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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231963
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COMPLIANCE INFO_2022
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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
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EHD - Public
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l ® DATE (MM/OD/YYYY) <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE <br /> 8/25/2021 <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 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 /> CONTACT <br /> PRODUCER GMGS Risk Management & Insurance Services NAME: <br /> 6201 Oak Canyon , Suite 100 PHONE E 949 559-6700 NC No) : 949 559-6703 <br /> Irvine, CA 92618 EMAIL <br /> ADDRESS : <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> WWW.gmgS.com OB84519 INSURERA : Travelers Property Casualty Co of America 25674 <br /> INSURED INSURER B : <br /> Tait & Associates , Inc . <br /> Tait Environmental Services , Inc . 'NsuRERc : <br /> 701 Parkcenter Dr. INSURER D : <br /> Santa Ana CA 92705 INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 63541192 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _$ <br /> DAMAGE TO RENED <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 F] PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ <br /> JECT <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 810-8P491962-21 -43-G 9/1 /2021 9/1 /2022OMBI EDtSINGLELIMIT $ 1000000 <br /> ✓ ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> ✓ HIRED NON-OWNED✓ AUTOS ONLY PROPERTY DAMAGE $ <br /> AUTOS ONLY <br /> $ 1 , 000 Comp. Ded . Per accident <br /> $ 1 , 000 Coll . Ded . $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> A WORKERS COMPENSATION UB-4J588939-21 -43-G 9/1 /2021 9/1 /2022 ✓ STATUTEEORH <br /> AND EMPLOYERS' LIABILITY <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y / " N / A E.L. EACH ACCIDENT $ 1 ,000 ,000 <br /> OFFICER/MEMBEREXCLUE <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE -$ ,1 0000t000 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> RE : Evidence of Insurance <br /> FOR PROPOSAL USE ONLY <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Tait & Associates Inc . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 11118 ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Santa Ana CA 92711 <br /> AUTHORIZED REPRESENTATIVE <br /> Michael Finn <br /> © 1988 -2015 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br /> 63541192 21 - 22 Auto/WC I Izabela Stachura 18 / 25 / 2021 9 : 11 : 48 Mt ( PDT) Page 1 of 1 <br />
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