My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2022
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WEST
>
4040
>
2300 - Underground Storage Tank Program
>
PR0231963
>
COMPLIANCE INFO_2022
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/5/2022 9:38:07 AM
Creation date
7/5/2022 10:49:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\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.
/
72
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
Client#: 422600 TAITASSOC <br /> YYYY) <br /> 12021 MIDOI <br /> ACORDTN CERTIFICATE OF LIABILITY INSURANCE 8126DATE (MMIDDf <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 any rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Stephanie Holly <br /> Marsh & McLennan Agency LLC PHONE FAX <br /> A/C No Ext): A/C No): <br /> Marsh & McLennan Ins. Agency LLC a DREss: occerts@marshmma.com <br /> 1 Polaris Way #300 INSURER(S) AFFORDING COVERAGE NAIC # <br /> Aliso Viejo, CA 92656 INSURER A : AXIS Surplus Insurance Company 26620 <br /> INSURED INSURER B : <br /> Tait & Associates , Inc . <br /> INSURERC : <br /> Tait Environmental Services , Inc. <br /> INSURER D <br /> 701 N . Parkcenter Drive <br /> INSURER E <br /> Santa Ana , CA 92705 <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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP <br /> LTR INSR WVD POLICYNUMBER MMIDD MM/DD LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY SP002747062021 0910112021 0910112022 EACH OCCURRENCE s2,000,000 <br /> CLAIMS-MADE o OCCUR PREMISES Eaocccurrence $ 1001000 <br /> X Professional Liab MED EXP (Any one person) $ 50,000 <br /> X Pollution Liab PERSONAL & ADV INJURY s2 ,000 ,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 <br /> X POLICY [.1 J COT F] LOC [PRODUCTS - COMPIOPAGG 52,000,000 <br /> OTHER: Deductible $ $ 10,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED F SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIREDNON-OWNED PePROPERTY DAMAGE 5 <br /> AUTOS ONLY AUTOS ONLY <br /> 5 <br /> A UMBRELLA LIAR Hx <br /> OCCUR SX002748052021 09101 /2021 09/01 /202 EACH OCCURRENCE $9,000,000 <br /> X EXCESS LIAB CLAIMS-MADE *Follows Form AGGREGATE $9,000, 000 <br /> DED X RETENTION $0 $ <br /> WORKERS COMPENSATION PER JIE 0TH- <br /> AND EMPLOYERS' LIABILITY <br /> ER <br /> ANY PROPRIETORIPARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N / A <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br /> *Professional Liability is Claims-Made coverage* <br /> Re : Evidence of Insurance . FOR PROPOSAL USE ONLY. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Tait & Associates, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 11118 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana , CA 92711 -0000 <br /> AUTHORIZED REPRESENTATIVE <br /> A <br /> © 1988-2015 ACORD CORPORATION . All rights reserved. <br /> ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S8625443/M8624548 WOSMH <br />
The URL can be used to link to this page
Your browser does not support the video tag.