My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0069523
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
5 (I-5)
>
0
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0069523
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 10:36:10 AM
Creation date
12/2/2017 5:03:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0069523
PE
4372
STREET_NAME
I-5
City
GALT
Zip
95632
APN
ROW
ENTERED_DATE
06/26/2014
SITE_LOCATION
MEDIAN OF I-5
RECEIVED_DATE
04/28/2014
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\I\I-5\0\SR0069523.PDF
QuestysFileName
SR0069523
QuestysRecordID
2447795
QuestysRecordType
12
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
8
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
ACCW" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 3/26,12014 <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 Risk Strateles Company CONTACT <br /> g P Y NAME: Risk Strategies Company <br /> 2040 Main Street, Suite 450 PHONE FAx <br /> Irvine, CA 92614 A&L-NQ�E 949-242-9240 <br /> E-MAIL <br /> ADDRESS: 5 OUn risk-strate ies.com <br /> INSURER(S)AFFORDING COVERAGE J NAIC a <br /> www.risk-strategies.com CA DOI License No.OF06675 INSURER A: National Union Fire Insurance Co of Pittsbur h 19445 <br /> INSURED INSURER B: The Insurance Company of the State of PA 19429 _ <br /> S e Attached <br /> Named <br /> Inc. INSURER C: Ace European GroupLimited NAIC#AA1120810 <br /> (See Attached Named Insured Schedule) <br /> 5015 Shoreham Place INSURER D: <br /> San Diego, CA 92122-5926 INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 19611430 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 /> NOR TYPE OF INSURANCE ADDL SU R POLICY EFF POLICY EXP _ <br /> TR POLICY NUMBER MM/DDfYYYYI (MMIDDIYYYYI LIMITS <br /> A �/ COMMERCIAL GENERAL LIABILITY GL5388241 4/1/2014 4/1/2015 EACH OCCURRENCE $ $2,000,000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence) $ $250,000 <br /> MED EXP{Any one person $ $5,000 <br /> PERSONAL&ADV INJURY $ $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE is $4,000,000 <br /> POLICY JECOT LOC I PRODUCTS-COMP/OPAGG $ $4,000,000 <br /> OTHER: I $ <br /> A AUTOMOBILE LIABILITY CA5101632 4/1/2014 4/1/2015 CDMaB1;NEeD(SINGLE LIMIT $ $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED Y ) $BODILY INJURY Per accident <br /> AUTOS AUTOS ( <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS �/ AUTOS Par c n <br /> Is <br /> A �/ UMBRELLA UAB � OCCUR IBE041907867 4/1/2014 4/1/2015 EACH OCCURRENCE Is $1,000,000 <br /> EXCESS LIAB CLAIME AGGREGATE Is $1,000.000 <br /> DED I I RETENTIONS 10,000 $ <br /> B I WO ERS COMPENSATION <br /> Y/N WC49342443(AOS) 4/1/2014 4/1/2015 �/ 1 PER <br /> STAT <br /> vi E <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WC49342437(CA) <br /> OFFICERIMEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT $ $1,000,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ $1,000,000 <br /> ff yes,describe under I <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $1,000,000 <br /> C Professional Liability& B0146LDUSA1403212 4/1/2014 4/1/2015 Each Claim:$1,000,000 <br /> Contractor's Pollution Liability (Aggregate: $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Projects as on file with the named insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> EVIDENCE OF LIABILITY INSURANCE 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 /> (BSTN)Mike Christian <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> CERT NO.: 19611430 (IRVN) Sandi Moreno 3/26/2014 3:s9:10 PM Page 1 of 4 <br />
The URL can be used to link to this page
Your browser does not support the video tag.