My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HAMMER
>
1210
>
2300 - Underground Storage Tank Program
>
PR0231125
>
COMPLIANCE INFO_2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/24/2020 10:56:10 AM
Creation date
8/18/2020 10:13:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
125
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
ABLEMAI -CL QWATTS, <br /> DATE IMMlDDlYYYY► <br /> C'��� � CERTIFICATE OF LIABILITY INSURANCE 1 . 00404017 <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; it the eertltleste holder is an ADDITIONAL INSURED, the POIICy(Ies) must have ADDITIONAL INSURED provisions or be endorsed* <br /> if SUBROGATION 18 WAIVED, subject to the terms and conditions of the Policy, certain policies may require on endorsement A statement on <br /> this certificate does , not conferrigfits to the certificate holder In ileo of uah en�doraem®n s <br /> LT <br /> PRODUCER <br /> H iE — — (707) 626-4176 r <br /> 526411.510— <br /> George Paterson insurance Agency. Inc, 0 Eln (70T . I (A10, NV: <br /> P .O. Box 3639 nfOgrp - <br /> Santa Rosa, CA 86402 _ <br /> INSURER(aiAPFO.RWNGCOVERAGE ._ _ H1UCe <br /> 1NSURERA : State Compensation Insuran! e. Fund _. . . 36076. _ <br /> -- ------ <br /> INSURED <br /> Able Maintenance, Inc. <br /> 3224 RegloilaiParkway wauRERo : <br /> Santa Rosa, CA 96483 INSURER E ____ <br /> -- <br /> INSyRER F I <br /> COVE GES. <br /> CERTIFICATE .NUMBER: .. REVISION. NUMBER , . ....�'. <br /> . <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 VMICH 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 /> _- OL SU¢R - • . POI-ICY EFF _ P.O CY: - LIMITIi <br /> INSR TYPE OF INSURANCE I POLICY NUMBER <br /> COMMERCIAL GENERAL LIABILITY I <br /> CHOCCURRENCE <br /> ED i <br /> j � <br /> CLAIMS-MADE F OCCUR I . .f '`"- - __ .x_ -.-..---• <br /> MEDEXPiAr�torworrrm5 ' , t3= <br /> -- PER90NALd, A0V1N,lUAY;. <br /> I , GENERAL AGGREGATE <br /> GEML AGGRE E LIMIT APPLIES PER: <br /> POLICY L pa LOC PRODUD78 - COMPAPAGO <br /> i OTHER; O <br /> AUTOMOBILE LIABILITY I BODILY <br /> - -a'--- <br /> ' <br /> ANY AUTO pp BODILY INJURYAlP.erpelsonT it _ <br /> i AUTOS ONLY AUT06 9p0DILYINJU�yp Pereodden3 i _ <br /> - RUIT <br /> F00011 <br /> pN y Ep I Pe__ e�_ang a� <br /> I . . . AUTOS ONLY IA 0 ONLY i <br /> I. ' UMBRELLA LIAR 1 / ' OCCUR 11F OCCURRENCE <br /> ~! EXCUSLIAB _ FI. CWMS-MADE . I AGGREGATE . <br /> _ 1 — <br /> ~ DEC f I RETENTIONS — 1 <br /> WORkERSCOMPENSATION X <br /> IANDEMPLOYERS' LIABIUTY ' 1010112017 ` 10101/2018 ELEAJCHACCIDEW .Efl - ,000,000, <br /> Ii` 073219.17 <br /> 'ANY PopeR�OPREIIETBgO��RRgIPARTNEPAXECUTNE NIA <br /> r <br /> �i6lind✓ 1n NHI KKCLUDEDT L, ! _E.L. OISEASE • EAEMPLOYE S_ ` <br /> ry�( yyn dew41s udat EL DISEASE o POLICY LIMIT <br /> DEBLIRIPTION OF OPEMTIONS bebw <br /> i <br /> RP P <br /> i <br /> DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES (ACORO 101 , AddlUond Remake 8ehedWe, may M atuohed H monr spate Is nqulnd) <br /> RE: License 0 312844 <br /> Proof of Coverage <br /> CERTIFICATE HOLDER . . CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN <br /> Contractors State License Board ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Boz 20000 <br /> Sacramento, CA 96826 AUTHORIZED REPRESENTATIVE <br /> L C) 18884016 ACORD CORPORATION. All rights reserved. <br /> ACORD 2612016103-�--�— <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.