My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
INSTALL_2018
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
E
>
EL DORADO
>
6009
>
2300 - Underground Storage Tank Program
>
PR0542116
>
INSTALL_2018
Metadata
Thumbnails
Annotations
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
Scanner
KBlackwell
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
653
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
TOWNC-1 OP ID:JK <br /> CERTIFICATE OF LIABILITY INSURANCE DA09129/201 Y} <br /> 09/29/2017 <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 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 endorsement(s). <br /> PRODUCER 530-626-2533 CONT <br /> Jennifer L.Kime <br /> ISU Insurance Services PHONE530-626-2533 rax 530-622-5221 <br /> Atwood Agency (A1C,No,Ext): (evc,No): <br /> 800 Pacific Street Epi IL Ime atWoo Ins.com <br /> Placerville,CA 95667 <br /> Jennifer L.Kime INSURERS AFFORDING COVERAGE MAIC A <br /> INSURERA:State Compensation Ins Fund 135076 <br /> INsuREn Town&Country Contractors Inc <br /> 3206 Luyung Drive INSURER B: <br /> Rancho Cordova,CA 95742 INSURER C: <br /> INSURER 0: <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 /> INSRTYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP I LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ S <br /> CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED <br /> PREMISES ncc S <br /> MED EXP An one person) I S <br /> PERSONAL E ADV INJURY I S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I S <br /> PRO- <br /> POLICY JECT LOC PRODUCTS-COMP/OP AGG I S <br /> F1 OTHER: <br /> S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea accident) I S <br /> ANY AUTO BODILY INJURY Per oerson I$ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOppS BODILY INJURY Peraccident)I S <br /> AUTOS ONLY AUUTOS ONLY Pd20acatlentDAMAGE is <br /> IS <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE I S <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE 15 <br /> DED I 1 RETENTIONS is <br /> A WORKERS COMPENSATION f X I PER I OTH• I <br /> AND EMPLOYERS'LIABILITYA FIR <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE YIN 921878217 10/01/2017 1010112018 1,000,000 <br /> OFFICERIMEMBEREXCLUDE09 ❑Y NIA E.L.EACHACCIDEN7 S <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S 1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 161,Additional Remarks Schedule,maybe attached If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Internal Use Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE REEPRESENTATIVE <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.