DERR-2024-004047

PST Owner Information
Facility ID#
PST Facility Information
Owner Name: Facility Name:
Address: Address:
City: State: Zip: City: State: UT Zip:
Contact: Phone: Contact: Phone:
DESCRIPTION OF PETROLEUM STORAGE TANKS
Tank #
UST or AST
Date Installed
Capacity
Substance Stored
TANK/LINE TIGHTNESS TEST Indicate Pass or Fail for each tank and product line tested. Include a copy of the test.
Tank #
Tank Test
Line Test
TYPE OF FACILITY
Marketing facility, or non-marketer with facility average monthly throughput greater than 10,000 gallons.
Non-marketer with facility average monthly throughput less than 10,000 gallons.
COMPLIANCE WITH PST REGULATIONS
All Petroleum Storage Tanks (PSTs) at this facility have been registered.
Registration fees and Petroleum Storage Tank Fund Fees have been paid.
Are your PSTs currently in compliance with all Federal, State, and Local PST regulations, including applicable Fire Code?
Yes No If "No" describe items of non-compliance:
PREVIOUS POLLUTION INCIDENTS
Complete the Previous Pollution Incidents form to indicate whether a pollution incident has occurred at the facility.
FINANCIAL RESPONSIBILITY MECHANISM DECLARATION (check one only)
* Non-regulated PSTs at the facility may be required to participate in the Environmental Assurance Program.
I choose another Financial Responsibility mechanism for the PSTs at this facility.
•Indicate the financial responsibility mechanism to be used:
•(For self-insurance or guarantee) Indicate your company’s fiscal year end date:
•(For Insurance) Indicate the date the policy is renewed each year:
The Certificate of Compliance cannot be issued until all documents have been submitted and the mechanism has been approved. If
the mechanism has already been approved, submit documentation of coverage for the new tanks.
I certify under penalty of law that the above representations made by me are true and correct.
CofCapp 1022
Utah Petroleum Storage Tank Program
Application for Certificate of Compliance
I choose to participate in the Environmental Assurance Program (PST Fund) *.
•Indicate the financial responsibility mechanism to be used for cleanup costs not covered by the Fund.
•Indicate the number of non-regulated petroleum storage tanks at the facility.
Owner/operator Signature Date Signed
9000409
Staker & Parson Companies Roosevelt
2350 S 1900 W
Ogden UT 84401
Selina Gratkowski 385-400-2119
1368 South 3000 West
Roosevelt 84066
Lane Goodrich (435)-722-5013
RT#8 RT#9
AST AST
20,000 GAL
Diesel
1,000 GAL
Gas
RT#8 RT#9
Pass Pass
Pass Pass
X
X
X
X
September 1st
X
1/30/2024
EZY CHEK SYSTEMS TEST DATE
PRODUCT LINE TESTER Testing Company Information
DATA SHEET Name
Address
City
Test Location Information
Precision Testing Technologies, Inc.
2026 W. Elk Creek Crt.
Bluffdale, UT
Test Location Information Phone
Name
Address Technican Information
City Name
Phone Cert #
801-886-9224
Contact
Applied Pressure
#1 Product Type:#2 Product Type:
TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH
0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000
0.0037 0.00370.0037 0.0037
0.0037 0.0037
0.0037 0.0037
0.0037 0.0037
0.0037 0.0037
FINAL RESULT:FINAL RESULT:
#3 Product Type:#4 Product Type:
TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH
0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000
0.0037 0.0037
0.0037 0.0037
0.0037 0.0037
0.0037 0.00370.0037 0.0037
0.0037 0.0037
FINAL RESULT:FINAL RESULT:
#5 Product Type:#6 Product Type:
TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH
0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.000000.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000
0.0037 0.0037
0.0037 0.0037
0.0037 0.0037
0.0037 0.0037
0.0037 0.0037
FINAL RESULT:FINAL RESULT:
Facility ID#
:
11/06/2023
Burdick Materials
1368 S. 3000 W.
Roosevelt, UT 84066 Dominic Salas
UT-378
55psi
Reg
0 78
15 77 -1 .0037 .0148
30 76 -1 .0037 .0148
Pass
Dsl
0 72
15 71 -1 .0037 .0148
30 70 -1 .0037 .0148
Pass
11/06/2023
Dominic Salas
UT-378
Annual Checklist Page 1 of 4
STI SP001 Annual Inspection Checklist
General Inspection Information:
Inspection Date: __________________ Prior Inspection Date: _________________ Retain until date: __________________
Inspector Name (print):________________________________________________________________ Title: _____________________________
Inspector’s Signature: ___________________________________________________________________________
Tank(s) inspected ID ___________________________________________________________________
Regulatory facility name and ID number (if applicable) ____________________________________________________________________
Inspection Guidance:
¾This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent (as applicable).
¾For equipment not included in this Standard, follow the manufacturer recommended inspection/testing schedules and procedures.
¾The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure. This visual inspection does not require a Certified
Inspector. It shall be performed by an owner’s inspector per paragraph 4.1.2 of the standard.
¾Remove promptly standing water or liquid discovered in the primary tank, secondary containment area, interstice, or spill container. Before discharge to the
environment, inspect the liquid for regulated products or other contaminants and disposed of it properly.
¾In order to comply with EPA SPCC (Spill Prevention, Control and Countermeasure) rules, a facility should regularly test liquid level sensing devices to ensure proper
operation (40 CFR 112.8(c)(8)(v)).
¾Non-conforming items important to tank or containment integrity require evaluation by an engineer experienced in AST design, a Certified Inspector, or a tank
manufacturer who will determine the corrective action. Note the non-conformance and corresponding corrective action in the comm ent section.
¾Retain the completed checklists for at least 36 months.
¾Complete this checklist on an annual basis, supplemental to the owner monthly-performed inspection checklists.
¾Note: If a change has occurred to the tank system or containment that may affect the SPCC plan, the condition should be evaluated against the current plan
requirement by a Professional Engineer knowledgeable in SPCC development and implementation.
,7(067$786&200(176'$7(&255(&7('
Tank Foundation/Supports
1 Free of tank settlement or foundation washout?
2 Concrete pad or ring wall free of cracking and
spalling?
11-06-23
Dominic Salas Tester
Dsl, Reg
Burdick Materials - Roosevelt
Yes
Yes
Annual Checklist Page 2 of 4
3 Tank supports in satisfactory condition?
4 Is water able to drain away from tank if tank is resting
on a foundation or on the ground?
5 Is the grounding strap between the tank
and foundation/supports in good condition?
Tank Shell, Heads and Roof
6 Free of visible signs of coating failure?
7 Free of noticeable distortions, buckling, denting,
or bulging?
8 Free of standing water on roof?
9 Are all labels and tags intact and legible?
Tank Manways, Piping, and Equipment
10 Flanged connection bolts tight and fully engaged with
no sign of wear or corrosion?
Tank Equipment
11 Normal and emergency vents free of obstructions?
12 Normal vent on tanks storing gasoline equipped with
pressure/vacuum vent?
13 Are flame arrestors free of corrosion and are air
passages free of blockage?
14
Is the emergency vent in good working condition and
functional, as required by manufacturer? Consult
manufacturer’s requirements. Verify that
components are moving freely (including long-bolt
manways).
15
Is interstitial leak detection equipment in good
condition? Are windows on sight gauges clear? Are
wire connections intact? If equipment has a test
function, does it activate to confirm operation?”
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Annual Checklist Page 3 of 4
16
Are all valves free of leaks, corrosion and other
damage? Follow manufacturers’ instructions for
regular maintenance of these items. Check the
following and verify (as applicable):
□1. Anti-siphon valve
□2. Check valve
□3. Gate valve
□4. Pressure regulator valve
□5. Expansion relief valve
□6. Solenoid valve
□7. Fire valve
□8. Shear valve
17 Are strainers and filters clean and in good condition?
Insulated Tanks
18
Free of missing insulation?
Insulation free of visible signs of damage?
Insulation adequately protected from water intrusion?
19 Insulation free of noticeable areas of moisture?
20 Insulation free of mold?
21 Free of visible signs of coating failure?
Tank / Piping Release Detection
22 Is inventory control being performed and documented
if required?
23 Is release detection being performed and documented
if required?
Other Equipment
24 Are electrical wiring and boxes in good condition?
25
Has the cathodic protection system on
the tank been tested as required by
the designing engineer?
1.
2.
3.
4.
5.
6.
7.
8.
NA
Yes
NA
NA
NA
Yes
NA
NA
Yes
NA
NA
NA
Yes
Yes
Yes
Yes
NA
NA
Yes
NA
Yes
NA
NA
Yes
NA
Yes
NA
Yes
Yes
Yes
NA
Annual Checklist Page 4 of 4
Additional Comments:
N/A
Tank ID:
RT #8
RT#9

Tank ID:
RT #8
RT#9 *1,000 gal
Utah Petroleum Storage Tank Program
Previous Pollution Incidents Facility ID#
This letter, or an equivalent, must be signed and submitted as a requirement for receiving a
Certificate of Compliance.
To: Mr. Brent H. Everett
Director
Division of Environmental Response and Remediation
Dear Mr. Everett:
As required by paragraph 19-6-413 of the Utah Underground Storage Tank Act, I have performed
a tank and line tightness test on each tank at my facility. Based on this test, there has not been a
release of petroleum. Additionally, based on "customary business inventory practices standards" I
am not aware of any release of petroleum from my tanks.
Signature of owner/operator
Or, if a release is known to have occurred at this facility:
I have had the following releases of petroleum (detailed below; also indicate the actions you have
taken to clean up the release):
Signature of owner/operator
Failure to report previous releases could invalidate your Certificate of Compliance.
ppiform 1022
9000409
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
This contract is registered and delivered as a surplus line coverage under the Surplus Line Insurance Law, O.C.G.A.
Chapter 33-5.
STORAGE TANK THIRD PARTY LIABILITY
CORRECTIVE ACTION AND CLEANUP POLICY
COVERAGE IS PROVIDED ON A CLAIMS-MADE, REPORTED AND DEFENSE WITHIN LIMITS
BASIS.
Policy Number:IRONTX11583102 New/Renewal:Renewal
Renewal of:IRONTX11583101
Item 1.NAMED INSURED: CRH Americas, Inc. (F/K/A Oldcastle)
ADDRESS:900 Ashwood Parkway
Atlanta, GA 30338
First Named Insured
The Named Insured is: Individual, Partnership, Joint Venture,
Organization (Other than Partnership or Joint Venture)
Item 2.POLICY PERIOD:From September 01, 2023 To:September 01, 2024
12:01 AM standard time at the address of the Named Insured as stated herein.
Item 3.RETROACTIVE DATE:Please see schedule attached at the end of the document
Item 4.In return for the payment of the premium, and subject to all the terms of this policy, we agree
with you to provide the insurance we stated in this policy.
A.Each Incident Limit:$1,000,000
B.Aggregate Limit Per Policy Period $1,000,000
C.Aggregate Claims Expense Limit:$1,000,000
Item 5.Deductible Each Pollution Incident Please see schedule attached at the end of the document
Item 6.a.Covered Location(s):
Loc.
#
Location Name Street Address City State Postal Code
1 APAC - Atlantic, Inc. -
Danville Office & Shop 239 Eastwood Drive Danville VA 24540-4940
2 APAC - Atlantic, Inc. -
Greensboro Shop 3500 Holts Chapel Road Greensboro NC 27401-4527
3
APAC - Atlantic, Inc. -
Thompson Arthur
Division Main Office
300 South Benbow Road Greensboro NC 27401-3402
4
APAC Kansas, Inc. -
Kansas City Division -
Bonner Springs Quarry -
(Fac: 30075)
1800 South 121 Street Bonner
Springs KS 66012-6012
Page 1 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
5
APAC Kansas, Inc. -
Shears Division - Wichita
Office/Shop/Plant - (Fac:
03917)
3511 South West Street Wichita KS 67217-1043
6 Appalachian Aggregates -
Abingdon Asphalt Plant 21339 Gravel Lake Road Abingdon VA 24211
7
Appalachian Aggregates -
Bluefield Asphalt Plant &
Shop
2967 Virginia Avenue Bluefield VA 24605-8972
8 Appalachian Aggregates -
Castlewood Asphalt Plant 25507 Highway 58A Castlewood VA 24224
9 Appalachian Aggregates -
Castlewood Quarry 49 Quarry Road Castlewood VA 24224
10 Appalachian Aggregates -
Dickensonville Quarry 25503 Us Highway 58 Castlewood VA 24224
11 Appalachian Aggregates -
Glade Spring Asphalt Plant 33040 Ramblewood Drive Glade Spring VA 24340-4329
12 Appalachian Aggregates -
Glade Stone 14196 Monroe Road Glade Spring VA 24340-4418
13 Appalachian Aggregates -
Lyall Stone 4648 Potato Creek Road Mouth of
Wilson VA 24363-3256
14 Appalachian Aggregates -
Norton Asphalt 6420 Powell Valley Road Big Stone
Gap VA 24219
15
Appalachian Aggregates -
Raven Asphalt Plant &
Lab
5060 Clarks Valley Road Swords Creek VA 24649
16 Appalachian Aggregates -
Saltville Stone 1852 Valley Road Saltville VA 24370
17 Appalachian Aggregates -
Vansant Asphalt Plant 1123 Asphalt Road Oakwood VA 24631
18 Appalachian Aggregates -
Woodway Asphalt Plant Hwy 642 E. Woodway Community Pennington
Gap VA 24277
19
Appalachian Aggregates -
Wytheville Asphalt Plant &
Lab
2035 Chapman Road Wytheville VA 24382
20 Ash Grove Materials Corp
- 63rd St RMC Plant 5810 East 63rd Street Kansas City MO 64130
21
Ash Grove Materials Corp
- Central RMC Plant -
(Fac: 27389)
211 Central Avenue Kansas City KS 66118-1117
22
Ash Grove Materials Corp
- Olathe RM Plant - (Fac:
28294)
1340 West 149th Street Olathe KS 66061-6814
23
Dolomite Products
Company, Inc. - Blades
Construction - Hornell
Shop
7610 County Road 65 PO Box 590 Hornell NY 14843-9626
Page 2 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
24
Dolomite Products
Company, Inc. - Hornell
Asphalt - Hornell Batch
Plant
7612 County Road 65 PO Box 590 Hornell NY 14843
25
Four Corners Materials -
Bisti PS&G -
Maintenance Building
1370 Bisti Highway Farmington NM 87401
26
Four Corners Materials -
Crouch Mesa - NMSLO &
BLM - Crouch Mesa
RMC
210 County Road 390 Farmington NM 87401
27 Lyman-Richey - Elkhorn
Readymix Plant 848 North 192nd Street Omaha NE 68022-3919
28 Pennsy Supply - Dorrance
Quary 35 Small Mountain Road Wapwallopen PA 18660
29 Pennsy Supply - East
Pete-B&O Shop 2742 Lancaster Road Manheim PA 17545-8892
30 Pennsy Supply - Paxton St
Shop 1001 Paxton Street Harrisburg PA 17104-1645
31 Pennsy Supply -
Landisville Shop 350 Prospect Road Mount Joy PA 17552-9217
32 Pennsy Supply - Pittston
Quarry 300 Armstrong Road Pittston PA 18640-9628
33 Pennsy Supply - Prescott
Shop 201 Prescott Road Lebanon PA 17042-9222
34
Pike Industries, Inc. -
80103-Shop - Hooksett
Shop, NH
38 Hackett Hill Road Hooksett NH 03106-2509
35
Pike Industries, Inc. -
80104-Shop - West
Lebanon Shop, NH
335 North Plainfield Road Lebanon NH 03784-2010
36
Pike Industries, Inc. -
80301-Shop - Burlington
Shop R3
35 Avenue A Williston VT 05495
37 Pioneer Materials -
Tarburton S&G 752 Long Point Road Dover DE 19901-1201
38 Pioneer Materials -
Wilmington Asphalt 1100 South Heald Street Wilmington DE 19801-5765
39 Preferred Materials -
Alafaya RMC Plant 4001 South Alafaya Trail Orlando FL 32831-2009
40 Preferred Materials - Alico
Rd #2 RMC Plant 7290 Alico Road Fort Myers FL 33912-6003
41 Preferred Materials - Alico
Rd RMC Plant 7270 Alico Road Fort Myers FL 33912
42 Preferred Materials - Alico
Rd Shop/Office 14299 Alico Road Fort Myers FL 33913
43 Preferred Materials - Alta
RMC Plant 10417 Alta Drive Jacksonville FL 32226-2301
Page 3 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
44 Preferred Materials - Avon
Park HMA Plant
1127 Memorial Drive (FKA 1550
S Highlands)Avon Park FL 33825-3784
45 Preferred Materials -
Baldwin RMC Plant 900 Hwy 301 North Baldwin FL 32234-1142
46
Preferred Materials -
Bonita Springs RMC &
Block Plant
25091 Old 41 Road Bonita
Springs FL 34135-7041
47
Preferred Materials -
Bradenton (63rd Ave)
RMC Plant
1923 63rd Avenue East Bradenton FL 34203-5021
48
Preferred Materials -
Bradenton (9th St. E)
RMC & Block Plant
1709 9th Street East Bradenton FL 34208-3509
49 Preferred Materials -
Cabbage Grove Quarry 19080 Aucilla River Road Lamont FL 32336
50 Preferred Materials - Canal
St RMC Plant 4262 Canal Street Fort Myers FL 33916-6546
51 Preferred Materials -
Cantonment Terminal 110 Stone Boulevard Cantonment FL 32533-7344
52 Preferred Materials -
Clearwater RMC Plant 3757 118th Avenue North Pinellas Park FL 33716
53
Preferred Materials -
PS&G - Conrad Sand
Mine
10567 Old Grade Road Polk City FL 33868
54 Preferred Materials - Coral
Rock Block Plant 41451 Cook Brown Road Punta Gorda FL 33982-7727
55 Preferred Materials -
Davenport RMC & Gunite 4000 Sand Mine Road Davenport FL 33897-3415
56 Preferred Materials - Davie
Gunite Plant 2301 College Avenue Davie FL 33317-7155
57
Preferred Materials -
Daytona Beach Rail
Distribution Terminal
360 North Segrave Street Daytona
Beach FL 32114-3143
58 Preferred Materials -
Daytona RMC and GU 1189 Indian Lake Road Daytona
Beach FL 32124-1052
59 Preferred Materials -
Debary RMC Plant 328 Benson Junction Road DeBary FL 32713
60
Preferred Materials -
Debary Rail Distribution
Terminal
299 Spring View Commerce Drive DeBary FL 32713
61
Preferred Materials -
Defuniak Springs Rail
Distribution Terminal
104 Lees Place Defuniak
Springs FL 32435
62 Preferred Materials -
Division Ave RMC Plant 2201 South Division Avenue Orlando FL 32805-6230
63 Preferred Materials - Fort
Myers HMA(Alico Rd)17900 Green Meadow Road Fort Myers FL 33913
64 Preferred Materials - Ft
Myers Gunite Plant 16401 Old US 41 Fort Myers FL 33912-2263
Page 4 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
65 Preferred Materials - Ft
Pierce Gunite Plant 3825 Selvitz Road Fort Pierce FL 34981-4726
66 Preferred Materials -
Gainesville HMA Plant 7615 Northwest 13th Street Gainesville FL 32653-1114
67
Preferred Materials -
Golden Gate - Naples
Asphalt Plant
911 5th Street Southwest Naples FL 34117
68
Preferred Materials -
Green Cove Springs RMC
Plant
1219 Clear Hall Lane Green Cove
Springs FL 32043-3746
69 Preferred Materials -
Groveland Block Plant 19840 Independence Boulevard Groveland FL 34736-8538
70 Preferred Materials -
Hudson RMC Plant 8625 Arcola Avenue Hudson FL 34667-3638
71
Preferred Materials -
Jacksonville (General Ave)
HMA Plant
10655 General Avenue Jacksonville FL 32220
72
Preferred Materials -
Jacksonville (Greenland
Rd) HMA Plant
6699 Colray Court Jacksonville FL 32258-2411
73
Preferred Materials -
Jacksonville (New Berlin
Rd) HMA Plant
10420 New Berlin Road Jacksonville FL 32226-2216
74 Preferred Materials -
Jacksonville Central RMC 9715 East Florida Mining Blvd Jacksonville FL 32223
75
Preferred Materials -
Jacksonville Rail
Distribution Terminal
2025 Dennis Street Jacksonville FL 32204-1901
76 Preferred Materials -
Kissimmee HMA Plant 733 East Duncan Avenue Kissimmee FL 34744-1916
77 Preferred Materials -
Kissimmee RMC Plant 1145 Garden Street Kissimmee FL 34744-1409
78 Preferred Materials -
Lakeland RMC Plant 255 Edwards Avenue Lakeland FL 33815
79 Preferred Materials -
Laurel HMA Plant 520 Gene Green Road Nokomis FL 34275-3624
80 Preferred Materials -
Lockhart RMC Plant 7130 Overland Road Orlando FL 32810-3422
81 Preferred Materials -
Melbourne HMA Plant 6210 North US Highway 1 Melbourne FL 32940
82 Preferred Materials -
Melbourne RMC & Gunite 2585 Avocado Avenue Melbourne FL 32935-5586
83
Preferred Materials -
Miami Rail Distribution
Terminal
5816 SW Krome Avenue Miami FL 33193
84
Preferred Materials -
Milton Rail Distribution
Terminal
6134 Wastle Road Milton FL 32583-8941
Page 5 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
85
Preferred Materials -
Naples (Shirley St) RMC
Plant
6300 Shirley Street Naples FL 34109
86 Preferred Materials -
Narcoossee Rd RMC Plant 7400 Narcoossee Road Orlando FL 32822-5586
87 Preferred Materials - Ocala
Rail Distribution Terminal 2002 Southwest 5th Avenue Ocala FL 34471
88
Preferred Materials -
Odessa RMC & Block
Plant
11913 SR 54 Odessa FL 33556-3469
89
Preferred Materials -
Orlando Rail Distribution
Terminal
410 West Kaley Street Orlando FL 32806-3943
90
Preferred Materials -
Panama City Rail
Distribution Terminal
2 Edwards Drive Panama City FL 32405
91 Preferred Materials - Pasco
RMC & Block Plant 15822 Hudson Avenue Spring Hill FL 34610-7608
92
Preferred Materials -
Pinellas HMA Plant -
Clearwater Asphalt Plant
12955 40th Street North Clearwater FL 33762
93 Preferred Materials -
Placida RMC Plant 4500 Linwood Road Placida FL 33946
94 Preferred Materials -
Pondella Rd RMC Plant 2110 Pondella Road Cape Coral FL 33903
95 Preferred Materials - Punta
Gorda RMC Plant 3333 Acline Road Punta Gorda FL 33950-8419
96 Preferred Materials -
Riverview RMC Plant 6723 South 78th Street Riverview FL 33578-8804
97
Preferred Materials -
Sanford Rail Distribution
Terminal
2490 Jewett Lane Sanford FL 32771-1692
98 Preferred Materials - St.
Augustine RMC & Gunite 497 Industry Place St. Augustine FL 32095-8602
99 Preferred Materials -
Starke Site 4105 Southeast 144th Street Starke FL 32091
100
Preferred Materials -
Tampa (57th St) RMC
Plant
1811 North 57th Street Tampa FL 33619
101 Preferred Materials -
Tampa HMA Plant 6701 East Hanna Avenue Tampa FL 33610-9517
102 Preferred Materials -
Tampa RMC and Gunite 5151 South 24th Avenue Tampa FL 33619-5300
103 Preferred Materials -
Venice Gunite Plant 210 Rich Street Venice FL 34292-3145
104 Preferred Materials -
Venice RMC Plant 123 South Jackson Road Venice FL 34292
105 Preferred Materials - West
Palm Beach Gunite Plant 7228 Westport Place West Palm
Beach FL 33413-1683
Page 6 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
106
Preferred Materials -
Wildwood Rail
Distribution Terminal
512 Doctor Martin Luther King Wildwood FL 34785
107 Preferred Materials -
Winter Garden RMC Plant 201 Hennis Road Winter
Garden FL 34787-2410
108 Preferred Materials -
Winter Haven HMA Plant 1445 42nd Street Winter Haven FL 33881
109 Preferred Materials -
Winter Park RMC Plant 4000 Forsyth Road Winter Park FL 32792-6803
110 Preferred Materials -
Winter Springs HMA Plant 750 Macasphalt Place Winter
Springs FL 32708
111 Redimix Companies, Inc. -
Manchester NH 89 Calef Road Manchester NH 03103-6326
112 Shamblin - Wilson Island 70 Dunbar Avenue Dunbar WV 25064-3322
113 Shamblin - Scary 658 Winfield Road Saint Albans WV 25177-1554
114 Shamblin - Marmet 11005 MacCorkle Avenue
Southeast Marmet WV 25315
115 Shamblin - Hugheston 296 Stephens Street Hugheston WV 25110
116 Shelly - Lima Asphalt 600 North Sugar Street - PO Box
938 Lima OH 45801-4184
117 Shelly - Thornville Garage 143 East Columbus Street Thornville OH 43076-8731
118
Staker & Parson
Companies - Beck Street -
Staker Paving &
Construction
2080 North Beck Street Salt Lake City UT 84116
119
Staker & Parson
Companies - Brigham Pit
North Shop
800 East Forest Street Brigham City UT 84302
120
Staker & Parson
Companies - Elsinore
North Hales Shop
282 West 1400 South Elsinore UT 84724
121
Staker & Parson
Companies - Herriman -
Beef Hollow / Point West
16101 Porter Rockwell Blvd Herriman UT 84065
122
Staker & Parson
Companies - Huntington
Main Office & Shop -
Nielson Construction
825 North Loop Road Huntington UT 84528
123
Staker & Parson
Companies - Ogden-
Asphalt/Landscape
Yard/Ready Mix
2350 South 1900 West Ogden UT 84401-3216
124
Staker & Parson
Companies - Reynolds
Shop
6951 West 5400 South Salt Lake City UT 84118
Page 7 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
125
Staker & Parson
Companies - Roosevelt
Shop
1368 South 3000 West Roosevelt UT 84066-5603
126
Staker & Parson
Companies - Vernal
Redi-Mix Plant
4268 South Vernal Avenue Vernal UT 84078-8868
127
Texas Materials Group dba
TexasBit - JLB Shop &
Admin Building
7151 Randol Mill Road (325
Trinity Court)Fort Worth TX 76120
128 Western Rock Products -
Cedar City Asphalt Plant 1759 North Bulldog Road Cedar City UT 84721
129 Western Rock Products -
Ft. Pierce Asphalt Plant 1834 East 4150 South St. George UT 84790
130 APROD - Oldcastle
Infrastructure 2140 Pondella Road Cape Coral FL 33909
131
APROD - Oldcastle
Infrastructure - OI
Standard Precast
12300 Presidents Way Jacksonville FL 32220-3225
132 APROD - Oldcastle
Infrastructure 726 West Taft Vineland Road Orlando FL 32824-8009
133 APROD - Hancock
Concrete Products, LLC 1601 East 39th Street North Sioux Falls SD 57104
134 APROD - Hancock
Concrete Products, LLC 17 Atlantic Avenue Hancock MN 56244
135 APROD - Oldcastle APG
Lawn & Garden, Inc.30075 US Highway 27 Moore Haven FL 33471-5834
136 APROD - Oldcastle APG
Coastal 3749 Copeland Drive Zephyrhills FL 33542
137 APROD - Oldcastle APG
Coastal 4600 Magnum Drive Fort Pierce FL 34981-4836
138 APROD - Oldcastle APG
Lawn & Garden, Inc.1963 Southwest 351 Highway Cross City FL 32628
139 APROD - Oldcastle APG
Lawn & Garden, Inc.6681 North Country Road 663 Fort Green FL 33834
140 APROD - Oldcastle APG
Coastal 5959 Soutel Drive Jacksonville FL 32219-3739
141 APROD - Oldcastle APG
Coastal 39 West Landstreet Road Orlando FL 32824
142
APROD - Oldcastle APG
Northfield Block
Company
One Hunt Court Mundelein IL 60060
143 APROD - Oldcastle APG
Lawn & Garden, Inc.1512 Highway 17N Bostwick FL 32007
144 APROD - Oldcastle APG
Lawn & Garden, Inc.2427 RSW Ranch Road Davenport FL 33837-8803
145 APROD - Oldcastle APG
Coastal 1511 1st Street West Auburndale FL 33823-4042
146 APROD - Oldcastle APG
Coastal 150 East Olive Road Pensacola FL 32514-4529
Page 8 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
147 APROD - Oldcastle APG
Coastal 5455 North 59th Street Tampa FL 33610-2011
148 APROD - Oldcastle APG
Coastal 421 Leonard Blvd North Lehigh Acres FL 33971
149 APROD - Oldcastle APG
Coastal
1590 North Andrews Avenue
Extension
Pompano
Beach FL 33069
150 APROD - Oldcastle APG
Coastal 1980 Marley Road Haines City FL 33844-9202
151 APROD - Oldcastle APG
Coastal 1200 Northwest 18th Street Pompano
Beach FL 33069-1722
152 APROD - Oldcastle APG,
Inc., d/b/a E. P. Henry 16 Anderson Road Parker Ford PA 19457
153 APROD - Oldcastle APG,
Inc., d/b/a E. P. Henry 4200 West Boulevard South Vineland NJ 08360
154 APROD - Oldcastle APG,
Inc., d/b/a E. P. Henry 201 Park Avenue Woodbury NJ 08096-3523
155 APROD - Oldcastle APG,
Inc., d/b/a E. P. Henry 2 Farago Boulevard Fort Dix NJ 08640
156 APROD - Oldcastle
Infrastructure - Precast 8363 East Sam Lee Lane Northlake TX 76262
157 OLDCASTLE LAWN &
GARDEN, Inc.110 Marble Street Lee MA 01238
158
Staker & Parson
Companies - Redmond
Shop-Hales
408 West 100 South Redmond UT 84652
159
West Virginia Group -
04312 Strasburg Asphalt
Plant
866 Oranda Road Strasburg VA 22657
160 West Virginia Group -
Winchester Shop/Office 2786 Martinsburg Pike Stephenson VA 22656-1712
161
West Virginia Group -
Chilhowie Shop
Office/Garage
1506 Virginia 107 Chilhowie VA 24319
162
West Virginia Group -
04311 Clearbrook Asphalt
Plant
Route 672 Brucetown Road Clear Brook VA 22624
163
Southern West Virginia
Asphalt, Inc. - Logan
HMA
119 Whitman Creek Road Whitman WV 25652
164
Southern West Virginia
Asphalt, Inc. - Elkins
HMA
Route 33 Kelly Mountain Road Elkins WV 26241
165
Southern West Virginia
Asphalt, Inc. - Huntington
HMA
4022 Ohio River Road Huntington WV 25702
166 West Virginia Paving, Inc.
- Parsons Shop 219 South Elkins Road Parsons WV 26287
Page 9 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Location Name Street Address City State Postal Code
167
Idaho Materials and
Construction - Gordon
Office/Yard
1310 Addison Avenue West Twin Falls ID 83301-5419
168
Suwanee American
Cement Co., LLC -
Branford, FL - 9805060
5117 US Highway 27 Branford FL 32008
169
Suwanee American
Cement Co., LLC -
Sumterville, FL - Cement
Plant
4750 East C 470 Sumterville FL 33585
b. Covered Storage Tank(s):

Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
1 1 Off
Road
Diese
l -
Shop
AST 1993 9,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1993
$100,000
1 2 On
Road
Diese
l -
Shop
AST 1993 9,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1993
$100,000
2 1 Diese
l
Shop
#1
UST 1990 8,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2008
$100,000
2 2 Used
Oil
#1
UST 1990 8,000 Coated or Bare
Steel
Double
Wall
Other September
01, 2008
$100,000
2 3 Used
Oil
#2
UST 1990 1,000 Coated or Bare
Steel
Double
Wall
Other September
01, 2008
$100,000
3 1 1A UST 1990 8,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2008
$100,000
4 1 1 UST 1996 12,000 Coated or Bare
Steel
Single
Wall
Diesel July 13, 2010 $100,000
5 1 015 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2008
$100,000
5 2 016 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2008
$100,000
5 3 017 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2008
$100,000
5 4 018 UST 1997 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
$100,000
5 5 019 UST 1998 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
$100,000
Page 10 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
5 6 020 UST 1998 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
$100,000
6 1 30901 AST 2018 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2018
$100,000
6 2 30902 AST 2018 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2018
$100,000
6 3 30903 AST 2006 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2006
$100,000
7 1 32100
1
AST 1980 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1980
$100,000
7 2 32100
2
AST 2018 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2018
$100,000
7 3 32100
3
AST 2008 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2008
$100,000
7 4 32100
4
AST 2010 2,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2010
$100,000
8 1 30100
2
AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
8 2 F801
30
AST 2018 6,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2018
$100,000
9 1 3 AST 2008 500 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
2008
$100,000
9 2 4 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
9 3 5 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
9 4 7 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2008
$100,000
9 5 1 AST 2019 10,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2019
$100,000
9 6 2 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
9 7 3 AST 2008 750 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
10 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
10 2 3 AST 2010 500 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2010
$100,000
10 3 4 AST 2004 500 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
10 4 5 AST 2004 500 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
10 5 6 AST 2004 500 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
11 1 30300
1
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
11 2 30300
2
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
Page 11 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
11 3 30300
4
AST 2007 1,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2007
$100,000
11 4 30300
5
AST 2007 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2007
$100,000
11 5 30300
6
AST 2007 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2007
$100,000
12 1 1 AST 2009 8,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2009
$100,000
12 2 2 AST 2015 500 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2015
$100,000
12 3 6 AST 2015 550 Coated or Bare
Steel
Double
Wall
Other January 01,
2015
$100,000
12 4 7 AST 2015 550 Coated or Bare
Steel
Double
Wall
Other January 01,
2015
$100,000
13 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
13 2 2 AST 2015 500 Coated or Bare
Steel
Double
Wall
Heating
Oil
January 01,
2015
$100,000
14 1 30700
1
AST 2019 30,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2019
$100,000
14 2 30700
2
AST 1995 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1995
$100,000
14 3 30700
3
AST 2006 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2006
$100,000
14 4 30700
4
AST 1995 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
1995
$100,000
15 1 31900
1
AST 1989 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1989
$100,000
15 2 31900
2
AST 1989 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
1989
$100,000
15 3 31900
4
AST 1989 2,400 Coated or Bare
Steel
Double
Wall
Other January 01,
1989
$100,000
16 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
17 1 43220
1
AST 2009 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2009
$100,000
17 2 43220
3
AST 2011 15,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2011
$100,000
18 1 30800
1
AST 2000 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
18 2 30800
3
AST 2008 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2008
$100,000
19 1 43140
1
AST 2009 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2009
$100,000
19 2 43140
2
AST 2009 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2009
$100,000
19 3 43140
3
AST 2009 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2009
$100,000
Page 12 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
19 4 43140
4
AST 2009 2,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2009
$100,000
19 5 43140
5
AST 2009 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2009
$100,000
20 1 2 UST 1983 10,000 Coated or Bare
Steel
Single
Wall
Diesel November
06, 1995
$250,000
21 1 U001 UST 1985 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
22 1 U001 UST 1984 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
23 1 M008 UST 1998 4,000 Coated or Bare
Steel
Double
Wall
Gasoline September
09, 2014
$100,000
23 2 M009 UST 1998 12,000 Coated or Bare
Steel
Double
Wall
Diesel September
09, 2014
$100,000
24 1 HM0
08
UST 1998 4,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2023
$100,000
24 2 HM0
09
UST 1998 12,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2023
$100,000
25 1 Unit
#
90-11
2
AST 2019 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2019
$100,000
25 2 Unit
#
90-11
3
AST 2019 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2019
$100,000
26 1 #1 AST 2005 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2005
$100,000
27 1 05292
A
UST 2005 15,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2021
$100,000
27 2 05292
B
UST 2005 6,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2021
$100,000
28 1 SM-U
ST-1
UST 1997 10,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2015
$100,000
29 1 EP-U
ST-1
UST 1989 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
$100,000
29 2 EP-U
ST-2
UST 1989 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
29 3 EP-U
ST-3
UST 1989 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
30 1 3-1A UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
$100,000
30 2 3-1B UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
$100,000
30 3 3-2 UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
31 1 LV-U
ST-2
UST 1999 10,000 Coated or Bare
Steel
Single
Wall
Heating
Oil
December
30, 2015
$100,000
Page 13 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
32 1 PITU
ST1
UST 1994 30,000 Coated or Bare
Steel
Single
Wall
Diesel December
30, 2015
$100,000
33 1 PR-U
ST-C
3A
UST 1990 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
33 2 PR-U
ST-C
3B
UST 1990 4,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
34 1 89-50
12
UST 2004 15,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2014
$100,000
35 1 89-31
07
UST 1993 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 18,
2008
$100,000
36 1 89-80
17
UST 1990 1,000 Coated or Bare
Steel
Double
Wall
Other September
29, 2014
$100,000
37 1 TAR
B-FA
ST-1
AST 2004 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2004
$100,000
38 1 PTE
R-FA
ST-1
AST 2004 500 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
2004
$100,000
38 2 PTE
R-FA
ST-2
AST 2004 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2004
$100,000
38 3 PTE
R-FA
ST-3
AST 2004 10,000 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
2004
$100,000
38 4 PTE
R-FA
ST-4
AST 2004 500 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
2004
$100,000
39 1 1-980
8183
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
40 1 1 AST 1986 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1986
$100,000
41 1 1 AST 2002 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2002
$100,000
42 1 7 AST 2001 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2001
$100,000
43 1 1-980
2122
AST 2000 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
44 1 1 AST 1976 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1976
$100,000
44 2 2 AST 1988 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1988
$100,000
44 3 3 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
44 4 4 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
44 5 5 AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
Page 14 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
44 6 6 AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
45 1 1-980
5992
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
46 1 1 AST 2000 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
47 1 1 AST 2008 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
48 1 1 AST 2007 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
49 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
49 2 3 AST 2011 3,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
2011
$100,000
50 1 1 AST 2005 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2005
$100,000
51 1 1 AST 2017 2,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2017
$100,000
52 1 1 AST 1999 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
53 1 1 AST 2015 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2015
$100,000
54 1 1 AST 2005 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2005
$100,000
55 1 1-980
6993
AST 2000 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
56 1 1-980
0490
AST 1997 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1997
$100,000
57 1 SEA1 AST 1999 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
58 1 1-980
8835
AST 2007 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
59 1 1-981
4566
AST 2015 3,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2015
$100,000
60 1 DEB
1
AST 2007 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
61 1 DEF
1
AST 1999 3,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
62 1 1 AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
63 1 1 AST 2000 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2000
$100,000
63 2 2 AST 2014 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
63 3 3 AST 2015 26,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2015
$100,000
63 4 4 AST 2015 26,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2015
$100,000
Page 15 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
63 5 5 AST 2015 26,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2015
$100,000
64 1 1-980
1977
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
65 1 1 AST 2020 6,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2020
$100,000
66 1 A/C -
Tank

Num
ber 1
AST 2019 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2019
$100,000
66 2 A/C -
Tank

Num
ber 2
AST 1995 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1995
$100,000
66 3 Diese
l
Tank
AST 2006 5,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2006
$100,000
66 4 RFO
-
Tank
Num
ber 3
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
66 5 RFO
-
Tank
Num
ber 4
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
67 1 1 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
67 2 2 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
67 3 3 AST 2018 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2018
$100,000
67 4 4 AST 2016 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2016
$100,000
67 5 10 AST 2006 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
67 6 11 AST 2023 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2023
$100,000
68 1 1-980
0566
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
69 1 1-981
0699
AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
69 2 2-981
0699
AST 2012 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2012
$100,000
70 1 98134
13
AST 2012 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2012
$100,000
Page 16 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
71 1 H062
37
AST 2022 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2022
$100,000
72 1 A/C -
Tank

Num
ber 1
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
72 2 A/C -
Tank

Num
ber 2
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
72 3 A/C -
Tank

Num
ber 3
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
72 4 A/C -
Tank

Num
ber 4
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
72 5 RFO
-
Tank
Num
ber 3
AST 2000 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2000
$100,000
72 6 RFO
-
Tank
Num
ber 4
AST 2000 10,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2000
$100,000
72 7 Tack
Tank
AST 2017 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
72 8 Fuel
Tank
-
On/
Off
Road
Diese
l
Tank
AST 1999 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
73 1 A/C -
Tank

Num
ber 1
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
Page 17 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
73 2 A/C -
Tank

Num
ber 2
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
73 3 Ac
Tank
NUm
ber 3
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
73 4 RFO
-
Tank
Num
ber 3
AST 2000 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2000
$100,000
73 5 RFO
-
Tank
Num
ber 4
AST 2000 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2000
$100,000
74 1 1 AST 2021 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2021
$100,000
75 1 JAX1 AST 1995 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1995
$100,000
76 1 A/C -
Tank

Num
ber 1
AST 2008 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 2 A/C -
Tank

Num
ber 2
AST 2008 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 3 A/C -
Tank

Num
ber 3
AST 2008 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 4 A/C -
Tank

Num
ber 4
AST 2008 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 5 Diese
l
Tank
AST 2007 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2007
$100,000
Page 18 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
76 6 RFO
-
Tank
Num
ber 1
AST 2007 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2007
$100,000
76 7 RFO
-
Tank
Num
ber 2
AST 2007 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2007
$100,000
76 8 Tack
Tank
Num
ber 1
AST 2008 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 9 Tack
Tank
Num
ber 2
AST 2008 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 10 Used
Oil
Stora
ge
Tank
AST 2007 750 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
2007
$100,000
77 1 1-894
3612
AST 2016 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2016
$100,000
78 1 1-981
5298
AST 2016 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2016
$100,000
79 1 2 AST 1996 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1996
$100,000
79 2 4 AST 2014 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2014
$100,000
79 3 5 AST 2013 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2013
$100,000
79 4 AC
Tank
AST 2020 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2020
$100,000
79 5 AC
Tank
AST 2020 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2020
$100,000
80 1 1-920
0222
AST 2011 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2011
$100,000
81 1 Diese
l
Tank
AST 1981 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1981
$100,000
82 1 1-980
8184
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
83 1 MIA1 AST 1995 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1995
$100,000
84 1 MIL1 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
Page 19 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
85 1 1 AST 1985 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1985
$100,000
86 1 1 AST 1993 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1993
$100,000
87 1 OCA
1
AST 1997 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1997
$100,000
88 1 1-960
2645
AST 2020 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2020
$100,000
88 2 1-851
9851
AST 1999 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
89 1 ORL
1
AST 2008 4,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
90 1 PNC
1
AST 2000 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
91 1 1-981
4142
AST 2014 8,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2014
$100,000
92 1 1 AST 1998 8,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1998
$100,000
92 2 2 AST 1998 15,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
1998
$100,000
92 3 3 AST 1991 25,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1991
$100,000
92 4 7 AST 2010 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2010
$100,000
93 1 1 AST 1992 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1992
$100,000
94 1 1 AST 2007 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
95 1 1 AST 1988 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1988
$100,000
96 1 1 AST 1986 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1986
$100,000
97 1 SAN1 AST 2007 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
98 1 1-980
7948
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
99 1 Diese
l
Tank
AST 2008 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
99 2 RFO
-
Tank
Num
ber 3
AST 2008 8,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
99 3 RFO
-
Tank
Num
ber 4
AST 2008 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
Page 20 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
100 1 1 AST 1999 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
101 1 1 AST 2008 14,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2008
$100,000
101 2 2 AST 2008 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
101 3 3 AST 2008 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
101 4 5 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
101 5 6 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
101 6 7 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
101 7 8 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
102 1 1-981
2210
AST 2010 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2010
$100,000
103 1 1-980
4727
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
104 1 1 AST 2000 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
105 1 1-980
6746
AST 2007 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
106 1 WLD
1
AST 2006 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
107 1 1 AST 1999 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
108 1 5304 AST 2007 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
108 2 5307 AST 2006 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 3 AC
Tank
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
108 4 AC
Tank
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
108 5 Asph
G2
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 6 Asph
G3
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 7 Asph
G5
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
108 8 Emul
sified
Asph
alt
AST 2006 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
Page 21 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
108 9 Emul
sified
Asph
alt
AST 2006 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
109 1 1 AST 1997 10,000 Coated or Bare
Steel
Double
Wall
Other January 01,
1997
$100,000
110 1 A/C -
Tank

Num
ber 1
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
110 2 A/C -
Tank

Num
ber 2
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
110 3 A/C -
Tank

Num
ber 3
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
110 4 Diese
l
Tank
AST 1999 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
110 5 Diese
l
Tank
-
Num
ber 2
AST 1999 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
110 6 RFO
-
Tank
Num
ber 1
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1999
$100,000
110 7 RFO
-
Tank
Num
ber 2
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1999
$100,000
110 8 Tack
Tank
Num
ber 1
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
110 9 Tack
Tank
Num
ber 2
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
Page 22 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
110 10 Used
Oil
Stora
ge
Tank
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
1999
$100,000
111 1 5A/5
B
Dual
Com
partm
ent
Tank
UST 1994 15,000 Coated or Bare
Steel
Double
Wall
Diesel December
18, 2015
$100,000
112 1 218 UST 1994 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 18,
2008
$100,000
113 1 221 UST 1995 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
17, 1999
$100,000
114 1 219 UST 1993 8,000 Coated or Bare
Steel
Single
Wall
Diesel September
17, 1999
$100,000
115 1 220 UST 1995 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
17, 1999
$100,000
116 1 T01 -
Diese
l Fuel
UST 1988 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
04, 2014
$100,000
116 2 T02 -
Diese
l Fuel
UST 1988 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
04, 2014
$100,000
117 1 T01 -
Gasol
ine
UST 1990 10,000 Coated or Bare
Steel
Double
Wall
Gasoline September
09, 2014
$100,000
117 2 T2 -
Diese
l Fuel
UST 1990 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
09, 2014
$100,000
118 1 BK#
1
AST 2006 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
118 2 BK#
2
AST 2003 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
118 3 BK#
3
AST 2003 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
118 4 BK#
4
AST 1999 6,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
1999
$100,000
119 1 90.48
1
AST 1999 21,000 Coated or Bare
Steel
Double
Wall
Diesel
Gasoline
January 01,
1999
$100,000
120 1 90.19
0.2
AST 1999 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
121 1 F400
41
AST 2022 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2022
$100,000
121 2 F400
42
AST 2022 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2022
$100,000
Page 23 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
122 1 1 AST 1999 11,500 Coated or Bare
Steel
Double
Wall
New Oil January 01,
1999
$100,000
123 1 90.48
2
AST 1991 16,500 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1991
$100,000
124 1 90.16
05
AST 1999 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
125 1 RT#8 AST 1999 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
125 2 RT#9 AST 1999 1,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
1999
$100,000
126 1 VL#1 AST 1999 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
127 1 1 UST 1987 20,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2022
$100,000
127 2 2 UST 1984 20,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2022
$100,000
127 3 3 UST 1982 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2022
$250,000
128 1 CC#1 AST 2005 6,580 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
128 2 CC#3 AST 2005 9,064 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2005
$100,000
128 3 Tank
18
AST 2008 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
129 1 FP#6 AST 2008 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
129 2 FP#8 AST 2008 10,212 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
129 3 FP#1 AST 2005 15,546 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
129 4 FP#2 AST 2005 15,546 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
130 1 1 AST 2013 250 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2013
$100,000
130 2 2 AST 2008 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2008
$100,000
130 3 3 AST 2013 250 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2013
$100,000
131 1 1 AST 2004 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
132 1 1 AST 1994 250 Coated or Bare
Steel
Single
Wall
Diesel January 11,
1994
$100,000
133 1 1 UST 2011 10,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2023
$100,000
134 1 1 UST 1999 12,000 Coated or Bare
Steel
Single
Wall
Diesel March 12,
2021
$100,000
135 1 1 AST 1998 3,000 Coated or Bare
Steel
Single
Wall
Gasoline
Diesel
January 01,
1998
$100,000
Page 24 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
136 1 1 AST 1996 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1996
$100,000
137 1 1 AST 2020 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2020
$100,000
138 1 1 AST 2001 15,000 Coated or Bare
Steel
Single
Wall
Gasoline
Diesel
January 01,
2001
$100,000
139 1 1 AST 2001 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2001
$100,000
140 1 1 AST 2006 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2006
$100,000
140 2 2 AST 2010 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2010
$100,000
141 1 1 AST 2000 300 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2000
$100,000
142 1 1 UST 1988 10,000 Coated or Bare
Steel
Single
Wall
Diesel July 01, 2003 $100,000
142 2 2 UST 1988 3,000 Coated or Bare
Steel
Single
Wall
Diesel July 01, 2003 $100,000
143 1 3 AST 2004 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
143 2 4 AST 2007 500 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2007
$100,000
143 3 5 AST 2007 2,500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2007
$100,000
144 1 1 AST 1994 1,000 Coated or Bare
Steel
Single
Wall
Gasoline January 01,
1994
$100,000
144 2 2 AST 1994 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1994
$100,000
144 3 3 AST 1996 4,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1996
$100,000
145 1 1 AST 2005 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
146 1 1 AST 1980 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1980
$100,000
147 1 1 AST 1999 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
148 1 2 AST 2003 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2003
$100,000
149 1 1 AST 2007 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2007
$100,000
150 1 1 AST 1996 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1996
$100,000
150 2 #2 AST 2005 1,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2005
$100,000
151 1 1 AST 1998 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1998
$100,000
151 2 2 AST 1998 250 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
1998
$100,000
Page 25 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
151 3 3 AST 1998 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1998
$100,000
152 1 1 AST 1997 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1997
$100,000
153 1 1 AST 1994 6,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1994
$100,000
154 1 1 AST 1993 6,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1993
$100,000
154 2 1 AST 1993 2,000 Coated or Bare
Steel
Single
Wall
Gasoline January 01,
1993
$100,000
155 1 1 AST 2004 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
156 1 1 UST 1987 6,000 Coated or Bare
Steel
Single
Wall
Diesel November
08, 2022
$100,000
156 2 2 UST 1987 6,000 Coated or Bare
Steel
Single
Wall
Gasoline November
08, 2022
$100,000
157 1 1 UST 1992 30,000 Coated or Bare
Steel
Double
Wall
Heating
Oil
November
03, 2022
$100,000
158 1 1 AST 2009 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2009
$100,000
159 1 1 AST 1997 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1997
$100,000
159 2 2 AST 2005 25,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2005
$100,000
159 3 3 AST 2001 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2001
$100,000
159 4 4 AST 2004 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
159 5 5 AST 2001 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2001
$100,000
159 6 6 AST 2005 6,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2005
$100,000
160 1 1 AST 2001 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2001
$100,000
160 2 2 AST 1998 10,000 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
1998
$100,000
160 3 3 AST 1998 8,000 Coated or Bare
Steel
Single
Wall
Gasoline January 01,
1998
$100,000
160 4 4 AST 1987 3,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1987
$100,000
160 5 5 AST 1991 500 Coated or Bare
Steel
Single
Wall
Other January 01,
1991
$100,000
160 6 6 AST 1991 500 Coated or Bare
Steel
Single
Wall
Other January 01,
1991
$100,000
161 1 1 AST 2004 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
161 2 2 AST 2004 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
Page 26 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
161 3 3 AST 2004 1,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2004
$100,000
161 4 11 AST 2017 6,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2017
$100,000
161 5 12 AST 2017 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2017
$100,000
162 1 1 AST 2007 35,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2007
$100,000
162 2 2 AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
162 3 3 AST 1991 15,000 Coated or Bare
Steel
Single
Wall
Heating
Oil
January 01,
1991
$100,000
162 4 4 AST 2003 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2003
$100,000
162 5 5 AST 2003 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2003
$100,000
163 1 T2 -
Tank
Label:

023-0
00011
99
AST 2012 2,005 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2012
$100,000
163 2 T3 -
Tank
Label:

023-0
00012
00
AST 2005 2,500 Coated or Bare
Steel
Single
Wall
Other January 01,
2005
$100,000
164 1 AP3-
1 -
Tank
Label:

042-0
00005
08
AST 2014 16,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2014
$100,000
165 1 T3 -
Tank
Label:

006-0
00001
43
AST 2005 2,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
Page 27 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
166 1 1
(Tank

Label:

047-0
00000
22)
AST 2002 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2002
$100,000
166 2 2
(Tank

Label:

047-0
00000
25)
AST 2000 4,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2000
$100,000
166 3 3
(Tank

Label:

047-0
00000
26)
AST 2022 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2022
$100,000
167 1 TF01 UST 2008 20,000 Coated or Bare
Steel
Double
Wall
Diesel July 22, 2015 $100,000
167 2 TF02 UST 2008 20,000 Coated or Bare
Steel
Double
Wall
Diesel July 22, 2015 $100,000
167 3 TF03 UST 2008 10,000 Coated or Bare
Steel
Double
Wall
Gasoline July 22, 2015 $100,000
168 1 1 AST 2002 600 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2002
$100,000
168 2 2 AST 2002 700 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2002
$100,000
168 3 3 AST 2003 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
168 4 4 AST 2003 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
168 5 5 AST 2003 1,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
2003
$100,000
169 1 1 AST 2009 20,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2009
$100,000
169 2 2 AST 2009 20,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2009
$100,000
169 3 6 AST 2009 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2009
$100,000
169 4 7 AST 2009 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2009
$100,000
Page 28 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Loc.
#
Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.
Date
Deductible
169 5 8 AST 2009 660 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2009
$100,000
169 6 12 AST 2019 872 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2019
$100,000
Item 7.POLICY PREMIUM $112,170
TRIA PREMIUM: (Certified Acts of Terrorism)REJECTED
TRIA PREMIUM: (Non-Certified Acts of Terrorism)REJECTED
TOTAL PREMIUM:$112,170
Premium Due 30 days after the effective date shown above.
This policy, including all endorsements issued herewith, is hereby countersigned by

PRESIDENT SECRETARY
Broker:MARSH USA INC.
Broker Address:3560 Lenox Road, Suite 2400
Atlanta, GA 30326
[e-mail]
Page 29 of 30
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
SCHEDULE OF FORMS
ENDORSEMENT NUMBER FORM NUMBER FORM NAME
1 SC-9 (08/18)Service of Suit Clause - Georgia
2 TRIA-ENV-E002-0315 Exclusion of Certified Acts of Terrorism
3 SL-OFAC-0419 Sanction Limitation and Exclusion Clause
4 E-TX-27 (10-19)Claim and Notice Reporting
5 E-TX-1 (7/02)Schedule of Covered Locations and
Storage Tanks Amendatory Endorsement
6 E-TX-5 (02/19)Cancellation - 100% Minimum Earned
Premium
7 E-TX-MAN (09/18)Deductible Amendatory Endorsement
(Scheduled)
8 E-TX-MAN (09/18)Deductible Amendatory Endorsement
(Scheduled)
9 E-TX-17 (10-19)Notice Of Underground Storage Tank
Removal
Page 30 of 30
Page 1 of 1
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 1
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SERVICE OF SUIT CLAUSE ± GEORGIA
This endorsement modifies insurance provided under the following:
ALL COVERAGE PARTS IN THIS POLICY
Liberty Surplus Insurance Corporation hereby appoints the Superintendent, Commissioner or Director of Insurance or
other officer specified for that purpose in the statute or his successor or successors in office, as the agent upon whom may
be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Insured or any beneficiary
hereunder arising out of this contract of insurance.
The Company furthermore designates Corporation Service Company, 40 Technology Parkway South, #300, Norcross, GA
30092 as the agent to whom a copy of the Service of Process should be forwarded by the Superintendent, Commissioner
or Director of Insurance or other officer specified for that purpose in the State of Georgia. A copy of any process, ªsuitº,
complaint or summons may be made upon the Office of the General Counsel, North America Specialty, Liberty Mutual
Insurance, C/O Liberty Surplus Insurance Corporation, 175 Berkeley Street, Boston, MA 02116.
SC-9 (08/18)
Page 1 of 1
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 2
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION OF CERTIFIED ACTS OF TERRORISM
It is hereby agreed that the policy is amended as follows:
A.The following exclusion is added:
This insurance does not apply to:
TERRORISM
ªAny injury or damageº arising, directly or indirectly, out of a ªcertified act of terrorismº.
B.The following definitions are added:
1.For the purposes of this endorsement, ªany injury or damageº means any injury, damage or loss covered under
any Coverage Part, Policy or underlying insurance to which this endorsement is applicable, and includes but is not
limited to ªbodily injuryº, ªbusiness interruptionº, ªclean-up costsº, ªcorrective actionº, ªdefense expenseº or
ªproperty damageº as may be defined in any applicable Coverage Part, or Policy or underlying insurance.
2.ªCertified act of terrorismº means an act that is certified by the Secretary of the Treasury, in consultation with the
Secretary of Homeland Security and the Attorney General of the United States, to be an act of terrorism pursuant
to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk Insurance Act for a
ªcertified act of terrorismº include the following:
a.The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance
subject to the Terrorism Risk Insurance Act; and
b.The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed
by an individual or individuals as part of an effort to coerce the civilian population of the United States or to
influence the policy or affect the conduct of the United States Government by coercion.
TRIA-ENV-E002-0315 Includes copyrighted materials of Insurance Services Office, Inc., with its permission.
Page 1 of 1
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 3
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SANCTION LIMITATION AND EXCLUSION CLAUSE
No Insurer shall be deemed to provide cover and no Insurer shall be liable to pay any claim or provide any benefit
hereunder to the extent that the provision of such cover, payment of such claim or provision of such benefit would expose
that Insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic
sanctions, laws or regulations of the European Union, United Kingdom or United States of America.
All other terms, conditions and exclusions of this policy remain unchanged.
SL-OFAC-0419
Page 1 of 1
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 4
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CLAIM AND NOTICE REPORTING
Subject to the claims and notice reporting provisions within the policy, claim and notice reports may be given in writing
via:
POSTAL SERVICE to:
Ironshore Environmental Claims CSO
28 Liberty Street, 5th Floor
New York, NY 10005
E-MAIL to:
[e-mail]
FAX to:
646-826-6601
By phone via:
24 Hour Claims Phone Number:
[phone]
All other terms and conditions remain unchanged.
E-TX-27 (10-19)
Page 1 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 5
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SCHEDULE OF COVERED LOCATIONS AND STORAGE TANKS
AMENDATORY ENDORSEMENT
It is agreed that Item 6.a and Item 6.b of the Declarations are deemed to include the following:
Item 6.a.Covered Locations
Loc. #Location Name Street Address City State Postal Code
1 APAC - Atlantic, Inc.
- Danville Office &
Shop
239 Eastwood Drive Danville VA 24540-4940
2 APAC - Atlantic, Inc.
- Greensboro Shop
3500 Holts Chapel Road Greensboro NC 27401-4527
3 APAC - Atlantic, Inc.
- Thompson Arthur
Division Main Office
300 South Benbow Road Greensboro NC 27401-3402
4 APAC Kansas, Inc. -
Kansas City Division -
Bonner Springs
Quarry - (Fac: 30075)
1800 South 121 Street Bonner
Springs
KS 66012-6012
5 APAC Kansas, Inc. -
Shears Division -
Wichita
Office/Shop/Plant -
(Fac: 03917)
3511 South West Street Wichita KS 67217-1043
6 Appalachian
Aggregates -
Abingdon Asphalt
Plant
21339 Gravel Lake Road Abingdon VA 24211
7 Appalachian
Aggregates - Bluefield
Asphalt Plant & Shop
2967 Virginia Avenue Bluefield VA 24605-8972
8 Appalachian
Aggregates -
Castlewood Asphalt
Plant
25507 Highway 58A Castlewood VA 24224
9 Appalachian
Aggregates -
Castlewood Quarry
49 Quarry Road Castlewood VA 24224
E-TX-1 (7/02)
Page 2 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
10 Appalachian
Aggregates -
Dickensonville
Quarry
25503 Us Highway 58 Castlewood VA 24224
11 Appalachian
Aggregates - Glade
Spring Asphalt Plant
33040 Ramblewood Drive Glade Spring VA 24340-4329
12 Appalachian
Aggregates - Glade
Stone
14196 Monroe Road Glade Spring VA 24340-4418
13 Appalachian
Aggregates - Lyall
Stone
4648 Potato Creek Road Mouth of
Wilson
VA 24363-3256
14 Appalachian
Aggregates - Norton
Asphalt
6420 Powell Valley Road Big Stone Gap VA 24219
15 Appalachian
Aggregates - Raven
Asphalt Plant & Lab
5060 Clarks Valley Road Swords Creek VA 24649
16 Appalachian
Aggregates - Saltville
Stone
1852 Valley Road Saltville VA 24370
17 Appalachian
Aggregates - Vansant
Asphalt Plant
1123 Asphalt Road Oakwood VA 24631
18 Appalachian
Aggregates -
Woodway Asphalt
Plant
Hwy 642 E. Woodway
Community
Pennington
Gap
VA 24277
19 Appalachian
Aggregates -
Wytheville Asphalt
Plant & Lab
2035 Chapman Road Wytheville VA 24382
20 Ash Grove Materials
Corp - 63rd St RMC
Plant
5810 East 63rd Street Kansas City MO 64130
21 Ash Grove Materials
Corp - Central RMC
Plant - (Fac: 27389)
211 Central Avenue Kansas City KS 66118-1117
22 Ash Grove Materials
Corp - Olathe RM
Plant - (Fac: 28294)
1340 West 149th Street Olathe KS 66061-6814
23 Dolomite Products
Company, Inc. -
Blades Construction -
Hornell Shop
7610 County Road 65 PO Box 590 Hornell NY 14843-9626
24 Dolomite Products
Company, Inc. -
Hornell Asphalt -
Hornell Batch Plant
7612 County Road 65 PO Box 590 Hornell NY 14843
E-TX-1 (7/02)
Page 3 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
25 Four Corners
Materials - Bisti
PS&G -
Maintenance Building
1370 Bisti Highway Farmington NM 87401
26 Four Corners
Materials - Crouch
Mesa - NMSLO &
BLM - Crouch Mesa
RMC
210 County Road 390 Farmington NM 87401
27 Lyman-Richey -
Elkhorn Readymix
Plant
848 North 192nd Street Omaha NE 68022-3919
28 Pennsy Supply -
Dorrance Quary
35 Small Mountain Road Wapwallopen PA 18660
29 Pennsy Supply - East
Pete-B&O Shop
2742 Lancaster Road Manheim PA 17545-8892
30 Pennsy Supply -
Paxton St Shop
1001 Paxton Street Harrisburg PA 17104-1645
31 Pennsy Supply -
Landisville Shop
350 Prospect Road Mount Joy PA 17552-9217
32 Pennsy Supply -
Pittston Quarry
300 Armstrong Road Pittston PA 18640-9628
33 Pennsy Supply -
Prescott Shop
201 Prescott Road Lebanon PA 17042-9222
34 Pike Industries, Inc. -
80103-Shop -
Hooksett Shop, NH
38 Hackett Hill Road Hooksett NH 03106-2509
35 Pike Industries, Inc. -
80104-Shop - West
Lebanon Shop, NH
335 North Plainfield Road Lebanon NH 03784-2010
36 Pike Industries, Inc. -
80301-Shop -
Burlington Shop R3
35 Avenue A Williston VT 05495
37 Pioneer Materials -
Tarburton S&G
752 Long Point Road Dover DE 19901-1201
38 Pioneer Materials -
Wilmington Asphalt
1100 South Heald Street Wilmington DE 19801-5765
39 Preferred Materials -
Alafaya RMC Plant
4001 South Alafaya Trail Orlando FL 32831-2009
40 Preferred Materials -
Alico Rd #2 RMC
Plant
7290 Alico Road Fort Myers FL 33912-6003
41 Preferred Materials -
Alico Rd RMC Plant
7270 Alico Road Fort Myers FL 33912
42 Preferred Materials -
Alico Rd Shop/Office
14299 Alico Road Fort Myers FL 33913
43 Preferred Materials -
Alta RMC Plant
10417 Alta Drive Jacksonville FL 32226-2301
44 Preferred Materials -
Avon Park HMA
Plant
1127 Memorial Drive (FKA 1550
S Highlands)
Avon Park FL 33825-3784
E-TX-1 (7/02)
Page 4 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
45 Preferred Materials -
Baldwin RMC Plant
900 Hwy 301 North Baldwin FL 32234-1142
46 Preferred Materials -
Bonita Springs RMC
& Block Plant
25091 Old 41 Road Bonita Springs FL 34135-7041
47 Preferred Materials -
Bradenton (63rd Ave)
RMC Plant
1923 63rd Avenue East Bradenton FL 34203-5021
48 Preferred Materials -
Bradenton (9th St. E)
RMC & Block Plant
1709 9th Street East Bradenton FL 34208-3509
49 Preferred Materials -
Cabbage Grove
Quarry
19080 Aucilla River Road Lamont FL 32336
50 Preferred Materials -
Canal St RMC Plant
4262 Canal Street Fort Myers FL 33916-6546
51 Preferred Materials -
Cantonment Terminal
110 Stone Boulevard Cantonment FL 32533-7344
52 Preferred Materials -
Clearwater RMC Plant
3757 118th Avenue North Pinellas Park FL 33716
53 Preferred Materials -
PS&G - Conrad Sand
Mine
10567 Old Grade Road Polk City FL 33868
54 Preferred Materials -
Coral Rock Block
Plant
41451 Cook Brown Road Punta Gorda FL 33982-7727
55 Preferred Materials -
Davenport RMC &
Gunite
4000 Sand Mine Road Davenport FL 33897-3415
56 Preferred Materials -
Davie Gunite Plant
2301 College Avenue Davie FL 33317-7155
57 Preferred Materials -
Daytona Beach Rail
Distribution Terminal
360 North Segrave Street Daytona
Beach
FL 32114-3143
58 Preferred Materials -
Daytona RMC and
GU
1189 Indian Lake Road Daytona
Beach
FL 32124-1052
59 Preferred Materials -
Debary RMC Plant
328 Benson Junction Road DeBary FL 32713
60 Preferred Materials -
Debary Rail
Distribution Terminal
299 Spring View Commerce Drive DeBary FL 32713
61 Preferred Materials -
Defuniak Springs Rail
Distribution Terminal
104 Lees Place Defuniak
Springs
FL 32435
62 Preferred Materials -
Division Ave RMC
Plant
2201 South Division Avenue Orlando FL 32805-6230
63 Preferred Materials -
Fort Myers
HMA(Alico Rd)
17900 Green Meadow Road Fort Myers FL 33913
E-TX-1 (7/02)
Page 5 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
64 Preferred Materials -
Ft Myers Gunite Plant
16401 Old US 41 Fort Myers FL 33912-2263
65 Preferred Materials -
Ft Pierce Gunite Plant
3825 Selvitz Road Fort Pierce FL 34981-4726
66 Preferred Materials -
Gainesville HMA
Plant
7615 Northwest 13th Street Gainesville FL 32653-1114
67 Preferred Materials -
Golden Gate - Naples
Asphalt Plant
911 5th Street Southwest Naples FL 34117
68 Preferred Materials -
Green Cove Springs
RMC Plant
1219 Clear Hall Lane Green Cove
Springs
FL 32043-3746
69 Preferred Materials -
Groveland Block
Plant
19840 Independence Boulevard Groveland FL 34736-8538
70 Preferred Materials -
Hudson RMC Plant
8625 Arcola Avenue Hudson FL 34667-3638
71 Preferred Materials -
Jacksonville (General
Ave) HMA Plant
10655 General Avenue Jacksonville FL 32220
72 Preferred Materials -
Jacksonville
(Greenland Rd) HMA
Plant
6699 Colray Court Jacksonville FL 32258-2411
73 Preferred Materials -
Jacksonville (New
Berlin Rd) HMA
Plant
10420 New Berlin Road Jacksonville FL 32226-2216
74 Preferred Materials -
Jacksonville Central
RMC
9715 East Florida Mining Blvd Jacksonville FL 32223
75 Preferred Materials -
Jacksonville Rail
Distribution Terminal
2025 Dennis Street Jacksonville FL 32204-1901
76 Preferred Materials -
Kissimmee HMA
Plant
733 East Duncan Avenue Kissimmee FL 34744-1916
77 Preferred Materials -
Kissimmee RMC
Plant
1145 Garden Street Kissimmee FL 34744-1409
78 Preferred Materials -
Lakeland RMC Plant
255 Edwards Avenue Lakeland FL 33815
79 Preferred Materials -
Laurel HMA Plant
520 Gene Green Road Nokomis FL 34275-3624
80 Preferred Materials -
Lockhart RMC Plant
7130 Overland Road Orlando FL 32810-3422
81 Preferred Materials -
Melbourne HMA
Plant
6210 North US Highway 1 Melbourne FL 32940
E-TX-1 (7/02)
Page 6 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
82 Preferred Materials -
Melbourne RMC &
Gunite
2585 Avocado Avenue Melbourne FL 32935-5586
83 Preferred Materials -
Miami Rail
Distribution Terminal
5816 SW Krome Avenue Miami FL 33193
84 Preferred Materials -
Milton Rail
Distribution Terminal
6134 Wastle Road Milton FL 32583-8941
85 Preferred Materials -
Naples (Shirley St)
RMC Plant
6300 Shirley Street Naples FL 34109
86 Preferred Materials -
Narcoossee Rd RMC
Plant
7400 Narcoossee Road Orlando FL 32822-5586
87 Preferred Materials -
Ocala Rail
Distribution Terminal
2002 Southwest 5th Avenue Ocala FL 34471
88 Preferred Materials -
Odessa RMC & Block
Plant
11913 SR 54 Odessa FL 33556-3469
89 Preferred Materials -
Orlando Rail
Distribution Terminal
410 West Kaley Street Orlando FL 32806-3943
90 Preferred Materials -
Panama City Rail
Distribution Terminal
2 Edwards Drive Panama City FL 32405
91 Preferred Materials -
Pasco RMC & Block
Plant
15822 Hudson Avenue Spring Hill FL 34610-7608
92 Preferred Materials -
Pinellas HMA Plant -
Clearwater Asphalt
Plant
12955 40th Street North Clearwater FL 33762
93 Preferred Materials -
Placida RMC Plant
4500 Linwood Road Placida FL 33946
94 Preferred Materials -
Pondella Rd RMC
Plant
2110 Pondella Road Cape Coral FL 33903
95 Preferred Materials -
Punta Gorda RMC
Plant
3333 Acline Road Punta Gorda FL 33950-8419
96 Preferred Materials -
Riverview RMC Plant
6723 South 78th Street Riverview FL 33578-8804
97 Preferred Materials -
Sanford Rail
Distribution Terminal
2490 Jewett Lane Sanford FL 32771-1692
98 Preferred Materials -
St. Augustine RMC &
Gunite
497 Industry Place St. Augustine FL 32095-8602
99 Preferred Materials -
Starke Site
4105 Southeast 144th Street Starke FL 32091
E-TX-1 (7/02)
Page 7 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
100 Preferred Materials -
Tampa (57th St) RMC
Plant
1811 North 57th Street Tampa FL 33619
101 Preferred Materials -
Tampa HMA Plant
6701 East Hanna Avenue Tampa FL 33610-9517
102 Preferred Materials -
Tampa RMC and
Gunite
5151 South 24th Avenue Tampa FL 33619-5300
103 Preferred Materials -
Venice Gunite Plant
210 Rich Street Venice FL 34292-3145
104 Preferred Materials -
Venice RMC Plant
123 South Jackson Road Venice FL 34292
105 Preferred Materials -
West Palm Beach
Gunite Plant
7228 Westport Place West Palm
Beach
FL 33413-1683
106 Preferred Materials -
Wildwood Rail
Distribution Terminal
512 Doctor Martin Luther King Wildwood FL 34785
107 Preferred Materials -
Winter Garden RMC
Plant
201 Hennis Road Winter Garden FL 34787-2410
108 Preferred Materials -
Winter Haven HMA
Plant
1445 42nd Street Winter Haven FL 33881
109 Preferred Materials -
Winter Park RMC
Plant
4000 Forsyth Road Winter Park FL 32792-6803
110 Preferred Materials -
Winter Springs HMA
Plant
750 Macasphalt Place Winter Springs FL 32708
111 Redimix Companies,
Inc. - Manchester NH
89 Calef Road Manchester NH 03103-6326
112 Shamblin - Wilson
Island
70 Dunbar Avenue Dunbar WV 25064-3322
113 Shamblin - Scary 658 Winfield Road Saint Albans WV 25177-1554
114 Shamblin - Marmet 11005 MacCorkle Avenue
Southeast
Marmet WV 25315
115 Shamblin -
Hugheston
296 Stephens Street Hugheston WV 25110
116 Shelly - Lima Asphalt 600 North Sugar Street - PO Box
938
Lima OH 45801-4184
117 Shelly - Thornville
Garage
143 East Columbus Street Thornville OH 43076-8731
118 Staker & Parson
Companies - Beck
Street - Staker Paving
& Construction
2080 North Beck Street Salt Lake City UT 84116
119 Staker & Parson
Companies - Brigham
Pit North Shop
800 East Forest Street Brigham City UT 84302
E-TX-1 (7/02)
Page 8 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
120 Staker & Parson
Companies - Elsinore
North Hales Shop
282 West 1400 South Elsinore UT 84724
121 Staker & Parson
Companies -
Herriman - Beef
Hollow / Point West
16101 Porter Rockwell Blvd Herriman UT 84065
122 Staker & Parson
Companies -
Huntington Main
Office & Shop -
Nielson Construction
825 North Loop Road Huntington UT 84528
123 Staker & Parson
Companies - Ogden-
Asphalt/Landscape
Yard/Ready Mix
2350 South 1900 West Ogden UT 84401-3216
124 Staker & Parson
Companies - Reynolds
Shop
6951 West 5400 South Salt Lake City UT 84118
125 Staker & Parson
Companies -
Roosevelt Shop
1368 South 3000 West Roosevelt UT 84066-5603
126 Staker & Parson
Companies - Vernal
Redi-Mix Plant
4268 South Vernal Avenue Vernal UT 84078-8868
127 Texas Materials
Group dba TexasBit -
JLB Shop & Admin
Building
7151 Randol Mill Road (325
Trinity Court)
Fort Worth TX 76120
128 Western Rock
Products - Cedar City
Asphalt Plant
1759 North Bulldog Road Cedar City UT 84721
129 Western Rock
Products - Ft. Pierce
Asphalt Plant
1834 East 4150 South St. George UT 84790
130 APROD - Oldcastle
Infrastructure
2140 Pondella Road Cape Coral FL 33909
131 APROD - Oldcastle
Infrastructure - OI
Standard Precast
12300 Presidents Way Jacksonville FL 32220-3225
132 APROD - Oldcastle
Infrastructure
726 West Taft Vineland Road Orlando FL 32824-8009
133 APROD - Hancock
Concrete Products,
LLC
1601 East 39th Street North Sioux Falls SD 57104
134 APROD - Hancock
Concrete Products,
LLC
17 Atlantic Avenue Hancock MN 56244
135 APROD - Oldcastle
APG Lawn &
Garden, Inc.
30075 US Highway 27 Moore Haven FL 33471-5834
E-TX-1 (7/02)
Page 9 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
136 APROD - Oldcastle
APG Coastal
3749 Copeland Drive Zephyrhills FL 33542
137 APROD - Oldcastle
APG Coastal
4600 Magnum Drive Fort Pierce FL 34981-4836
138 APROD - Oldcastle
APG Lawn &
Garden, Inc.
1963 Southwest 351 Highway Cross City FL 32628
139 APROD - Oldcastle
APG Lawn &
Garden, Inc.
6681 North Country Road 663 Fort Green FL 33834
140 APROD - Oldcastle
APG Coastal
5959 Soutel Drive Jacksonville FL 32219-3739
141 APROD - Oldcastle
APG Coastal
39 West Landstreet Road Orlando FL 32824
142 APROD - Oldcastle
APG Northfield
Block Company
One Hunt Court Mundelein IL 60060
143 APROD - Oldcastle
APG Lawn &
Garden, Inc.
1512 Highway 17N Bostwick FL 32007
144 APROD - Oldcastle
APG Lawn &
Garden, Inc.
2427 RSW Ranch Road Davenport FL 33837-8803
145 APROD - Oldcastle
APG Coastal
1511 1st Street West Auburndale FL 33823-4042
146 APROD - Oldcastle
APG Coastal
150 East Olive Road Pensacola FL 32514-4529
147 APROD - Oldcastle
APG Coastal
5455 North 59th Street Tampa FL 33610-2011
148 APROD - Oldcastle
APG Coastal
421 Leonard Blvd North Lehigh Acres FL 33971
149 APROD - Oldcastle
APG Coastal
1590 North Andrews Avenue
Extension
Pompano
Beach
FL 33069
150 APROD - Oldcastle
APG Coastal
1980 Marley Road Haines City FL 33844-9202
151 APROD - Oldcastle
APG Coastal
1200 Northwest 18th Street Pompano
Beach
FL 33069-1722
152 APROD - Oldcastle
APG, Inc., d/b/a E.
P. Henry
16 Anderson Road Parker Ford PA 19457
153 APROD - Oldcastle
APG, Inc., d/b/a E.
P. Henry
4200 West Boulevard South Vineland NJ 08360
154 APROD - Oldcastle
APG, Inc., d/b/a E.
P. Henry
201 Park Avenue Woodbury NJ 08096-3523
155 APROD - Oldcastle
APG, Inc., d/b/a E.
P. Henry
2 Farago Boulevard Fort Dix NJ 08640
156 APROD - Oldcastle
Infrastructure -
Precast
8363 East Sam Lee Lane Northlake TX 76262
E-TX-1 (7/02)
Page 10 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location Name Street Address City State Postal Code
157 OLDCASTLE
LAWN & GARDEN,
Inc.
110 Marble Street Lee MA 01238
158 Staker & Parson
Companies -
Redmond Shop-Hales
408 West 100 South Redmond UT 84652
159 West Virginia Group -
04312 Strasburg
Asphalt Plant
866 Oranda Road Strasburg VA 22657
160 West Virginia Group -
Winchester
Shop/Office
2786 Martinsburg Pike Stephenson VA 22656-1712
161 West Virginia Group -
Chilhowie Shop
Office/Garage
1506 Virginia 107 Chilhowie VA 24319
162 West Virginia Group -
04311 Clearbrook
Asphalt Plant
Route 672 Brucetown Road Clear Brook VA 22624
163 Southern West
Virginia Asphalt, Inc.
- Logan HMA
119 Whitman Creek Road Whitman WV 25652
164 Southern West
Virginia Asphalt, Inc.
- Elkins HMA
Route 33 Kelly Mountain Road Elkins WV 26241
165 Southern West
Virginia Asphalt, Inc.
- Huntington HMA
4022 Ohio River Road Huntington WV 25702
166 West Virginia Paving,
Inc. - Parsons Shop
219 South Elkins Road Parsons WV 26287
167 Idaho Materials and
Construction -
Gordon Office/Yard
1310 Addison Avenue West Twin Falls ID 83301-5419
168 Suwanee American
Cement Co., LLC -
Branford, FL -
9805060
5117 US Highway 27 Branford FL 32008
169 Suwanee American
Cement Co., LLC -
Sumterville, FL -
Cement Plant
4750 East C 470 Sumterville FL 33585
This policy will not provide coverage for any Covered Location(s) other than the above-listed unless specifically scheduled
onto the policy by endorsement.
Item 6.b.Covered Storage Tanks
The following Storage Tank(s) is (are) covered under the policy:
E-TX-1 (7/02)
Page 11 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
1 1 Off
Road

Dies
el -
Shop
AST 1993 9,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1993
$100,000
1 2 On
Road

Dies
el -
Shop
AST 1993 9,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1993
$100,000
2 1 Dies
el
Shop
#1
UST 1990 8,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2008
$100,000
2 2 Used
Oil
#1
UST 1990 8,000 Coated or Bare
Steel
Double
Wall
Other September
01, 2008
$100,000
2 3 Used
Oil
#2
UST 1990 1,000 Coated or Bare
Steel
Double
Wall
Other September
01, 2008
$100,000
3 1 1A UST 1990 8,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2008
$100,000
4 1 1 UST 1996 12,000 Coated or Bare
Steel
Single
Wall
Diesel July 13, 2010 $100,000
5 1 015 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2008
$100,000
5 2 016 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2008
$100,000
5 3 017 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2008
$100,000
5 4 018 UST 1997 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
$100,000
5 5 019 UST 1998 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
$100,000
5 6 020 UST 1998 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
$100,000
6 1 3090
1
AST 2018 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2018
$100,000
E-TX-1 (7/02)
Page 12 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
6 2 3090
2
AST 2018 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2018
$100,000
6 3 3090
3
AST 2006 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2006
$100,000
7 1 3210
01
AST 1980 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1980
$100,000
7 2 3210
02
AST 2018 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2018
$100,000
7 3 3210
03
AST 2008 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2008
$100,000
7 4 3210
04
AST 2010 2,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2010
$100,000
8 1 3010
02
AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
8 2 F801
30
AST 2018 6,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2018
$100,000
9 1 3 AST 2008 500 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
2008
$100,000
9 2 4 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
9 3 5 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
9 4 7 AST 2008 1,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2008
$100,000
9 5 1 AST 2019 10,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2019
$100,000
9 6 2 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
9 7 3 AST 2008 750 Coated or Bare
Steel
Double
Wall
Other January 01,
2008
$100,000
10 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
10 2 3 AST 2010 500 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2010
$100,000
10 3 4 AST 2004 500 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
10 4 5 AST 2004 500 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
E-TX-1 (7/02)
Page 13 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
10 5 6 AST 2004 500 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
11 1 3030
01
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
11 2 3030
02
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
11 3 3030
04
AST 2007 1,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2007
$100,000
11 4 3030
05
AST 2007 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2007
$100,000
11 5 3030
06
AST 2007 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2007
$100,000
12 1 1 AST 2009 8,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2009
$100,000
12 2 2 AST 2015 500 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2015
$100,000
12 3 6 AST 2015 550 Coated or Bare
Steel
Double
Wall
Other January 01,
2015
$100,000
12 4 7 AST 2015 550 Coated or Bare
Steel
Double
Wall
Other January 01,
2015
$100,000
13 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
13 2 2 AST 2015 500 Coated or Bare
Steel
Double
Wall
Heating Oil January 01,
2015
$100,000
14 1 3070
01
AST 2019 30,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2019
$100,000
14 2 3070
02
AST 1995 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1995
$100,000
14 3 3070
03
AST 2006 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2006
$100,000
14 4 3070
04
AST 1995 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
1995
$100,000
15 1 3190
01
AST 1989 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1989
$100,000
15 2 3190
02
AST 1989 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
1989
$100,000
15 3 3190
04
AST 1989 2,400 Coated or Bare
Steel
Double
Wall
Other January 01,
1989
$100,000
E-TX-1 (7/02)
Page 14 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
16 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
17 1 4322
01
AST 2009 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2009
$100,000
17 2 4322
03
AST 2011 15,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2011
$100,000
18 1 3080
01
AST 2000 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
18 2 3080
03
AST 2008 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2008
$100,000
19 1 4314
01
AST 2009 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2009
$100,000
19 2 4314
02
AST 2009 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2009
$100,000
19 3 4314
03
AST 2009 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2009
$100,000
19 4 4314
04
AST 2009 2,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2009
$100,000
19 5 4314
05
AST 2009 20,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2009
$100,000
20 1 2 UST 1983 10,000 Coated or Bare
Steel
Single
Wall
Diesel November
06, 1995
$250,000
21 1 U00
1
UST 1985 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
22 1 U00
1
UST 1984 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
23 1 M00
8
UST 1998 4,000 Coated or Bare
Steel
Double
Wall
Gasoline September
09, 2014
$100,000
23 2 M00
9
UST 1998 12,000 Coated or Bare
Steel
Double
Wall
Diesel September
09, 2014
$100,000
24 1 HM0
08
UST 1998 4,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2023
$100,000
24 2 HM0
09
UST 1998 12,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2023
$100,000
25 1 Unit
#
90-1
12
AST 2019 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2019
$100,000
E-TX-1 (7/02)
Page 15 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
25 2 Unit
#
90-1
13
AST 2019 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2019
$100,000
26 1 #1 AST 2005 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2005
$100,000
27 1 0529
2A
UST 2005 15,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2021
$100,000
27 2 0529
2B
UST 2005 6,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2021
$100,000
28 1 SM-
UST
-1
UST 1997 10,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2015
$100,000
29 1 EP-
UST
-1
UST 1989 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
$100,000
29 2 EP-
UST
-2
UST 1989 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
29 3 EP-
UST
-3
UST 1989 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
30 1 3-1A UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
$100,000
30 2 3-1B UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
$100,000
30 3 3-2 UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
31 1 LV-
UST
-2
UST 1999 10,000 Coated or Bare
Steel
Single
Wall
Heating Oil December 30,
2015
$100,000
32 1 PIT
UST
1
UST 1994 30,000 Coated or Bare
Steel
Single
Wall
Diesel December 30,
2015
$100,000
33 1 PR-
UST
-C3
A
UST 1990 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
33 2 PR-
UST
-C3B
UST 1990 4,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
$100,000
E-TX-1 (7/02)
Page 16 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
34 1 89-5
012
UST 2004 15,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2014
$100,000
35 1 89-3
107
UST 1993 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 18,
2008
$100,000
36 1 89-8
017
UST 1990 1,000 Coated or Bare
Steel
Double
Wall
Other September
29, 2014
$100,000
37 1 TAR
B-F
AST
-1
AST 2004 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2004
$100,000
38 1 PTE
R-F
AST
-1
AST 2004 500 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
2004
$100,000
38 2 PTE
R-F
AST
-2
AST 2004 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2004
$100,000
38 3 PTE
R-F
AST
-3
AST 2004 10,000 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
2004
$100,000
38 4 PTE
R-F
AST
-4
AST 2004 500 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
2004
$100,000
39 1 1-98
0818
3
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
40 1 1 AST 1986 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1986
$100,000
41 1 1 AST 2002 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2002
$100,000
42 1 7 AST 2001 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2001
$100,000
43 1 1-98
0212
2
AST 2000 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
44 1 1 AST 1976 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1976
$100,000
44 2 2 AST 1988 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1988
$100,000
E-TX-1 (7/02)
Page 17 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
44 3 3 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
44 4 4 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
44 5 5 AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
44 6 6 AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
45 1 1-98
0599
2
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
46 1 1 AST 2000 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
47 1 1 AST 2008 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
48 1 1 AST 2007 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
49 1 1 AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
49 2 3 AST 2011 3,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
2011
$100,000
50 1 1 AST 2005 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2005
$100,000
51 1 1 AST 2017 2,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2017
$100,000
52 1 1 AST 1999 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
53 1 1 AST 2015 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2015
$100,000
54 1 1 AST 2005 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2005
$100,000
55 1 1-98
0699
3
AST 2000 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
56 1 1-98
0049
0
AST 1997 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1997
$100,000
57 1 SEA
1
AST 1999 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
E-TX-1 (7/02)
Page 18 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
58 1 1-98
0883
5
AST 2007 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
59 1 1-98
1456
6
AST 2015 3,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2015
$100,000
60 1 DEB
1
AST 2007 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
61 1 DEF
1
AST 1999 3,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
62 1 1 AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
63 1 1 AST 2000 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2000
$100,000
63 2 2 AST 2014 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
63 3 3 AST 2015 26,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2015
$100,000
63 4 4 AST 2015 26,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2015
$100,000
63 5 5 AST 2015 26,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2015
$100,000
64 1 1-98
0197
7
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
65 1 1 AST 2020 6,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2020
$100,000
66 1 A/C
-
Tank

Num
ber 1
AST 2019 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2019
$100,000
66 2 A/C
-
Tank

Num
ber 2
AST 1995 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1995
$100,000
66 3 Dies
el
Tank
AST 2006 5,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2006
$100,000
E-TX-1 (7/02)
Page 19 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
66 4 RFO
-
Tank

Num
ber 3
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
66 5 RFO
-
Tank

Num
ber 4
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
67 1 1 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
67 2 2 AST 1999 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
67 3 3 AST 2018 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2018
$100,000
67 4 4 AST 2016 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2016
$100,000
67 5 10 AST 2006 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
67 6 11 AST 2023 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2023
$100,000
68 1 1-98
0056
6
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
69 1 1-98
1069
9
AST 2008 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
69 2 2-98
1069
9
AST 2012 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2012
$100,000
70 1 9813
413
AST 2012 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2012
$100,000
71 1 H06
237
AST 2022 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2022
$100,000
E-TX-1 (7/02)
Page 20 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
72 1 A/C
-
Tank

Num
ber 1
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
72 2 A/C
-
Tank

Num
ber 2
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
72 3 A/C
-
Tank

Num
ber 3
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
72 4 A/C
-
Tank

Num
ber 4
AST 2017 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
72 5 RFO
-
Tank

Num
ber 3
AST 2000 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2000
$100,000
72 6 RFO
-
Tank

Num
ber 4
AST 2000 10,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2000
$100,000
72 7 Tack

Tank
AST 2017 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2017
$100,000
E-TX-1 (7/02)
Page 21 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
72 8 Fuel
Tank
-
On/
Off
Road

Dies
el
Tank
AST 1999 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
73 1 A/C
-
Tank

Num
ber 1
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
73 2 A/C
-
Tank

Num
ber 2
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
73 3 Ac
Tank

NU
mber
3
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
73 4 RFO
-
Tank

Num
ber 3
AST 2000 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2000
$100,000
73 5 RFO
-
Tank

Num
ber 4
AST 2000 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2000
$100,000
74 1 1 AST 2021 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2021
$100,000
75 1 JAX
1
AST 1995 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1995
$100,000
E-TX-1 (7/02)
Page 22 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
76 1 A/C
-
Tank

Num
ber 1
AST 2008 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 2 A/C
-
Tank

Num
ber 2
AST 2008 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 3 A/C
-
Tank

Num
ber 3
AST 2008 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 4 A/C
-
Tank

Num
ber 4
AST 2008 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 5 Dies
el
Tank
AST 2007 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2007
$100,000
76 6 RFO
-
Tank

Num
ber 1
AST 2007 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2007
$100,000
76 7 RFO
-
Tank

Num
ber 2
AST 2007 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2007
$100,000
76 8 Tack

Tank

Num
ber 1
AST 2008 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
E-TX-1 (7/02)
Page 23 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
76 9 Tack

Tank

Num
ber 2
AST 2008 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
76 10 Used
Oil
Stora
ge
Tank
AST 2007 750 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
2007
$100,000
77 1 1-89
4361
2
AST 2016 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2016
$100,000
78 1 1-98
1529
8
AST 2016 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2016
$100,000
79 1 2 AST 1996 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1996
$100,000
79 2 4 AST 2014 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2014
$100,000
79 3 5 AST 2013 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2013
$100,000
79 4 AC
Tank
AST 2020 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2020
$100,000
79 5 AC
Tank
AST 2020 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2020
$100,000
80 1 1-92
0022
2
AST 2011 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2011
$100,000
81 1 Dies
el
Tank
AST 1981 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1981
$100,000
82 1 1-98
0818
4
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
83 1 MIA
1
AST 1995 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1995
$100,000
84 1 MIL
1
AST 2008 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
85 1 1 AST 1985 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1985
$100,000
E-TX-1 (7/02)
Page 24 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
86 1 1 AST 1993 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1993
$100,000
87 1 OC
A1
AST 1997 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1997
$100,000
88 1 1-96
0264
5
AST 2020 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2020
$100,000
88 2 1-85
1985
1
AST 1999 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
89 1 ORL
1
AST 2008 4,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
90 1 PNC
1
AST 2000 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
91 1 1-98
1414
2
AST 2014 8,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2014
$100,000
92 1 1 AST 1998 8,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1998
$100,000
92 2 2 AST 1998 15,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
1998
$100,000
92 3 3 AST 1991 25,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1991
$100,000
92 4 7 AST 2010 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2010
$100,000
93 1 1 AST 1992 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1992
$100,000
94 1 1 AST 2007 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
95 1 1 AST 1988 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1988
$100,000
96 1 1 AST 1986 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1986
$100,000
97 1 SAN
1
AST 2007 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
98 1 1-98
0794
8
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
E-TX-1 (7/02)
Page 25 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
99 1 Dies
el
Tank
AST 2008 15,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
99 2 RFO
-
Tank

Num
ber 3
AST 2008 8,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
99 3 RFO
-
Tank

Num
ber 4
AST 2008 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
100 1 1 AST 1999 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
101 1 1 AST 2008 14,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2008
$100,000
101 2 2 AST 2008 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
101 3 3 AST 2008 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
101 4 5 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
101 5 6 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
101 6 7 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
101 7 8 AST 2008 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2008
$100,000
102 1 1-98
1221
0
AST 2010 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2010
$100,000
103 1 1-98
0472
7
AST 2006 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
104 1 1 AST 2000 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2000
$100,000
105 1 1-98
0674
6
AST 2007 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
E-TX-1 (7/02)
Page 26 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
106 1 WL
D1
AST 2006 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
107 1 1 AST 1999 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
108 1 5304 AST 2007 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2007
$100,000
108 2 5307 AST 2006 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 3 AC
Tank
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
108 4 AC
Tank
AST 2014 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2014
$100,000
108 5 Asph
G2
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 6 Asph
G3
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 7 Asph
G5
AST 2006 20,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2006
$100,000
108 8 Emu
lsifie
d
Asph
alt
AST 2006 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
108 9 Emu
lsifie
d
Asph
alt
AST 2006 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2006
$100,000
109 1 1 AST 1997 10,000 Coated or Bare
Steel
Double
Wall
Other January 01,
1997
$100,000
110 1 A/C
-
Tank

Num
ber 1
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
110 2 A/C
-
Tank

Num
ber 2
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
E-TX-1 (7/02)
Page 27 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
110 3 A/C
-
Tank

Num
ber 3
AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
110 4 Dies
el
Tank
AST 1999 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
110 5 Dies
el
Tank
-
Num
ber 2
AST 1999 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
110 6 RFO
-
Tank

Num
ber 1
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1999
$100,000
110 7 RFO
-
Tank

Num
ber 2
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
1999
$100,000
110 8 Tack

Tank

Num
ber 1
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
110 9 Tack

Tank

Num
ber 2
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1999
$100,000
110 10 Used
Oil
Stora
ge
Tank
AST 1999 10,000 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
1999
$100,000
E-TX-1 (7/02)
Page 28 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
111 1 5A/
5B
Dual

Com
part
ment

Tank
UST 1994 15,000 Coated or Bare
Steel
Double
Wall
Diesel December 18,
2015
$100,000
112 1 218 UST 1994 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 18,
2008
$100,000
113 1 221 UST 1995 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
17, 1999
$100,000
114 1 219 UST 1993 8,000 Coated or Bare
Steel
Single
Wall
Diesel September
17, 1999
$100,000
115 1 220 UST 1995 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
17, 1999
$100,000
116 1 T01
-
Dies
el
Fuel
UST 1988 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
04, 2014
$100,000
116 2 T02
-
Dies
el
Fuel
UST 1988 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
04, 2014
$100,000
117 1 T01
-
Gaso
line
UST 1990 10,000 Coated or Bare
Steel
Double
Wall
Gasoline September
09, 2014
$100,000
117 2 T2 -
Dies
el
Fuel
UST 1990 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
09, 2014
$100,000
118 1 BK#
1
AST 2006 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2006
$100,000
118 2 BK#
2
AST 2003 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
118 3 BK#
3
AST 2003 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
118 4 BK#
4
AST 1999 6,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
1999
$100,000
E-TX-1 (7/02)
Page 29 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
119 1 90.4
81
AST 1999 21,000 Coated or Bare
Steel
Double
Wall
Diesel
Gasoline
January 01,
1999
$100,000
120 1 90.1
90.2
AST 1999 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
121 1 F400
41
AST 2022 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2022
$100,000
121 2 F400
42
AST 2022 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2022
$100,000
122 1 1 AST 1999 11,500 Coated or Bare
Steel
Double
Wall
New Oil January 01,
1999
$100,000
123 1 90.4
82
AST 1991 16,500 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1991
$100,000
124 1 90.1
605
AST 1999 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
125 1 RT#
8
AST 1999 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
1999
$100,000
125 2 RT#
9
AST 1999 1,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
1999
$100,000
126 1 VL#
1
AST 1999 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
127 1 1 UST 1987 20,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2022
$100,000
127 2 2 UST 1984 20,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2022
$100,000
127 3 3 UST 1982 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2022
$250,000
128 1 CC#
1
AST 2005 6,580 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
128 2 CC#
3
AST 2005 9,064 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2005
$100,000
128 3 Tank
18
AST 2008 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2008
$100,000
129 1 FP#
6
AST 2008 10,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
129 2 FP#
8
AST 2008 10,212 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2008
$100,000
129 3 FP#
1
AST 2005 15,546 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
E-TX-1 (7/02)
Page 30 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
129 4 FP#
2
AST 2005 15,546 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
130 1 1 AST 2013 250 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2013
$100,000
130 2 2 AST 2008 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2008
$100,000
130 3 3 AST 2013 250 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2013
$100,000
131 1 1 AST 2004 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
132 1 1 AST 1994 250 Coated or Bare
Steel
Single
Wall
Diesel January 11,
1994
$100,000
133 1 1 UST 2011 10,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2023
$100,000
134 1 1 UST 1999 12,000 Coated or Bare
Steel
Single
Wall
Diesel March 12,
2021
$100,000
135 1 1 AST 1998 3,000 Coated or Bare
Steel
Single
Wall
Gasoline
Diesel
January 01,
1998
$100,000
136 1 1 AST 1996 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1996
$100,000
137 1 1 AST 2020 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2020
$100,000
138 1 1 AST 2001 15,000 Coated or Bare
Steel
Single
Wall
Gasoline
Diesel
January 01,
2001
$100,000
139 1 1 AST 2001 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2001
$100,000
140 1 1 AST 2006 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2006
$100,000
140 2 2 AST 2010 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2010
$100,000
141 1 1 AST 2000 300 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2000
$100,000
142 1 1 UST 1988 10,000 Coated or Bare
Steel
Single
Wall
Diesel July 01, 2003 $100,000
142 2 2 UST 1988 3,000 Coated or Bare
Steel
Single
Wall
Diesel July 01, 2003 $100,000
143 1 3 AST 2004 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
E-TX-1 (7/02)
Page 31 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
143 2 4 AST 2007 500 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2007
$100,000
143 3 5 AST 2007 2,500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2007
$100,000
144 1 1 AST 1994 1,000 Coated or Bare
Steel
Single
Wall
Gasoline January 01,
1994
$100,000
144 2 2 AST 1994 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1994
$100,000
144 3 3 AST 1996 4,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1996
$100,000
145 1 1 AST 2005 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
146 1 1 AST 1980 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1980
$100,000
147 1 1 AST 1999 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1999
$100,000
148 1 2 AST 2003 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2003
$100,000
149 1 1 AST 2007 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2007
$100,000
150 1 1 AST 1996 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1996
$100,000
150 2 #2 AST 2005 1,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2005
$100,000
151 1 1 AST 1998 500 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1998
$100,000
151 2 2 AST 1998 250 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
1998
$100,000
151 3 3 AST 1998 10,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1998
$100,000
152 1 1 AST 1997 1,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1997
$100,000
153 1 1 AST 1994 6,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1994
$100,000
154 1 1 AST 1993 6,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
1993
$100,000
154 2 1 AST 1993 2,000 Coated or Bare
Steel
Single
Wall
Gasoline January 01,
1993
$100,000
E-TX-1 (7/02)
Page 32 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
155 1 1 AST 2004 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
156 1 1 UST 1987 6,000 Coated or Bare
Steel
Single
Wall
Diesel November
08, 2022
$100,000
156 2 2 UST 1987 6,000 Coated or Bare
Steel
Single
Wall
Gasoline November
08, 2022
$100,000
157 1 1 UST 1992 30,000 Coated or Bare
Steel
Double
Wall
Heating Oil November
03, 2022
$100,000
158 1 1 AST 2009 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2009
$100,000
159 1 1 AST 1997 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1997
$100,000
159 2 2 AST 2005 25,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2005
$100,000
159 3 3 AST 2001 15,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2001
$100,000
159 4 4 AST 2004 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2004
$100,000
159 5 5 AST 2001 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2001
$100,000
159 6 6 AST 2005 6,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2005
$100,000
160 1 1 AST 2001 20,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2001
$100,000
160 2 2 AST 1998 10,000 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
1998
$100,000
160 3 3 AST 1998 8,000 Coated or Bare
Steel
Single
Wall
Gasoline January 01,
1998
$100,000
160 4 4 AST 1987 3,000 Coated or Bare
Steel
Single
Wall
Other January 01,
1987
$100,000
160 5 5 AST 1991 500 Coated or Bare
Steel
Single
Wall
Other January 01,
1991
$100,000
160 6 6 AST 1991 500 Coated or Bare
Steel
Single
Wall
Other January 01,
1991
$100,000
161 1 1 AST 2004 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
161 2 2 AST 2004 1,000 Coated or Bare
Steel
Double
Wall
Other January 01,
2004
$100,000
E-TX-1 (7/02)
Page 33 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
161 3 3 AST 2004 1,000 Coated or Bare
Steel
Double
Wall
New Oil January 01,
2004
$100,000
161 4 11 AST 2017 6,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2017
$100,000
161 5 12 AST 2017 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2017
$100,000
162 1 1 AST 2007 35,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2007
$100,000
162 2 2 AST 2000 30,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2000
$100,000
162 3 3 AST 1991 15,000 Coated or Bare
Steel
Single
Wall
Heating Oil January 01,
1991
$100,000
162 4 4 AST 2003 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2003
$100,000
162 5 5 AST 2003 12,000 Coated or Bare
Steel
Single
Wall
New Oil January 01,
2003
$100,000
163 1 T2 -
Tank

Labe
l:
023-
0000
1199
AST 2012 2,005 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2012
$100,000
163 2 T3 -
Tank

Labe
l:
023-
0000
1200
AST 2005 2,500 Coated or Bare
Steel
Single
Wall
Other January 01,
2005
$100,000
164 1 AP3-
1 -
Tank

Labe
l:
042-
0000
0508
AST 2014 16,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2014
$100,000
E-TX-1 (7/02)
Page 34 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
165 1 T3 -
Tank

Labe
l:
006-
0000
0143
AST 2005 2,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2005
$100,000
166 1 1
(Tan
k
Labe
l:
047-
0000
0022
)
AST 2002 8,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2002
$100,000
166 2 2
(Tan
k
Labe
l:
047-
0000
0025
)
AST 2000 4,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2000
$100,000
166 3 3
(Tan
k
Labe
l:
047-
0000
0026
)
AST 2022 8,000 Coated or Bare
Steel
Single
Wall
Other January 01,
2022
$100,000
167 1 TF0
1
UST 2008 20,000 Coated or Bare
Steel
Double
Wall
Diesel July 22, 2015 $100,000
167 2 TF0
2
UST 2008 20,000 Coated or Bare
Steel
Double
Wall
Diesel July 22, 2015 $100,000
167 3 TF0
3
UST 2008 10,000 Coated or Bare
Steel
Double
Wall
Gasoline July 22, 2015 $100,000
168 1 1 AST 2002 600 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2002
$100,000
168 2 2 AST 2002 700 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2002
$100,000
E-TX-1 (7/02)
Page 35 of 35
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro.Date Deductible
168 3 3 AST 2003 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
168 4 4 AST 2003 1,000 Coated or Bare
Steel
Double
Wall
Diesel January 01,
2003
$100,000
168 5 5 AST 2003 1,000 Coated or Bare
Steel
Double
Wall
Gasoline January 01,
2003
$100,000
169 1 1 AST 2009 20,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2009
$100,000
169 2 2 AST 2009 20,000 Coated or Bare
Steel
Single
Wall
Waste Oil January 01,
2009
$100,000
169 3 6 AST 2009 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2009
$100,000
169 4 7 AST 2009 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2009
$100,000
169 5 8 AST 2009 660 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2009
$100,000
169 6 12 AST 2019 872 Coated or Bare
Steel
Single
Wall
Diesel January 01,
2019
$100,000
If an Anniversary Date is listed, the above-listed tank(s) will be deleted from the above schedule on the corresponding
above-listed Anniversary Date(s), respectively, unless updated integrity test results (Acceptable to the Company) are
received by the Company sixty (60) days prior to the listed anniversary date and approved in writing by the company.
This policy will not provide coverage for any Storage Tank(s) other than the above-listed unless specifically scheduled onto
the policy by endorsement.
All other terms and conditions remain unchanged.
E-TX-1 (7/02)
Page 1 of 1
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 6
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CANCELLATION ± 100% MINIMUM EARNED PREMIUM
It is agreed that subparagraph e. of the condition entitled Cancellation set forth in SECTION IV ± CONDITIONS is
deleted in its entirety and replaced with the following:
e.The premium amount stated in the Declarations shall be one hundred percent (100%) earned at inception. In the
event this policy is cancelled, we shall have no obligation to return any premium to the Named Insured.
All other terms and conditions remain unchanged.
E-TX-5 (02/19)
Page 1 of 3
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 7
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DEDUCTIBLE AMENDATORY ENDORSEMENT (SCHEDULED)
It is agreed that any ªclaimº arising from, out of, caused by, resulting from, contributed to, or in any way related to any
ªpollution incidentº discovered during any ªremovalº or ªinvestigationº of the below scheduled ªunderground storage tank
systemsº will be subject to a $500,000 per incident deductible, insured under this policy.
Schedule of Covered Locations and Storage Tanks
Loc. #Location
Name
Street Address City State Postal
Code
4 APAC Kansas,
Inc. - Kansas
City Division -
Bonner Springs
Quarry - (Fac:
30075)
1800 South 121 Street Bonner Springs KS 66012-6012
5 APAC Kansas,
Inc. - Shears
Division -
Wichita
Office/Shop/Pl
ant - (Fac:
03917)
3511 South West
Street
Wichita KS 67217-1043
23 Dolomite
Products
Company, Inc. -
Blades
Construction -
Hornell Shop
7610 County Road 65
PO Box 590
Hornell NY 14843-9626
24 Dolomite
Products
Company, Inc. -
Hornell
Asphalt -
Hornell Batch
Plant
7612 County Road 65
PO Box 590
Hornell NY 14843
E-TX-MAN (09/18)
Page 2 of 3
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location
Name
Street Address City State Postal
Code
28 Pennsy Supply -
Dorrance
Quary
35 Small Mountain
Road
Wapwallopen PA 18660
32 Pennsy Supply -
Pittston Quarry
300 Armstrong Road Pittston PA 18640-9628
111 Redimix
Companies, Inc.
- Manchester
NH
89 Calef Road Manchester NH 03103-6326
112 Shamblin -
Wilson Island
70 Dunbar Avenue Dunbar WV 25064-3322
113 Shamblin -
Scary
658 Winfield Road Saint Albans WV 25177-1554
115 Shamblin -
Hugheston
296 Stephens Street Hugheston WV 25110
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro
Date
4 1 1 UST 1996 12,000 Coated or Bare
Steel
Single
Wall
Diesel July 13, 2010
5 1 015 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2008
5 2 016 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2008
5 3 017 UST 1998 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2008
5 4 018 UST 1997 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
5 5 019 UST 1998 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
5 6 020 UST 1998 1,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2008
23 1 M008 UST 1998 4,000 Coated or Bare
Steel
Double
Wall
Gasoline September
09, 2014
23 2 M009 UST 1998 12,000 Coated or Bare
Steel
Double
Wall
Diesel September
09, 2014
24 1 HM00
8
UST 1998 4,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2023
24 2 HM00
9
UST 1998 12,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2023
28 1 SM-U
ST-1
UST 1997 10,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2015
E-TX-MAN (09/18)
Page 3 of 3
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro
Date
32 1 PITUS
T1
UST 1994 30,000 Coated or Bare
Steel
Single
Wall
Diesel December
30, 2015
111 1 5A/5B
Dual
Comp
artmen
t Tank
UST 1994 15,000 Coated or Bare
Steel
Double
Wall
Diesel December
18, 2015
112 1 218 UST 1994 10,000 Coated or Bare
Steel
Double
Wall
Diesel January 18,
2008
113 1 221 UST 1995 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
17, 1999
115 1 220 UST 1995 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
17, 1999
It is agreed that the following is added to SECTION VI ± DEFINITIONS:
ªRemoval" means the removal of any "underground storage tank system", whether in part or in its entirety, with no prior
knowledge of a failure in or "pollution incident" from the "underground storage tank system".
ªInvestigationº means the taking or testing of soil or groundwater performed at or under any ªcovered locationº by any insured,
or any other party, and which is not required as the result of a failure in or verified ªpollution incidentº from the ªunderground
storage tank systemº. ªInvestigationº shall include, but not be limited to, an investigation at or under a ªcovered locationº that
is performed as part of a property transfer, sale, lease or financing transaction.
All other terms and conditions remain unchanged.
E-TX-MAN (09/18)
Page 1 of 4
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 8
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DEDUCTIBLE AMENDATORY ENDORSEMENT (SCHEDULED)
It is agreed that any ªclaimº arising from, out of, caused by, resulting from, contributed to, or in any way related to any
ªpollution incidentº discovered during any ªremovalº or ªinvestigationº of the below scheduled ªunderground storage tank
systemsº will be subject to a $1,000,000 per incident deductible, insured under this policy.
Schedule of Covered Locations and Storage Tanks
Loc. #Location
Name
Street Address City State Postal
Code
2 APAC -
Atlantic, Inc. -
Greensboro
Shop
3500 Holts Chapel
Road
Greensboro NC 27401-4527
3 APAC -
Atlantic, Inc. -
Thompson
Arthur Division
Main Office
300 South Benbow
Road
Greensboro NC 27401-3402
20 Ash Grove
Materials Corp -
63rd St RMC
Plant
5810 East 63rd Street Kansas City MO 64130
21 Ash Grove
Materials Corp -
Central RMC
Plant - (Fac:
27389)
211 Central Avenue Kansas City KS 66118-1117
22 Ash Grove
Materials Corp -
Olathe RM
Plant - (Fac:
28294)
1340 West 149th Street Olathe KS 66061-6814
29 Pennsy Supply -
East Pete-B&O
Shop
2742 Lancaster Road Manheim PA 17545-8892
30 Pennsy Supply -
Paxton St Shop
1001 Paxton Street Harrisburg PA 17104-1645
E-TX-MAN (09/18)
Page 2 of 4
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Location
Name
Street Address City State Postal
Code
33 Pennsy Supply -
Prescott Shop
201 Prescott Road Lebanon PA 17042-9222
35 Pike Industries,
Inc. -
80104-Shop -
West Lebanon
Shop, NH
335 North Plainfield
Road
Lebanon NH 03784-2010
36 Pike Industries,
Inc. -
80301-Shop -
Burlington
Shop R3
35 Avenue A Williston VT 05495
114 Shamblin -
Marmet
11005 MacCorkle
Avenue Southeast
Marmet WV 25315
116 Shelly - Lima
Asphalt
600 North Sugar Street
- PO Box 938
Lima OH 45801-4184
117 Shelly -
Thornville
Garage
143 East Columbus
Street
Thornville OH 43076-8731
127 Texas Materials
Group dba
TexasBit - JLB
Shop & Admin
Building
7151 Randol Mill Road
(325 Trinity Court)
Fort Worth TX 76120
143 APROD -
Oldcastle APG
Northfield
Block Company
One Hunt Court Mundelein IL 60060
173 APROD -
Oldcastle
Infrastructure -
Precast
8363 East Sam Lee
Lane
Northlake TX 76262
174 OLDCASTLE
LAWN &
GARDEN, Inc.
110 Marble Street Lee MA 01238
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro
Date
2 1 Diesel
Shop
#1
UST 1990 8,000 Coated or Bare
Steel
Double
Wall
Diesel September
01, 2008
2 2 Used
Oil #1
UST 1990 8,000 Coated or Bare
Steel
Double
Wall
Other September
01, 2008
2 3 Used
Oil #2
UST 1990 1,000 Coated or Bare
Steel
Double
Wall
Other September
01, 2008
3 1 1A UST 1990 8,000 Coated or Bare
Steel
Single
Wall
Gasoline September
01, 2008
E-TX-MAN (09/18)
Page 3 of 4
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro
Date
20 1 2 UST 1983 10,000 Coated or Bare
Steel
Single
Wall
Diesel November
06, 1995
21 1 U001 UST 1985 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
22 1 U001 UST 1984 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
29 1 EP-US
T-1
UST 1989 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
29 2 EP-US
T-2
UST 1989 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
29 3 EP-US
T-3
UST 1989 15,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
30 1 3-1A UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
30 2 3-1B UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Gasoline January 18,
2008
30 3 3-2 UST 1990 10,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
33 1 PR-US
T-C3A
UST 1990 12,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
33 2 PR-US
T-C3B
UST 1990 4,000 Coated or Bare
Steel
Single
Wall
Diesel January 18,
2008
35 1 89-310
7
UST 1993 12,000 Coated or Bare
Steel
Double
Wall
Diesel January 18,
2008
36 1 89-801
7
UST 1990 1,000 Coated or Bare
Steel
Double
Wall
Other September
29, 2014
114 1 219 UST 1993 8,000 Coated or Bare
Steel
Single
Wall
Diesel September
17, 1999
116 1 T01 -
Diesel
Fuel
UST 1988 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
04, 2014
116 2 T02 -
Diesel
Fuel
UST 1988 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
04, 2014
117 1 T01 -
Gasoli
ne
UST 1990 10,000 Coated or Bare
Steel
Double
Wall
Gasoline September
09, 2014
117 2 T2 -
Diesel
Fuel
UST 1990 10,000 Coated or Bare
Steel
Double
Wall
Diesel September
09, 2014
E-TX-MAN (09/18)
Page 4 of 4
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
Loc. #Tank
#
Tank
ID
UST/
AST
Year
Installed
Capacity
Gallons
Construction SW/
DW
Contents Retro
Date
127 1 1 UST 1987 20,000 Coated or Bare
Steel
Single
Wall
Other September
01, 2022
127 2 2 UST 1984 20,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2022
127 3 3 UST 1982 12,000 Coated or Bare
Steel
Single
Wall
Diesel September
01, 2022
143 1 1 UST 1988 10,000 Coated or Bare
Steel
Single
Wall
Diesel July 01, 2003
143 2 2 UST 1988 3,000 Coated or Bare
Steel
Single
Wall
Diesel July 01, 2003
173 1 1 UST 1987 6,000 Coated or Bare
Steel
Single
Wall
Diesel November
08, 2022
173 2 2 UST 1987 6,000 Coated or Bare
Steel
Single
Wall
Gasoline November
08, 2022
174 1 1 UST 1992 30,000 Coated or Bare
Steel
Double
Wall
Heating Oil November
03, 2022
It is agreed that the following is added to SECTION VI ± DEFINITIONS:
ªRemoval" means the removal of any "underground storage tank system", whether in part or in its entirety, with no prior
knowledge of a failure in or "pollution incident" from the "underground storage tank system".
ªInvestigationº means the taking or testing of soil or groundwater performed at or under any ªcovered locationº by any insured,
or any other party, and which is not required as the result of a failure in or verified ªpollution incidentº from the ªunderground
storage tank systemº. ªInvestigationº shall include, but not be limited to, an investigation at or under a ªcovered locationº that
is performed as part of a property transfer, sale, lease or financing transaction.
All other terms and conditions remain unchanged.
E-TX-MAN (09/18)
Page 1 of 1
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
ENDORSEMENT NO. 9
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF UNDERGROUND STORAGE TANK REMOVAL

It is agreed that the following is added to SECTION IV ± CONDITIONS:
NOTICE OF UNDERGROUND STORAGE TANK REMOVAL
a.)We must be given, in writing, notice for all ªunderground storage tank systemº removals. The notice must be received by
us 10 days prior to any such removal and sent via overnight delivery to the attention of :
Ironshore Environmental Claims CSO
28 Liberty Street, 5th Floor
New York, NY 10005
E-MAIL to:
[e-mail]
FAX to:
646-826-6601
By phone via:
24 Hour Claims Phone Number:
[phone]
b.)We reserve the right to have a representative present for all ªunderground storage tank systemº removals.
All other terms and conditions remain unchanged.
E-TX-17 (10-19)
Page 1 of 14
LIBERTY SURPLUS INSURANCE CORPORATION
(A New Hampshire Stock Insurance Company, hereinafter the ªCompanyº)
175 Berkeley Street, Boston, MA 02116
Toll-free number: 1-800-677-9163
Effective Date:September 01, 2023
Policy Number:IRONTX11583102
Issued To:CRH Americas, Inc. (F/K/A Oldcastle)
STORAGE TANK THIRD-PARTY LIABILITY
CORRECTIVE ACTION AND CLEANUP POLICY
This policy provides:
·claims-made and reported coverage for storage tank third-party bodily injury and property damage liability;
·claims-made and reported (and ªconfirmed releasesº discovered and reported) coverage for cleanup costs for
aboveground storage tanks; and
·claims-made and reported (and ªconfirmed releasesº discovered and reported) coverage for cleanup costs for
underground storage tanks.
Defense costs will reduce both the deductible amount and the separate limit of insurance available to pay legal defense
costs.
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is
and is not covered.
Throughout this policy the words ªyouº and ªyourº refer to the Named Insured shown in the Declarations, and any
other person or organization qualifying as a Named Insured under this policy. The words ªweº, ªusº, ªourº and the
ªcompanyº refer to the company providing this insurance. Other words and phrases that appear in quotation marks
have special meaning. Refer to DEFINITIONS (SECTION VI). Insured means any person or organization
qualifying as such under WHO IS AN INSURED (SECTION II).
SECTION I ± INSURING AGREEMENT
1.Coverages
a.Subject to the Limits of Insurance and the Deductible:
Coverage A: Third Party Bodily Injury and Property Damage
We will pay those sums that the insured becomes legally obligated to pay for compensatory damages because of
ªbodily injuryº and ªproperty damageº that arises from a ªpollution incidentº on, at, under or migrating from
the ªcovered locationº, provided a ªclaimº is first made and reported to us during the ªpolicy periodº or
Extended Reporting Period, if applicable.
Coverage B: Cleanup of Pollutants Due to Underground Storage Tank Releases
We will pay those reasonable and necessary costs that the insured incurs for ªcleanupº, ªrestoration costsº and
ªfines and penaltiesº due to a ªconfirmed releaseº resulting from a ªpollution incidentº from an ªunderground
storage tank systemº, provided that:
(1)a ªclaimº arising from a ªconfirmed releaseº is first made during the ªpolicy periodº or during the
Extended Reporting Period, if applicable; or
ENV-ST-P001-0418
Page 2 of 14
(2)the insured discovers the ªconfirmed releaseº during the ªpolicy periodº or during the Extending
Reporting Period, if applicable.
Coverage C: Cleanup of Pollutants Due to Aboveground Storage Tank Releases
We will pay those reasonable and necessary costs that the insured incurs for ªcleanupº, ªrestoration costsº and
ªfines and penaltiesº due to a ªconfirmed releaseº resulting from a ªpollution incidentº from an ªaboveground
storage tank systemº, provided that:
(1)a ªclaimº arising from a ªconfirmed releaseº is first made during the ªpolicy periodº or during the
Extended Reporting Period, if applicable; or
(2)the insured discovers the ªconfirmed releaseº during the ªpolicy periodº or during the Extending
Reporting Period, if applicable.
b.The insurance provided under Coverage A, Coverage B and/or Coverage C applies only if:
(1)The ªpollution incidentº commences on or after the Retroactive Date shown in Item 3 of the Declarations
and before the end of the ªpolicy periodº;
(2)The ªpollution incidentº occurs in the United States, its territories or possessions or Canada; and
(3)The ªclaimº, if any, is made in the United States, its territories or possessions, or Canada.
2.Defense
a.We have the right and duty to defend, including the right to select and appoint counsel to represent, the
insured against any ªclaimº to which this insurance applies. However, we will have no duty to defend the
insured against any ªclaimº, suit or action to which this insurance does not apply.
b. The insured shall not admit or assume liability or settle or negotiate to settle any ªclaimº without the prior
written consent of the company. The ªinsuredº must notify the company of all settlement offers and the
company will in turn present all settlement offers to the ªinsuredº. If the company recommends a monetary
settlement which is acceptable to a claimant and is within the Limits of Insurance and the ªinsuredº refuses to
consent to such settlement, then the company's duty to defend shall end, the ªinsuredº shall thereafter
negotiate and defend such ªclaimº independently of the company, and the company's liability shall not exceed
the amount, less the Deductible, for which the ªclaimº could have been settled if such recommendation was
consented to.
To the extent the ªinsuredº is entitled pursuant to applicable laws to select independent counsel at the
company©s expense, the attorneys© fees and other costs or expenses we will pay are limited to the rates the
company would pay to counsel the company would have retained or could otherwise have retained in the
community where the ªclaimº is being defended. Such independent counsel must also meet any reasonable
requirements, experience, or qualifications standards that the company may deem appropriate. All such counsel
shall keep the company fully informed and shall promptly respond to requests for information from the
company. We will have the right to require that such counsel have errors and omissions insurance coverage.
We retain the right to settle or approve the settlement of any ªclaimº and appeal any judgment at our expense.
c.Our duty to defend under a. above will end at the earlier of the following times:
(1)When we have exhausted the Aggregate Claims Expense Limit, as described in SECTION III ± LIMITS
OF INSURANCE AND DEDUCTIBLE, by the payments of ªclaims expensesº in the defense,
investigation, settlement, or adjustment of ªclaimsº and actions under this Paragraph 2., Defense; or

Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
ENV-ST-P001-0418
Page 3 of 14
(2)When an applicable limit of insurance is exhausted by the payment of damages arising from ªbodily injuryº
and/or ªproperty damageº and/or costs for ªcorrective actionº or ªcleanupº.
If our duty to defend ends upon exhaustion of the Aggregate Claims Expense Limit, we may, at our option and
in our sole discretion, continue to defend any ªclaimº or action to which Coverage A, Coverage B and/or
Coverage C apply at our own expense. We may withdraw from such defense by giving notice pursuant to
Condition 15. of SECTION IV ± CONDITIONS, and we shall have no further obligation for the defense,
or any related expenses.
3.Exclusions ± Coverages A, B, and C
The insurance does not apply to:
a.any ªclaimº arising out of a ªpollution incidentº that was expected or intended by any insured, or an employee
of any insured.
b.any ªclaimº arising from a ªpollution incidentº that commenced prior to the inception of this policy (or date
coverage first provided for any ªunderground storage tank systemº or ªaboveground storage tank systemº
added to this policy by endorsement during the ªpolicy periodº), if a ªresponsible insuredº knew or could have
reasonably foreseen that such ªpollution incidentº could have been expected to give rise to a ªclaimº.
c.any criminal fines, criminal penalties or criminal assessments.
d.any ªclaimº made by any insured against any other person or entity who is also an insured under this policy.
e.any ªclaimº arising from one or more ªpollution incidentsº caused by, based upon, resulting from, or
attributable to the insured's intentional, knowing, willful or deliberate noncompliance with any statute,
regulation, ordinance, administrative complaint, notice of violation, notice letter, executive order, or instruction
of any governmental agency or body.
f.any ªclaimº arising from the ownership, maintenance, use or entrustment to others of any aircraft, ªautoº,
rolling stock or watercraft. Use shall include the loading and unloading of any watercraft, aircraft or rolling
stock. Use shall not include the loading or unloading of any ªautoº.
g.any costs, charges or expenses incurred by the insured for goods supplied by the insured or services performed
by the staff and/or salaried employees of the insured, or its parent, subsidiary or affiliate.
h.any ªclaimº arising from any consequence, whether direct or indirect, of war, invasion, act of a foreign enemy,
hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection or military or usurped
power, strike, riot or civil commotion.
i.any costs for removing, disposing, replacing, compensating a third-party for or recycling of the contents of any
ªaboveground storage tank systemº or ªunderground storage tank systemº.
j.any costs, charges or expenses incurred to investigate or verify that a ªconfirmed releaseº under Coverage B
or Coverage C has taken place.
k.any ªclaimº arising out of ªbodily injuryº to:
(1)An employee of the insured or its parent, subsidiary or affiliate arising out of and in the course of:
(a)Employment by the insured or its parent, subsidiary or affiliate; or
(b)Performing duties related to the conduct of the business of the insured or its parent, subsidiary or
affiliate; or
(2)The spouse, child, parent, brother or sister of that employee as a consequence of paragraph (1) above.
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
ENV-ST-P001-0418
Page 4 of 14
This exclusion applies:
(1)Whether the insured may be liable as an employer or in any other capacity; and
(2)To any obligation to share damages with or repay someone else who must pay damages because of the
injury.
l.any obligation of the insured under workers' compensation, unemployment compensation or disability benefits
law or similar law.
m.any liability or ªclaimº for liability of others assumed by the insured under any contract or agreement, unless
the insured would have been liable in the absence of such contract or agreement.
n.under Coverage A, any ªclaimº arising out of ªproperty damageº to:
(1)property owned, leased, loaned or rented by or to any insured; or
(2)property an insured has sold, leased, given away or abandoned.
For ªproperty damageº to real property, this exclusion shall apply to ªproperty damageº on, at or under the
real property.
o.any ªclaimº arising from one or more ªpollution incidentsº on, at, under, or migrating from a ªcovered
locationº if any of the ªpollution incidentsº commenced subsequent to the time such location is:
(1)sold;
(2)given away;
(3)abandoned; or
(4)sub-leased, unless the sub-lease has been approved in writing by us prior to the commencement of the
sub-lease.
p.any liability or ªclaimº arising from the insured's goods or products manufactured, sold, handled or distributed
(including warranties or representations made at any time with respect to use thereof, or the failure to provide
warnings or instructions) after possession of such insured's products have been relinquished to others by the
insured or others trading under its name.
SECTION II ± WHO IS AN INSURED
1.If you are designated in the Declarations as:
a.An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which
you are the sole owner.
b.A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also
insureds, but only with respect to the conduct of your business.
c.An organization other than a partnership or joint venture, you are an insured. Your officers and directors are
insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds,
but only with respect to their liability as stockholders.
2.Each of the following is also an insured:
a.Your employees, other than your officers, but only for acts within the scope of their employment by you or
while performing duties related to the conduct of your business. However, no employee is an insured for:
(1) ªBodily injuryº:
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
ENV-ST-P001-0418
Page 5 of 14
(a)To you, to your partners or members (if you are a partnership or joint venture) or to a co-employee
while in the course of his or her employment or while performing duties related to the conduct of
your business;
(b)To the spouse, child, parent, brother or sister of that co-employee as a consequence of paragraph
(1)(a) above;
(c)For which there is an obligation to share damages with or repay someone else who must pay damages
because of the injury described in paragraphs (1)(a) or (b) above; or
(d)Arising out of his or her providing or failing to provide professional health care services.
(2)ªProperty damageº for damage to property:
(a)Owned, occupied or used by,
(b)Rented to, in the care, custody or control of, or over which physical control is being exercised for any
purpose by you, any of your employees, or, if you are a partnership or joint venture, by any partner or
member.
b.Any person or organization having proper temporary custody of your property if you die, but only:
(1)With respect to liability arising out of the maintenance or use of that property; and
(2)Until your legal representative has been appointed.
c.Your legal representative if you die, but only with respect to duties as such. That representative will have all
your rights and duties under this policy.
No person or organization is an insured with respect to the conduct of any current or past partnership or joint
venture that is not shown as a Named Insured in the Declarations.
SECTION III ± LIMITS OF INSURANCE AND DEDUCTIBLE
1.The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the
number of:
a.Insureds;
b.ªClaimsº made;
c.ªConfirmed releasesº
d.ªPollution incidentsº; or
e.Persons or organizations making ªclaimsº.
2.The Aggregate Limit is the most we will pay for the sum of:
a.Damages under Coverage A;
b.Costs under Coverage B; and
c. Costs under Coverage C.
3.Subject to the Aggregate Limit, the Each Incident Limit is the most we will pay for the sum of:
a.Damages under Coverage A;
b.Costs under Coverage B; and
Storage Tank Third Party Liability,
Corrective Action and Cleanup Policy
ENV-ST-P001-0418
Page 6 of 14
c.Costs under Coverage C;
because of one ªpollution incidentº.
The Each Incident Limit shown in the Declarations of the policy in effect when the first ªclaimº arising out of the
same, related or continuous ªpollution incidentsº was made and reported to us is the most we will pay for all
covered ªclaimsº, reported to us during one or more ªpolicy periodsº, arising out of such ªpollution incidentº. To
the extent a ªclaimº is made and covered in a subsequent ªpolicy periodº, all such ªclaimsº shall be deemed first
reported to us during the ªpolicy periodº in which the first such ªclaimº was first reported to us.
4.The Aggregate Claims Expense Limit is the most we will pay for the sum of all ªclaims expensesº for defense we
provide under Paragraph 2., Defense of the INSURING AGREEMENT (SECTION I). ªClaims expensesº
will not reduce the Aggregate Limit.
5.For any one ªpollution incidentº, this policy applies only to damages for ªbodily injuryº or ªproperty damageº,
costs for ªcorrective actionº, ªcleanupº, ªrestoration costsº, ªfines and penaltiesº and/or ªclaims expensesº in
excess of the Deductible shown in the Declarations. The Deductible amount does not reduce the Each Incident
Limit, the Aggregate Limit or the Aggregate Claims Expense Limit. We may advance payment of part or all of the
Deductible amount and, upon notification of such payment made, the insured shall promptly reimburse us.
Payment of defense or amounts within the Deductible will not create any obligations or be construed as a waiver or
estoppel of our rights under the policy.
SECTION IV ± CONDITIONS
1.Bankruptcy.
Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this
policy.
2.Duties In The Event Of Pollution Incident or Claim.
a.It is a condition precedent to coverage under this Policy that:
(1)Notice of ªclaimº:
In the event of a ªclaimº under Coverage A, the insured shall give us written notice as soon as practicable
after receipt of the ªclaimº by the insured.
(2)Notice of ªconfirmed releaseº:
In the event that a ªpollution incidentº has taken place which the insured has verified as a ªconfirmed
releaseº, the insured must report such ªconfirmed release, in writing, as soon as possible but in any event
no later than (15) fifteen days after verifying the ªconfirmed releaseº.
(3)When a ªclaimº has been made and/or reported as required herein or a ªconfirmed releaseº has been
discovered and reported as required herein, the insured must forward to us as soon as practicable after
receipt, or receipt by its representative or agent, all of the following:
(a)All technical reports, laboratory data, field notes or any other documents generated by or on behalf of
the insured to investigate or abate a ªpollution incidentº or to implement ªcorrective actionº or
ªcleanupº.
For ªclaimsº or covered ªconfirmed releasesº under Coverage B and/or Coverage C, the insured
shall also forward documentation of the release, detection tests or procedures, such as system
tightness tests or site checks, undertaken to investigate a suspected ªpollution incidentº and verify
that a ªconfirmed releaseº has taken place;
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(b)All correspondence between the insured and any third party claimant, including but not limited to any
government agency;
(c)All demands, summons, notices or other processes or papers from a court of law, administrative
agency or an investigative body;
(d)All expert reports, investigations and data collected by experts retained by the insured whether or not
the insured intends to use the material for any purpose; and
(e)Any other information developed, discovered and/or possessed by the insured concerning the
ªclaimº or ªconfirmed release'.
b. No costs, charges and expenses shall be incurred without our prior written approval for:
(1)the defense, investigation, or adjustment of ªclaimsº or actions to which SECTION I., Paragraph 2.,
Defense, applies;
(2)preparing, developing, modifying or implementing a ªcorrective actionº plan undertaken as part of a
covered ªcorrective actionº;
(3)ªcleanupº; or
(4)ªrestoration costsº.
c.The insured shall not admit or assume any liabilities or settle any ªclaimsº without our prior written consent.
d.The insured shall cooperate with us to the fullest extent possible by providing the assistance necessary to
adjust, investigate and defend the ªclaimº or ªconfirmed releaseº under Coverage A, Coverage B or
Coverage C. The insured agrees to provide us full access to interview any employee, agent, representative or
independent contractor of the insured and to review any of the insured's documents concerning the ªclaimº or
ªconfirmed releaseº.
e.We shall have the right but not the duty to participate in decisions regarding ªcorrective actionº, ªcleanupº and
ªrestoration costsº, and to assume direct control over all aspects of such ªcorrective actionº, ªcleanupº and
ªrestoration costsº, and the adjustment of any ªclaimº under Coverage A, Coverage B or Coverage C, up to
the limit of insurance. If we exercise our rights under this paragraph, the insured shall participate in discussions
regarding ªcorrective actionº, ªcleanupº and ªrestoration costsº, and performance of ªcorrective actionº,
ªcleanupº and ªrestoration costsº.
3.Legal Action Against Us.
No person or organization has a right under this policy:
a.To join us as a party or otherwise bring us into a suit asking for damages from an insured; or
b.To sue us on this policy unless all of its terms have been fully complied with.
A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured
obtained after an actual trial; but we will not be liable for damages that are not payable under the terms of this
policy or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release
of liability signed by us, the insured and the claimant or the claimant's legal representative.
4.Other Insurance.
a.Where other insurance is available to an insured for damages for ªbodily injuryº or ªproperty damageº or for
costs for ªcorrective actionº or ªcleanupº covered under the terms and conditions of the Policy, our obligation
to the insured shall be as follows:
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(1)This insurance shall apply as excess insurance over any other valid insurance, whether collectible or not, be
it primary or excess. This excess insurance shall in no way be increased or expanded as a result of the
receivership, insolvency, or inability to pay of any insurer with respect to both the duty to indemnify and
the duty to defend. This also applies to the insured while acting as a self-insured for any coverage.
(2)Where this insurance is excess insurance, we will pay only our share of the total amount of damage for
ªbodily injuryº or ªproperty damageº and costs for ªcorrective actionº or ªcleanupº, if any, that exceeds
the sum of:
(a)The total amount of all such other valid insurance, whether collectible or not; and
(b)The total of all deductible and self-insured amounts under all that other insurance.
b.When this insurance is excess, we will have no duty to defend any ªclaimº or civil or administrative action that
any other insurer has a duty to defend. If no other insurer defends, we will undertake to do so in accordance
with Paragraph 2., Defense of the INSURING AGREEMENT (SECTION I), but we will be entitled to
the insured's rights against all those other insurers.
5.Representations.
By accepting this policy, you agree:
a.The statements in the Declarations and application are accurate and complete;
b.Those statements are based upon representations you made to us; and
c.We have issued this policy in reliance upon your representations.
6.Transfer Of Rights Of Recovery Against Others To Us.
If the insured has rights to recover all or part of any payment we have made under this policy, those rights are
transferred to us. The insured must do nothing to impair those rights. At our request, the insured will bring suit or
transfer those rights to us and help us enforce them.
7.Cancellation.
a.The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us
advance written notice of cancellation.
b.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at
least:
1.10 days before the effective date of cancellation if we cancel for nonpayment of premium; or
2.60 days before the effective date of cancellation if we cancel for any other reason.
c.We will mail or deliver our notice to the first Named Insured's last mailing address known to us.
d.Notice of cancellation will state the effective date of cancellation. The ªpolicy periodº will end on that date.
e.If this policy is canceled, we will send the first Named Insured any premium refund due. If we cancel, the
refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The
cancellation will be effective even if we have not made or offered a refund.
f.If notice is mailed, proof of mailing will be sufficient proof of notice.
8.Changes.
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This policy contains all the agreements between you and us concerning the insurance afforded. The first Named
Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This
policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy.
9.Inspections And Surveys.
We have the right but are not obligated to:
a.Make inspections and surveys at any time;
b.Give you reports on the conditions we find; and
c.Recommend changes.
Any inspections, surveys, reports or recommendations relate only to insurability and the premiums to be charged.
We do not manage or exercise control over any premises or any ªunderground storage tank systemº or
ªaboveground storage tank systemº, nor are we in control of any source of a ªregulated substanceº. We do not
make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the
health or safety of workers or the public. And we do not warrant that conditions:
a.Are safe or healthful; or
b.Comply with laws, regulations, codes or standards.
This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which
makes insurance inspections, surveys, reports or recommendations.
10.Premiums.
The first Named Insured shown in the Declarations:
a.Is responsible for the payment of all premiums; and
b.Will be the payee for any return premiums we pay.
11.Transfer Of Your Rights And Duties Under This Policy.
Your rights and duties under this policy may not be transferred without our written consent except in the case of
death of an individual Named Insured.
If you die, your rights and duties will be transferred to your legal representative but only while acting within the
scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper
temporary custody of your property will have your rights and duties but only with respect to that property.
12.Notice When A limit Of Insurance Is Used Up.
As soon as is practicable after we have knowledge that a Limit of Insurance is used up, we will notify the first
Named Insured in writing. Any failure by us to provide any notice under this paragraph will not have the effect of
increasing any Limit of Insurance.
13.Transfer Of Duties When A Limit of Insurance Is Used Up.
a.When we terminate our defense because a Limit of Insurance has been used up in payment of judgments
and/or settlements, the Aggregate Claims Expense Limit is used up in the payment of ªclaims expensesº or
pursuant to any provision of the policy:
(1)We will notify the Named Insured and any insured against whom a ªclaimº is pending, in writing, as soon
as practicable, that we will no longer defend the insured or pay any ªclaims expenses.º
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(2)The Named Insured and any insured against whom a ªclaimº is pending will, as soon as practicable,
arrange for the transfer of control of the defense of all such ªclaimsº and against any insured.
(3)We will assist in, and all insureds must cooperate in, the transfer of control of the defense of all ªclaimsº
which are subject to that limit and which are reported to us before that limit is used up.
(4)We will take steps we deem appropriate to avoid a default in, or continue the defense of, such ªclaimsº
until the transfer is completed, provided the appropriate insured is cooperating in completing such
transfer. The Named Insured and any insured against whom a ªclaimº is pending will reimburse us for
any expenses we incur (for which expenses each Named Insured and each insured against whom a ªclaimº
is pending are jointly and severally liable) to take such steps on and after the date on which the applicable
Limit of Insurance is used up.
(5)We will take no action whatsoever with respect to any ªclaimº reported to us after the applicable Limit of
Insurance has been used up.
b.The duty to reimburse us will begin on the date the applicable Limit of Insurance is used up. The exhaustion
of any Limit of Insurance, and the resulting end of our duty to defend, will not be affected by our failure to
comply with any of the provisions of this Condition.
14.Duplicate Policies Provided to Governmental Agencies.
Whenever requested by a governmental agency or the insured, we agree to provide a signed duplicate original of the
policy and any endorsements.
15.Financial Responsibility and Reimbursement
If this policy is issued to certify your compliance with the federal Environmental Protection Agency financial
responsibility requirements or requirements of any ªenvironmental lawº imposed on you as an owner or operator of
an ªunderground storage tank systemº or ªaboveground storage tank systemº and we make payment accordingly,
you agree to reimburse us for any payment made by us on your behalf which we would not have been obligated to
make under the terms of this policy. Payment by us under this paragraph will not create any obligations or be
construed as a waiver or estoppel of our rights under the policy.
SECTION V ± EXTENDED REPORTING PERIOD
1.You shall be entitled to an Extended Reporting Period if this policy is cancelled or nonrenewed by you or by
us. The Extended Reporting Period shall not apply where:
(1)The Policy is terminated for fraud or non-payment of premium; or
(2)The Insured has purchased other insurance to replace the insurance provided under this Policy.
a.With regard to an individual ªcovered locationº, you shall be entitled to an Extended Reporting Period if
coverage for such location is terminated because:
(1)Coverage for the ªcovered locationº is deleted from this Policy by us; or
(2)The ªcovered locationº is:
(a)sold;
(b)given away;
(c)abandoned; or
(d)sub-leased, unless the sub-lease has been approved in writing by us prior to the commencement of the
sub-lease.
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2.The Extended Reporting Period will not extend the ªpolicy periodº, change the scope of coverage provided or
reinstate or increase the Limits of Insurance. The Extended Reporting Period will apply only to ªclaimsº:
a.Under Coverage A first made and reported; or
b. Under Coverage B or Coverage C first reported;
during the Extended Reporting Period and arising out of ªpollution incidentsº that occur before the end of the
ªpolicy periodº but not before the Retroactive Date, if any, shown in the Declarations. Any such ªclaimº will be
deemed first made and reported under Coverage A, or first reported under Coverage B or Coverage C, on the
last day of the ªpolicy periodº.
3.You shall be entitled to an Automatic Extended Reporting Period for a period of one-hundred eighty (180) days
starting upon cancellation, nonrenewal, or termination of coverage as described above for no additional premium.
This Automatic Extended Reporting Period shall not apply where the Named Insured has purchased the Optional
Extended Reporting Period under paragraph 4. Below.
4.An Optional Extended Reporting Period of thirty-six (36) months is available, but only by an endorsement and for
an extra charge. This Optional Extended Reporting Period starts upon cancellation, nonrenewal, or termination of
coverage as described above. Once in effect, the Optional Extended Reporting Period may not be cancelled.
You must give us a written request for to purchase the Optional Extended Reporting Period within 30 days after
the termination of coverage. The Optional Extended Reporting Period will not go into effect unless you pay the
additional premium promptly when due. The additional premium will not exceed 200% of the annual premium for
this Policy.
This endorsement shall set forth the terms, not inconsistent with this Section, applicable to the Optional Extended
Reporting Period, including a provision to the effect that the insurance afforded for ªclaimsº first received during
such period is excess over any other valid and collectible insurance.
SECTION VI ± DEFINITIONS
1.ªAboveground storage tank systemº means any stationary tank, including any piping and appurtenances connected
to the tank designated in Item 6 of the Declarations, provided such tank and any piping and appurtenances
connected to the tank:
a.are on or at a ªcovered locationº;
b.are used solely to contain ªregulated substancesº, hazardous waste or other waste product; and
c. has less than ten (10) percent of its volume beneath the surface of the ground.
2.ªAutoº means a land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached
machinery or equipment.
3.ªBodily injuryº means physical injury, sickness, disease, building-related illness, mental anguish, shock or emotional
distress, sustained by any person, including death resulting therefrom. ªBodily injuryº shall also include medical
monitoring costs.
4.ªClaimº means a demand, notice or assertion of a legal right alleging liability or responsibility on the part of the
insured.
5.ªClaims expensesº means:
a.(1)fees, salaries and expenses of attorneys, legal interns and paralegals we retain (including our own
employees); and
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(2)all other expenses we incur; that are directly allocable to the ªclaimº.
b.The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance.
We do not have to furnish these bonds.
c.All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the
ªclaimº, including actual loss of earnings up to $100 a day because of time off from work.
d.All costs taxed against the insured.
e.Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to
pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time
after the offer.
f.All interest on the full amount of any judgment that accrues after entry of the judgment and before we have
paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of
insurance.
6.ªCleanupº means:
a.activities to the extent required pursuant to ªenvironmental lawsº undertaken to remove, abate, contain, treat,
detoxify or neutralize ªpollutantsº, or to assess, test for or monitor the effects of ªpollutantsº.
b. ªcorrective actionº.
ªCleanupº shall not include the removal, repair, upgrade, maintenance or replacement of any ªunderground storage
tank systemº or ªaboveground storage tank systemº.
7.ªConfirmed releaseº means a ªpollution incidentº from an ªunderground storage tank systemº or an ªaboveground
storage tank systemº that has been investigated and verified by or on behalf of the insured utilizing a system
tightness check, site check or other procedure approved by the ªimplementing agencyº in accordance with 40
C.F.R. 280.52 or another applicable federal or state regulation or state statute.
8.ªCorrective actionº means response to a ªconfirmed releaseº as legally required by:
a.Subpart F of the federal underground storage tank regulations, 40 C.F.R. 280.60 through 280.66, 40 C.F.R.
280.72, or any other applicable federal regulations; or
b.Any applicable regulations promulgated by a state under an underground storage tank program approved by
the federal Environmental Protection Agency in accordance with section 9004 of the Resource Conservation
and Recovery Act of 1976, as amended.
9.ªCovered locationº means any location designated in Item 6 of the Declarations and includes above, on and below
the surface of the location, as well as the groundwater below the location.
10.ªEnvironmental lawsº means the following statutes, any amendments thereto, any regulations promulgated
thereunder; and any similar statutes or regulations of any state or province, or political subdivision thereof, of the
United States or Canada in effect at the commencement of the ªpolicy periodº: 1) the Comprehensive
Environmental Response Compensation, and Liability Act of 1980 (CERCLA), as amended by the Superfund
Amendments and Reauthorization Act of 1986 (SARA), 42 U.S.C. 9601-9675; 2) the Solid Waste Disposal Act, as
amended by the Resource Conservation and Recovery Act of 1976 (RCRA), 42 U.S.C. 6901-6992K; and 3) the
Federal Water Pollution Control Act, 33 U.S.C. 1251-1387. ªEnvironmental lawsº includes any amendments to the
statutes or regulations described above enacted or promulgated subsequent to the binder of coverage.
11.ªFines and penaltiesº means punitive, exemplary or multiplied damages, and civil fines, penalties and assessments to
the extent any of the foregoing is insurable under applicable law.
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12.ªImplementing agencyº means the federal Environmental Protection Agency (E.P.A.) or a state or local agency
having jurisdiction over the ªunderground storage tank systemº pursuant to an underground storage tank program
approved by the federal E.P.A. in accordance with section 9004 of the Resource Conservation and Recovery Act of
1976, as amended, or other applicable statutes.
13."Natural resource damagesº means damages, sought by a governmental or tribal natural resource damage trustee
who is authorized to act in such capacity by a natural resource damage statute governing the assessment and
restoration of natural resource damages, for the physical injury to or destruction of, as well as the assessment of
such injury or destruction, including the resulting loss of value of land, fish, wildlife, biota, air, water, groundwater,
drinking water supplies, and other such resources belonging to, managed by, held in trust by, appertaining to, or
otherwise controlled by the United States (including the resources of the fishery conservation zone established by
the Magnuson-Stevens Fishery Conservation and Management Act (16 U.S.C. 1801 et seq.)), any State, Local or
Provincial government, any foreign government, any Native American tribe, or, if such resources are subject to a
trust restriction on alienation, any member of a Native American tribes.
14.ªPolicy periodº means the period set forth in Item 2 of the Declarations, or any shorter period arising as a result of:
a.cancellation of this Policy; or
b.with respect to an individual ªcovered locationº:
(1)the deletion of such location from this Policy by us; or
(2)the sale, giving away or abandonment of such location, or the sub-leasing of such location, unless the
sub-lease has been approved in writing by us prior to the commencement of the sub-lease.
15.ªPollutantsº means:
a.With regard to ªpollution incidentsº from ªaboveground storage tanksº, any solid, liquid, gaseous, thermal
irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste
includes materials to be recycled, reconditioned or reclaimed.
b.With regard to ªpollution incidentsº from ªunderground storage tank systemsº, one or more ªregulated
substancesº.
16.ªPollution incidentº means any spilling, leaking, emitting, discharging, escaping or leaching of ªpollutantsº from an
ªaboveground storage tank systemº or an ªunderground storage tank systemº designated in Item 6 of the
Declarations on, in, into, or upon land, structures, the atmosphere, any watercourse or body of water including
surface water or groundwater.
The entirety of the same, interrelated, associated, repeated or continuous episodes of ªpollution incidentsº from the
same ªaboveground storage tank systemº or ªunderground storage tank systemº shall be deemed to be a single
ªpollution incidentº commencing at the time of the initial ªpollution incidentº.
17.ªProperty damageº means:
a.Physical injury to or destruction of tangible property of parties other than the insured, including the resulting
loss of use of that property;
b.Loss of use of tangible property of by parties other than the insured, that is not physically injured or destroyed.
c.Diminished value of property owned by parties other than the insured.
d.ªNatural resource damagesº.
18.ªRegulated substanceº means:
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a.petroleum, including crude oil or any fraction thereof that is liquid at standard conditions of temperature and
pressure.
b.hazardous substance as defined in section 101(14) of the Comprehensive Environmental Response,
Compensation and Liability Act of 1980 (CERCLA) (but not including any substance regulated as hazardous
under Subtitle C of the Resource Conservation and Recovery Act of 1976, as amended).
19.ªResponsible insuredº means:
a.The manager or supervisor of the insured responsible for environmental affairs or health and safety affairs,
control or compliance at a ªcovered locationº;
b.The manager of a ªcovered locationº; or
c.Any officer, director, risk manager or partner of the insured.
20.ªRestoration costsº means reasonable and necessary costs incurred by the insured, with the company's prior written
consent, to repair, restore or replace that particular part of real or personal property that is damaged solely by work
performed in the course of incurring covered ªcleanupº in response to a ªpollution incidentº to which this policy
applies. No coverage for ªrestoration costsº shall apply to any real or personal property which required removal,
replacement or repair prior to being damaged during such work. ªRestoration costsº shall not exceed the lesser of
actual cash value of the particular part of the real or personal property which was damaged or the cost of repairing,
restoring or replacing the damaged property with other property of like kind and quality. An adjustment for
depreciation and the physical condition of such property immediately prior to being damaged during such work
shall be made by the company, in its reasonable judgment, in determining actual cash value. If a repair or
replacement results in better than like kind or quality, the company will not pay for the amount of the betterment,
except to the extent such betterments of the damaged property entail the use of green building materials which are
environmentally preferable and of similar quality to those materials which comprised the damaged property. Such
green building materials must be certified as such by an applicable national or international independent
non-governmental certifying body, where such certification is available, or, in the absence of such certification,
based on the judgment of the company in its sole discretion. ªRestoration costsº shall not include any costs due to
or associated with the removal, repair, upgrade, maintenance or replacement of any ªunderground storage tank
systemº or ªaboveground storage tank systemº.
21.ªUnderground storage tank systemº means any tank, including any piping and appurtenances connected to the tank,
designated in Item 6 of the Declarations provided such tank and any piping and appurtenances connected to the
tank:
a.are on, at or under a ªcovered locationº;
b.are used solely to contain ªregulated substancesº; and
c. has at least ten (10) percent of its volume beneath the surface of the ground.
In witness whereof, the company has caused this policy to be signed by its President and its Secretary at Boston,
Massachusetts, and countersigned by a duly authorized representative of the company.
Liberty Surplus Insurance Corporation by:
President Secretary
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Version 3.0 (last updated November 2022)

Liberty Mutual Group California Privacy Notice
Commercial Lines (excluding Workers' Compensation)
(Effective January 1, 2023)

Liberty Mutual Group and its affiliates, subsidiaries, and partners (collectively ªLiberty Mutualº or ªweº, ªusº and ªourº)
provide insurance to companies and other insurers. This Privacy Notice explains how we gather, use, and share your data.
This Privacy Notice applies to you if you are a Liberty Mutual commercial line insured or are a commercial line
claimant residing in California. It does not apply to covered employees or claimants under Workers' Compensation
policies. If this notice does not apply to you, go to libertymutual.com/privacy to review the applicable Liberty Mutual
privacy notice.
What Personal Data Do We Collect?
The types of personal data we gather and share depend on both the product and your relationship to us. For example,
we may gather different data if you are a claimant reporting an injury than if you want a quote for commercial property
insurance. The data we gather can include your Social Security Number, income, transaction data such as account
balances and payment history, and data from consumer reports. It may also include data gathered in connection with
our provision of insurance services, when you apply for such services, or resulting from other contacts with you. It may
also include:

· Identifiers, including a real name, alias, postal address, unique personal identifier, online identifier,
Internet Protocol address, email address, account name, Social Security Number, driver's license
number, or other similar identifiers;
· Personal data, such as your name, signature, Social Security Number, physical characteristics or
description, address, telephone number, driver's license or state identification card number,
insurance policy number, education, employment, employment history, bank account number,
financial data, precise geolocation, medical data, or health insurance data;
· Protected classification characteristics described in California Civil Code § 1798.80(e),
including age, race, color, national origin, citizenship, religion or creed, marital status, medical
condition, physical or mental disability, sex (including gender, gender identity, gender expression,
pregnancy or childbirth and related medical conditions), sexual orientation, or veteran or military
status;
· Commercial information, including records of personal property, products or services purchased,
obtained, or considered, or other purchasing or consuming histories and tendencies;
· Internet or other similar network activity, including browsing history, search history, information
on a consumer's interaction with a website, application, or advertisement;
· Professional or employment related information, including current or past job history
Inferences drawn from other personal information, such as a profile reflecting a person's
preferences, characteristics, psychological trends, predispositions, behavior, attitudes, intelligence,
abilities, and aptitudes;
· Risk data, including data about your driving and/or accident history; this may include data from
consumer reporting agencies, such as your motor vehicle records, and loss history information, health
data, or criminal convictions;
· Claims data, including data about your previous and current claims, which may include data
regarding your health, criminal convictions, third party reports, or other personal data; and
· Sensitive Data as defined under the California Privacy Rights Act when used to infer
characteristics of an individual.
For information about the types of personal data we have collected in the past twelve (12) months, please go to
lmi.co/caprivacynotices and click on the link for the California Privacy Policy (Consumers).
2
Version 3.0 (last updated November 2022)

How do you gather my data?
We gather your personal data directly from you.
For example, you provide us with data when you:
We also gather your personal data from other people. For
example:
▪ ask about or buy insurance, or file a claim ▪ your insurance agent or broker
▪ pay your policy ▪ your employer, association or business (if you are insured
through them)
▪ visit our websites, call us, or visit our office ▪ our affiliates or other insurance companies about your
transactions with them
▪ consumer reporting agencies, Motor Vehicle Departments,
and inspection services, to gather your credit history, driving
record, claims history, or value and condition of your
property
▪ other public directories and sources
▪ third parties, including other insurers, brokers and insurance
support organizations who you have communicated with
about your policy or claim, anti-fraud databases, sanctions
lists, court judgments and other databases, government
agencies, open electoral register, or in the event of a claim,
third parties including other parties to the claim witnesses,
experts, loss adjusters and claim handlers
▪ other third parties who take out a policy with us and are
required to provide your data such as when you are named
as a beneficiary or where a family member has taken out a
policy which requires your personal data

Organizations that share data with us may keep it and disclose it to others as permitted by law. For data about how we
have gathered personal data in the past twelve months, please go to lmi.co/caprivacynotices and click on the link for the
California Privacy Policy (Consumers).
How Do We Use Your Personal Data?
Liberty Mutual uses your data to provide you with our products and services, and as otherwise provided in this Privacy
Notice. We may use your data and the data of our former customers for our business and other compatible purposes.
Our business purposes include, for example:

Business Purpose Data Categories
Do we share or sell your
information as defined by
CPRA
Market, sell and provide insurance.
This includes, for example:
· calculating your premium;
· determining your eligibility for
a quote;
· confirming your identity and
servicing your policy;
▪ Identifiers
▪ Personal Information
▪ Protected Classification
Characteristics
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ No
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▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ Sensitive Data
Manage your claim. This includes, for
example:
▪ managing your claim, if any;
▪ conducting claims
investigations;
▪ conducting medical
examinations;
▪ conducting inspections,
appraisals;
▪ providing roadside assistance;
▪ providing rental car
replacement or repairs;
▪ Identifiers
▪ Personal Information
▪ Protected Classification
Characteristics
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ No.
Day to Day Business and Insurance
Operations. This includes, for example:
· creating, maintaining,
customizing, and securing
accounts;
· supporting day-to-day business
and insurance related functions;
· doing internal research for
technology and development;
· marketing, advertising and
creating products and services;
· conducting audits related to a
current contact with a consumer
and other transactions;
· as described at or before the
point of gathering personal data
or with your authorization;

▪ Identifiers
▪ Personal Information
▪ Protected Classification
Characteristics
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ No.
Security and Fraud Detection. This
includes, for example:
▪ detecting security issues;
▪ protecting against fraud or
illegal activity, and to comply
with regulatory and law
enforcement authorities;
▪ managing risk and securing
our systems, assets,
infrastructure, and premises;
▪ help to ensure the safety and
security of Liberty staff, assets,
and resources, which may
include physical and virtual
▪ Identifiers
▪ Personal Information
▪ Protected Classification
Characteristics
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ No.
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access controls and access
rights management;
▪ supervisory controls and other
monitoring and reviews, as
permitted by law; and
emergency and business
continuity management;
Regulatory and Legal Requirements.
This includes for example:
▪ controls and access rights
management;
▪ to evaluate or conduct a
merger, divestiture,
restructuring, reorganization,
dissolution, or other sale or
transfer of some or all of
Liberty's assets, whether as a
going concern or as part of
bankruptcy, liquidation, or
similar proceeding, in which
personal data held by Liberty
is among the assets
transferred;
▪ exercising and defending our
legal rights and positions;
▪ to meet Liberty contract
obligations;
▪ to respond to law
enforcement requests as
required by applicable law,
court order, or governmental
regulations;
▪ as otherwise permitted by law;
▪ Identifiers
▪ Personal Information
▪ Protected Classification
Characteristics
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ No.
Improve Your Customer Experience
and Our Products. This includes, for
example:
· improve your customer
experience, our products, and
service;
· to provide support,
personalize, and develop our
website, products, and
services;
· create and offer new
products and services;
▪ Identifiers
▪ Personal Information
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ No.
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Analytics to identify, understand, and
manage our risks and products. This
includes, for example:
· conducting analytics to better
identify, understand, and
manage risk and our
products;

▪ Identifiers
▪ Personal Information
▪ Protected Classification
Characteristics
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information;
▪ Risk data
▪ Claims data
▪ Sensitive Data
▪ No.
Customer service and technical
support. This includes, for example:
· answer questions and provide
notifications;
· provide customer and
technical support.
▪ Identifiers
▪ Personal Information
▪ Commercial Information
▪ Internet or other similar network
activity
▪ Professional or employment
related information
▪ Inferences drawn from other
personal information
▪ Risk data
▪ Claims data
▪ No.
Cross-Context Behavioral Advertising ▪ Identifiers
▪ IP address
▪ Internet or other similar network
activity
▪ We share this information
with service providers such
as search engines and social
media platforms

Liberty Mutual will not collect additional categories of personal information or use the personal information we collected
for materially unrelated, or incompatible purposes without updating our notice.
Do We Disclose Your Personal Data?
Liberty Mutual does not sell your personal data as defined by California law.
Liberty Mutual shares your personal data as disclosed above. The California privacy law defines sharing as
ªcommunicating orally, in writing, or by electronic or other means, a consumers personal information . . . to a third party
for cross-context behavioral advertising, whether or not for monetary or other valuable consideration.º This occurs
when you visit the Liberty Mutual website. Cookies or pixels are deployed that then allow us to show you targeted
advertisements when you visit other websites or social media platforms. You have the right to opt-out of this type of
sharing and you may learn more about those rights at lmi.co/caprivacychoices.
This type of sharing is different from disclosing personal information to other entities to perform a service related to
providing insurance or processing your claim. How we disclose data to these types of entities is set forth below.
Liberty Mutual may disclose personal data with affiliated and non-affiliated third parties, including:
▪ Liberty Mutual affiliates;
▪ Service Providers (such as auto repair facilities, towing companies, property inspectors, and independent
adjusters);
▪ Insurance support organizations;
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▪ Brokers and agents;
▪ Public entities (e.g. regulatory, quasi-regulatory, tax or other authorities, law enforcement agencies,
courts, arbitrational bodies, and fraud prevention agencies);
▪ Consumer reporting agencies;
▪ Advisors including law firms, accountants, auditors, and tax advisors;
▪ Insurers, re-insurers, policy holders, and claimants;
▪ Group policyholders (for reporting claims data or an audit);
▪ A person, organization, affiliates or service providers conducting actuarial or research studies; and
▪ As permitted by law.
We may also disclose data with other companies that provide marketing services on our behalf or as part of a joint
marketing agreement for products offered by Liberty Mutual. We will not disclose your personal data with others for
their own marketing purposes.
We may also disclose data about our transactions (such as payment history) and experiences (such as claims made) with
you to our affiliates.
Liberty Mutual may disclose the following categories of personal data as needed for business purposes:
Identifiers Personal Data
Protected Classification Characteristics Commercial Data
Internet or other similar network activity Professional, employment, and education data
Inferences drawn from personal data Risk Data
Claims Data
For information about how we have shared personal information in the past twelve (12) months, please go to
lmi.co/caprivacynotices and click on the link for the California Privacy Policy (Consumers).

How Long Does Liberty Mutual Retain Each Category of Personal Data?
We retain your information in accordance with our legal obligations, our records retention policies, or as otherwise
permitted by law. For example, we may have a legal obligation to retain information relating to your policies or claims
with us. We will delete your data once the legal obligation expires or after the period of time specified in our records
retention policies. The period of retention is subject to our review and alteration.

How to Contact Us:
You can submit requests, seek additional information, or obtain a copy of our Privacy Notice in an alternative format by
either:

Calling: 800-344-0197
Email: [e-mail]
Online: Libertymutualgroup.com/privacy-policy/data-request
lmi.co/caprivacychoices
Postal Address: Liberty Mutual Insurance Company
175 Berkeley St., 6th Floor
Boston MA 02116
Attn: Privacy Office