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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/18/2023 3:31:12 PM
Creation date
3/26/2021 3:44:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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11CORL/F DATE(MMND/YYl'1') <br /> CERTIFICATE OF LIABILITY . INSURANCE 04 / 16/20 <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) moat 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($). <br /> PRODUCER <br /> N�Aw Hovsep Fidanian <br /> H . Fidanian Insurance Agency , PHONE - FAX <br /> 3403 Oakmont View Drive erw"d ( 818 ): 249- 3330 AM, No : ( 818 ) 249-7879 <br /> Glendale , CA 91208 ADDRESS: Hovsep@fidanianinsurance . com <br /> ' - _ INSURER(S) AFFORDING COVERAGE NNCM <br /> CA Lic , # OM76861 <br /> INSURER A : Century Surety Company 36951 <br /> INSURED Ross McLaren Fuel Systems , Inc . INSURER B : <br /> . _ INSURER C : <br /> 28030 Valcour Dr . INSURER O : <br /> Canyon . Country , . , CA 91387 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 /> LTR TYPE OF INSURANCE . - �°°L 6U8fl POLICY EFF POLICY EXP <br /> 04R WVR ' - POLICY NUMBER (MMIDDNYYF IMWDWYYYY) LIMITS . <br /> GENERAL LIABILITY EACH OCCURRENCE s 1 O0O OOO <br /> X COMMERCIAL GENERAL LIABILITY DE TO RENTEOPREMISES Ea occurrerae $ . 100 , 000 <br /> GLAIMS•MADE OCCUR MED EXP (Any one person) $ 51000 <br /> A CCP891817 04 / 15 / 20 0. 4 / 15 /.21 PERSONAL'& AOviwURY . . . y 1 , 000 , 000 <br /> GENERAL AGGREGATE s 2 , 000 , OOO ''... <br /> GENL AGGREGATE LIMIT APPLIES PER: IF PRODUCT$ - OOMP/OP AGG s. . 2 , 000 , 000 <br /> X POLICY JERCOT LOC I $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> . - Ea eoddenl <br /> ANYALITO BODILY IPIIURY (Per person) $ <br /> ALL AUTOS MED SCHEDAUr0SUEO BODILY IMURY (Peraccidenl) $ <br /> NOhI'OWPEA PROPERTY DAMAGE <br /> HIRED AUTOS r, ALTOS , er exkanl $ <br /> IF <br /> UMBRELLA OCCUR OCCURRENCE $ <br /> . <br /> EXCESS LIAR CLAIMS-MADE <br /> AGGREGATE $ <br /> DED JAETENTiON S $ <br /> WORKERS COMPENSATION, WGSTATU• DTH• <br /> ANEMPLOYERS' LIABILITY ' YIN t RY LINT ER <br /> ANY PROPMETOWPARMPfi rEcr°NEE.L. EACH ACCIDENT <br /> FFIw . s <br /> CCEWEMOER E%CLLPE01 - .0 NIA . ' <br /> (Mandatory in !Mi) - - E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS.below E.L. DISEASE - POLICY LIMIT $ <br /> CONTRACTORS ENVIRONMENTAL <br /> A CCP891817 04 / 15 / 20 04 / 15 / 21 POLLUTION LIAB- $ 1 , 000 , 000 <br /> PROrES$ IONAT, : LIAB— $ 11000 , 000 <br /> DESORPTION OF OPERATIONS / LOCATIONS /VEHICLES (Allach ACORD 101 , Addliorul Remarks Schedule, 11 more space Is required) <br /> IF I <br /> CERTIFICATE HOLDER` CANCELLATION <br /> Ross McLaren Fuel Systems , Inc . SHQULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> DBA : Ross McLaren Fuel System Testing THE EXPIRATION DATE THEREOF NOTICE . WILL BE DELIVERED . ' IN <br /> & Consulting ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUt}iORIZED REPRESENTATIVE . <br /> IF <br /> © 19.8&2010ACORDCORPORATION, All rights reserved. <br /> ACORD25(2010/05) The ACORD name and logo are registered marks of. ACORD <br /> i <br />
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