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CORRESPONDENCE_2000-2002
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4400 - Solid Waste Program
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PR0440005
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CORRESPONDENCE_2000-2002
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Entry Properties
Last modified
4/17/2023 4:14:05 PM
Creation date
10/21/2022 10:00:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
CORRESPONDENCE
FileName_PostFix
2000-2002
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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CERTIFICATE OF INSURANCE FOR CLOSURE AND/OR POST-CLOSURE <br /> MAINTENANCE REASONABLY FORESEEABLE CORRECTIVE ACTION <br /> if additional space Is needed, add attachment. <br /> Insurer Name: Address: License Number: <br /> Indian Harbor insurance Company Seaview House, 70 Seaview Avenue NAIC 36940 <br /> Stamford,CT 06902-6040 <br /> Insured Name: Address: <br /> Forward, Inc. 1145 W.Charter Way <br /> Stockton, CA 95206 <br /> Solid Waste Disposal Facilities Covered: <br /> (Enter Closure and Post-Closure Maintenance; and reasonably foreseeable corrective action amounts <br /> separately, if coverage is not offered, enter"N/A®as the amount. All amounts must total face amount). <br /> Solid Waste Reasonably <br /> Name Address Disposal Closure Postelosure Foreseeable <br /> f=acility Insurance Insurance I Corrective <br /> Identification Amount Amount Action <br /> Number Amount <br /> Austin Road 8069 S. Austin Road 39-AA-0001 $20,719,275 N/A <br /> Landfill Mantica.CA 95215 <br /> Policy Number: Effective FaceAmount: <br /> Date: <br /> PEC001114 11/6/01 $20,719,275 <br /> insurer Certification <br /> The Insurer hereby csH fles that it has Issued to the identified policy of insurance identified above to <br /> provide financial assurance for closure for the facilities identified above. The policy provides that monies <br /> identified In the face amount above will be available,as applicable,for the facilities when needed. The <br /> term face amount means the total amount the insurer is obligated to pay under the policy. Actual <br /> payments by the insurer will not change the face amount,although the insurer's future liability will be <br /> lowered by the amount of the.payments. The insurer further warrants that such policy conforms in all <br /> respects with the requirements of Division 30 of the Public Resources Code; Title 27 of the California <br /> Code of Regulations, Division 2,Subdivision 1, Chapter 6; and the regulations of the California <br /> Department of Insurance and under the terms and conditions described in Division 1 of the California <br /> insurance Cade for the facilities identified above,as applicable and as such regulations were constituted <br /> on the date shown below. 6 is agreed that any provision of the policy Inconsistent with such regulations is <br /> hereby amended to eliminate such Inconsistency. <br /> The Insurer further certifies that reimbursements for expenditures will be granted only if the remaining <br /> value of the policy Is sufficient to cover the remaining approved applicable costs,and if the expenditures <br /> have been reviewed and approved in writing by the California Integrated Waste Management Board <br /> (CIWMB)or its designee. . <br /> If this policy is used in combination with another mechanism,this policy shall be considered primary <br /> coverage, This insurance coverage allows assignment of the policy to a successor owner or operator. <br /> CA-SOLID WASTE-CPC (1/00) Page 1 <br /> CIWMB 106 (4/96) <br />
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