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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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MORADA
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2300 - Underground Storage Tank Program
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PR0524617
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/3/2022 4:08:14 PM
Creation date
4/14/2021 10:30:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0524617
PE
2351
FACILITY_ID
FA0016523
FACILITY_NAME
AISLE 1 #2356
STREET_NUMBER
4219
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12429017
CURRENT_STATUS
01
SITE_LOCATION
4219 E MORADA LN
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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DATE (MM/DD/YYYY) <br /> ACC)R" CERTIFICATE OF LIABILITY INSURANCE <br /> 7/6/2020 <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) 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 /> ON <br /> PRODUCER Venbrook Insurance Services CA Lie OD80832 NAAME: cT <br /> 16815 Von Karman Avenue PHONE g18-598 8900 FAX : 949-652-3980 <br /> Suite 180 E-MAIL <br /> Irvine , CA 92606 ADDRESS: certificates@venbrook. com <br /> INSURER(Sl AFFORDING COVERAGE NAIC # <br /> www,venbrook.com CA Lic No. OD80832 INSURER A : Mt HawleV Insurance Company 37974 <br /> INSURED INSURER B : <br /> RADC Enterprises , Inc. INSURER C : <br /> 1450 N Benson Ave . , Suite A <br /> Upland CA 91786 INSURER D : <br /> INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 56438314 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 /> INSR I ADDL SUER POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDIYYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE F] OCCUR PREMISES Ea occurrence) $ <br /> MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLALIAB H OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEO I I RETENTION $ $ <br /> WORKERS COMPENSATION STATUTE ERH <br /> AND EMPLOYERS' LIABILITY Y / N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N / A E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBEREXCLUDED? <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ <br /> Ifes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> A Storage Tank Pollution Legal STL0001434 6/30/2020 6/30/2021 Per Storage Tank Incident $ 1 , 000 ,000 <br /> Liability) Claims-Made & Reported Aggregate Limit: $3,000 , 000 <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> Site Operator : RADC Enterprises , Inc. (per attached AISLE#1 Store Schedule of Underground Storage Tank Locations) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Anabi Real Estate Development, LLC . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1450 N Benson Ave Suite A ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Upland CA 91786 <br /> AUTHORIZED REPRESENTATIVE ? JJ1 <br /> Eric Doll <br /> © 1988-2015 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br /> 56439314 1 17215 1 2020 UST & Premises site Pollution Cert 14ichele Baierl l 7 / 6 /2020 1 : 31 : 06 PM ( PDT ) I Page 1 of 2 <br /> This certificate cancels and supersedes ALL previously issued certificates . <br /> i' <br />
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