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COMPLIANCE INFO_2020
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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PR0517272
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/28/2020 10:52:09 AM
Creation date
7/10/2020 2:19:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0517272
PE
2361
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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JONECOV-02 DADACAVA <br /> CERTIFICATE OF LIABILITY INSURANCE FDATE (MWOONYYY) <br /> 7/1/2019 <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 endorsements . <br /> PRODUCER License # OE67768 c ACT Aimie Dadacay <br /> IDA Insurance Services PHONEFAX <br /> 130 Vantis A/c No Ext): 949 297-5530 52002 ac No : 949 297-5960 <br /> Suite 250 M6s, almle.dadacay@loausa.com <br /> Aliso Viejo, CA 92656 <br /> INSURER 6 AFFORDING COVERAGE NA1C N <br /> INSURER A : ColonyInsurance Company 39993 <br /> INSURED SURE a : Everest Na i nal Insurance Com any 10120 <br /> Jones Covey Group, Inc. INSURER C : Travelers Property Casualty Company of America 25674 <br /> 9595 Lucas Ranch Road Ste 100 1 INSURER D : <br /> Rancho Cucamonga, CA 91730 <br /> INSURER E <br /> INSURER F <br /> COVERAGES CE8DFjCATE 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. 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, <br /> INSR TYPE OF INSURANCE ADDLSUBRMLIEL I= WV0 POLICY NUMBERPOLICY EFF POLICY EXP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I 51000,000 <br /> CLAIMS•MADE [ XI OCCUR PACE305425 7/1 /2019 711 /2020 DAMAGE TO RENTED 500,000 <br /> PREMISES Ira omirrence) S <br /> MED EXP Any one person) 2500 <br /> PERSONAL & ADV INJURY 5,000,000 <br /> GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 510001000 <br /> POLICY ❑X Pic°r Loc 5 000,000 <br /> PRODUCTS - COMP/0P AGG <br /> o ER• PRODUCTS POLLUT Included <br /> JBAunTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1000000 <br /> ANYAUTO CFICA00102191 7/1 /2019 7/1/2020 BODILY INJURY (Parperson) <br /> OWNED SCHEDULED <br /> AU�ppT��OppS ONLY AUTOS BODILY BODILY IN URY Per accident) <br /> RUTt1S ONLY AUTOS ONLY a20PER e t WAGE <br /> A UMBRELLA LIAR X I OCCUR i <br /> 6 000,000 <br /> EACH OCCURRENCE <br /> X EXCESS LIAR Ll CLAWS�MAOE EXC305426 7/1 /2019 7/1/2020 AGGREGATE 600000000 <br /> DEO X RETENTIONS 0 <br /> B WORKERS GOERS N A 1100 X PER OTH- <br /> AND AQN�Y PROPRIETORIPARTNERIEXECUTNE CA10002046191 5/1 /2019 511/2020 E L EACH ACCIDENT 100001000 <br /> ta+and ioryJMAW) EXCLUDEDP Y N / A 1 ,000,000 <br /> .L. D EASE - EAEMPLOYEE <br /> We <br /> oFOPDISEASE - L 1 1 ,000,000 <br /> C Leased/Rented Equip. 6602G408239 7/112019 7/1/2020 Dad: $1 ,000; 300,000 <br /> JA Contractors Poli IPACE305426 7/1 /2019 7/1/2020 510000000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addhlonel Remarks Schedule, maybe attached If more apace Is required) <br /> Proof of Coverage <br /> gC81IFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> ACARn 94 /9n1R/n-m n TOIRR.9nir, ACf1Rr1 CAR13nRATInN All Anht¢ rncamad <br />
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