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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 CLOSUREAND/OR POST-CLOSURE <br /> MAINTENANCE REASON LY FORESEEABLE CORRECTIVE ACTION <br /> 1 <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. 114S W.Charter Wary <br /> Stockton,CA 96206 <br /> Solid Waste Disposal Facilities Covered: <br /> (Enter Closure and Post-Closure Maintenance; and reasonably foreseeable correC&13 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 Cloture Postclosure Foreseeable <br /> Facility Insurance Insurance Corrective <br /> Identification Amount Amount Action <br /> Number Amount <br /> Austin Road 9069 S.Austin Road 39-AA-0001 $4,676,711 N/A <br /> Landfill Mantica CA 96216 <br /> Policy Number: E Face Amount: <br /> Date: <br /> PE0001115 11/6/2001 $4,675,711 <br /> insurer Certification <br /> The insurer hereby certifies that it has issued to the Identified policy of insurance identified above to <br /> provide financial assurance for posk closure for the facilities[dent ad above. The policy provides that <br /> monies identified in the face amount above will be available, as applicable,for the facilities when needed. <br /> The terra 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 Code for the facilities identified above, as applicable and as such regulations were constituted <br /> on the date shown below. It 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 if 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 (1100) Page 1 <br /> CIWMi3 100 (4/96) <br />
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