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INSTALL_2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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6009
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2300 - Underground Storage Tank Program
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PR0542116
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INSTALL_2018
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Entry Properties
Last modified
11/18/2020 3:23:12 PM
Creation date
7/23/2020 1:45:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2018
RECORD_ID
PR0542116
PE
2351
FACILITY_ID
FA0024188
FACILITY_NAME
GRIN INVESTMENTS INC DBA: ARCO AM/PM
STREET_NUMBER
6009
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95207
APN
08126064
CURRENT_STATUS
01
SITE_LOCATION
6009 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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TOWNC-1 OP ID:JK <br /> CERTIFICATE OF LIABILITY INSURANCE °ATe(M <br /> 10/2812016 <br /> YYY) <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME, L.Kime <br /> ISU Insurance Services <br /> Atwood Agency AIcNNo Ext:530-626-2533 FAX No):530-622-5221 <br /> 800 Pacific Street E-MAIL <br /> Placerville,CA 95667 ADDRESS:jkime@atwoodins.com <br /> Jennifer L.Kime INSURERS)AFFORDING COVERAGE NAIC p <br /> INSURER A:Homeland Ins Co of NY <br /> INSURED Town &Country Contractors Inc INSURER 8: <br /> 3181A Luyung Drive <br /> Rancho Cordova,CA 95742 INSURER C: <br /> INSURER D: <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. 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 /> ILTR TYPE DF INSURANCE IINSLiSUBR IWV POLICY NUMBER MMf6DY Ih1M1DDtYYYY LIMITS <br /> A X I COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 5 1,000,00 <br /> CLAIMS-MADE a OCCUR I 7930026880002 10/1912016 10/19/2017 PREMISES Ea occurrence S 50,000 <br /> MED EXP(Any one person) I S 5,00 <br /> PERSONAL&ADV INJURY IS 1,000,00 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,00 <br /> POLICY❑JECT PRO �LOC PRODUCTS-COMP/OP AGG S 2,000,00 <br /> OTHER: 5 <br /> AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT S <br /> Ea accident)_ <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY Per accident S <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE S <br /> AUTOS Per accident <br /> S <br /> UMBRELLA LIAB H OCCUR EACH OCCURRENCE S <br /> EXCESS UAB CLAIMS-MADE AGGREGATE I S <br /> DED I I RETENTION 5 I S <br /> WORKERS COMPENSATION PERTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNERiEXECUTIVE E.L.EACH ACCIDENT 5 <br /> OFFICEWMEMBER EXCLUDED? N I A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S <br /> descnbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Insured's internal Use Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />
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