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WP0042088
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ZUCKERMAN
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2121
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042088
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Entry Properties
Last modified
9/13/2021 7:54:33 AM
Creation date
9/9/2021 3:35:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042088
PE
4371
STREET_NUMBER
2121
Direction
N
STREET_NAME
ZUCKERMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
12908009
ENTERED_DATE
5/26/2021 12:00:00 AM
SITE_LOCATION
2121 N ZUCKERMAN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Attachment Code: D544797 Certificate ID: 15495702 <br />AUTOMATIC ADDITIONAL INSURED ENDORSEMENT <br />Named Insured Aeglon Corporation <br />Policy Symbol Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />ISA ISAH25302540 <br />7/1/2020 To 7/1/2021 <br />Issued By (Name of Insurance Company) <br />ACE Amedcan Insurance Company <br />Insert the policy number. The remainder of the information Is to be completed only when this endorsement Is Issued subsequent to the preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />SECTION II - LIABILITY COVERAGE, WHO IS AN INSURED is amended to include as an "insured' any person or <br />organization you are required in a written contract or agreement to name as an Additional Insured on your policy but only for <br />"bodily injury" or "property damage" to which this insurance applies if the "accident" is caused by: <br />1. You, while using a covered "auto" or <br />2. Any other person, while using a covered "auto" with your permission. <br />The insurance provided by this endorsement shall be subject to the following additional condition: <br />1. The Limit of Insurance provided for the Additional insured shall not be greater than those required by contract and, In <br />no event, shall the policy Limits of Insurance be increased by the contract. <br />2, All insuring agreements, exclusions, terms and conditions of the policy shall apply to the coverage (s) provided to the <br />Additional Insured, and such coverage shall not be enlarged or expanded by reason of the contract. <br />3. Coverage provided by this endorsement shall be excess over any other valid and collectible insurance available to <br />the Additional Insured (s) whether primary, excess, contingent or on any other basis unless the contract specifically <br />requires that this insurance be primary or you request that it apply on a primary basis prior to loss. <br />DA -6.204a (06/14) Page 1 of 1 <br />
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