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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0537637
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Entry Properties
Last modified
7/17/2026 11:05:14 AM
Creation date
6/23/2025 2:05:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0537637
PE
2960 - RWQCB LEAD AGENCY CLEAN UP SITE
FACILITY_ID
FA0021678
FACILITY_NAME
LINCOLN CENTER ENVIRONMENTAL REMEDIATION TRUST
STREET_NUMBER
6475
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741079
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
6475 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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A� CERTIFICATE OF LIABILITY INSURANCE DAM <br /> s/s/zols <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 pollcy(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 rights to the certificate holder In lieu of such endomement(s). <br /> ACT <br /> PRODUCER Marsh JLT Specialty USA NAME: Donna M. Bode <br /> 345 California Street PHONE 415-930-9049 Ac No): <br /> Suite 1300 EMAIL <br /> San Francisco, CA94104 ADDRESS: donna.bo 'a 'Itus.com <br /> INSURERSAFFOROING COVERAGE NAICN <br /> www.marsh.com California License:OH01556 INSURERA: AXIS Surplus Insurance Company 26620 <br /> INSURED INSURERS: Zurich American Insurance Company 16535 <br /> Gregg�Drilling LLC <br /> 2726 Walnut Avenue INSURERC: <br /> Signal Hill CA 90755 INSURERD: <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 51017096 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 /> I�TR TYPE OF INSURANCE ADO SUBR JM POLICYNUMBER MMIDDVUIYYIV MM/DD LICY EX OMITS <br /> A ✓ COMMERCIALGENERAL LIABILITY �/ �/ SP002682-03-2019 8/1/2019 8/1/2020 EACH OCCURRENCE $1000000 <br /> CLAIMS-MADE �✓ OCCUR PREMISES Ea occurrence $500 OOO <br /> ✓ XCU-Included MEDEXP(Anyoneperson) $25000 <br /> PERSONAL S AOV INJURY $1,000,000 <br /> GENL AGGREGATE UMITAPPLIES PER: GENERALAGGREGATE $2.000,000 <br /> ✓ POLICY 0JECT LOC PRODUCTS-COMP/OPAGG $2000000 <br /> OTHER: $ <br /> B AUTOMOBILELUIBILITY ✓ ✓ BAP0235382-02 8/1/2019 8/1/2020 CMBId D SINGLE LIMIT $1000000 <br /> ANY AUTO BODILY INJURY(Par Person) $ <br /> OWNED EDULED BODILY INJURY(Per accident) $ <br /> AUTOSONLVPSCUTH,%,HIRED NONED PROPER DAMAGEAUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> A UMBRELLAUAB ✓ OCCUR ,/ ,/ SX002683-03-2019 8/1/2019 8/1/2020 EACH OCCURRENCE $4000000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $4000000 <br /> DED I I RETENTION $ <br /> B WORKERS COMPENSATION �/ WCi0235381-02 8/1/2019 8/1/2020 STATUTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> OFFCEOPRIET EREWARTNE EENECUTIVE Y� NIA E.L.EACH ACCIDENT $1000.000 <br /> (Mandatary in NH) E.L.DISEASE-EAEMPLOYE $10000 <br /> If yes,desmbe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 00 <br /> $11,000,000 <br /> A Contractors Pollution Liability SPOO2682-03-2019 8/1/2019 8/1/2020 $1,000,000 each clairn/agg <br /> Professional Liab retro date:2/6/85 SP002682-03-2019 8/1/2019 8/1/2020 $1,000,000 each claim/agg <br /> DESCRIPEONOFOPERATIONSILOCATIONB/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more apace Is required) <br /> Project SAC111 Stockton CA <br /> Please see attachments <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Geosyntec Consultants THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 3043 Gold Canal Drive ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Suite 100 <br /> Rancho Cordova CA 95670 <br /> AUTHORIZED REPRESENTATIVE � <br /> Donna Bode <br /> ©1988.2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> 51017096 1 19-20 GL-AUTO-NC-XS-CPL-PROF I Phyllis Johnson 1 9/6/2019 2:23:12 PM (PDT) I Page 1 of 14 <br />
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