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SR0084185 (4)
Environmental Health - Public
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2900 - Site Mitigation Program
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SR0084185 (4)
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Last modified
10/27/2022 4:10:35 PM
Creation date
10/27/2022 3:47:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0084185
PE
2903
FACILITY_ID
FA0026300
FACILITY_NAME
LINCOLN CENTER ENVIRONMENTAL REMEDIATION TRUST
STREET_NUMBER
6471
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741079
ENTERED_DATE
9/7/2021 12:00:00 AM
SITE_LOCATION
6471 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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TSA Drilling Inc. dba: Penecore Drilling COMMERCIAL AUTO <br /> BAW56829954 CA 88 10 01 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified <br /> by the endorsement. <br /> COVERAGE INDEX <br /> SUBJECT PROVISION NUMBER <br /> ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT 3 <br /> ACCIDENTAL AIRBAG DEPLOYMENT 12 <br /> AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 19 <br /> AMENDED FELLOW EMPLOYEE EXCLUSION 5 <br /> AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 <br /> BROAD FORM INSURED 1 <br /> BODILY INJURY REDEFINED 22 <br /> EMPLOYEES AS INSUREDS (including employee hired auto) 2 <br /> EXTENDED CANCELLATION CONDITION 23 <br /> EXTRA EXPENSE - BROADENED COVERAGE 10 <br /> GLASS REPAIR - WAIVER OF DEDUCTIBLE 15 <br /> HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 6 <br /> HIRED AUTO COVERAGE TERRITORY 20 <br /> LOAN/ LEASE GAP 14 <br /> PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 16 <br /> PERSONAL EFFECTS COVERAGE 11 <br /> PHYSICAL DAMAGE-ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 <br /> RENTAL REIMBURSEMENT 9 <br /> SUPPLEMENTARY PAYMENTS 4 <br /> TOWING AND LABOR 7 <br /> TWO OR MORE DEDUCTIBLES 17 <br /> UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 20 <br /> SECTION 11-LIABILITY COVERAGE is amended as follows: <br /> 1. BROAD FORM INSURED <br /> SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include <br /> the following as an insured: <br /> d. Any legally incorporated entity of which you own more than 50 percent of the voting stock <br /> during the policy period. However, "insured" does not include any organization that: <br /> (1) Is a partnership or joint venture; or <br /> (2) Is an insured under any other automobile policy; or <br /> (3) Has exhausted its Limit of Insurance under any other automobile policy. <br /> Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in <br /> excess of this policy. <br /> e. Any organization you newly acquire or form, other than a partnership or joint venture,of which <br /> you own more than 50 percent of the voting stock. This automatic coverage is afforded only for <br /> 180 days from the date of acquisition or formation. However, coverage under this provision <br /> does not apply: <br /> (1) If there is similar insurance or a self-insured retention plan available to that organization; <br /> 0 2013 Liberty Mutual Insurance <br /> CA 8810 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 7 <br />
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