31/2013 E.L.DISEASE-EA EMPLOYEE 1.006,000 <br /> Ilyee describe under <br /> DESCRIPTIONOFOPATIONSbelow E.L.DIS S QO6} 000 <br /> Rented/Leased Equlyment Ii601479CS61 12/31/2012 /31/2013 Lieut $100,000 <br /> Dedacatlble $1,000 <br /> rJE°CRIPTION>OF OPERATIONSfLOCATIONS9VEHICLEO(Attach ACORR,9®4.Addiffw91RomvFltaSebedub,Kmorezpacoierequiarod) <br /> CERTIFICATE HOLDER CANCELLATION <br /> **PROOF ONLY** SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE ®EI,IYEMD IN <br /> ACCORDANCE N@ITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESEITATPM <br /> ACORD 26(2010106) - ----- - - -- 0`988.2010 d4CORD CORPORATION.All rights reserved— <br /> The t2moDs}.flt The ACORID name and logo as registered mai t;of ACORD <br />
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