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TAIT & ASSOCIATES, INC.
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Last modified
10/31/2018 3:56:55 PM
Creation date
7/17/2018 2:52:30 PM
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Contracts
Company Name
TAIT & ASSOCIATES, INC.
Contract #
A-2018-159-06
Agency
PUBLIC WORKS
Council Approval Date
6/19/2018
Expiration Date
6/18/2021
Insurance Exp Date
9/1/2019
Destruction Year
2026
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ACORN® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />8/28/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln policies may require an endorsement, A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorselThent(s). <br />PRODUCER Garrett/Mosier/Griffith/Sistrunk <br />Risk Management & Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />ACT <br />NAME: Ashley Brewster <br />PHC N Ex 949-559-3377 FAnfc No: 949-559-6703 <br />EMAIL <br />ADDRESS: ashleybftqmgs.com <br />INSURER(S) AFFORDING COVERAGE NAIC fl <br />INSURERA: Travelers Property Casualty Co of America 25674 <br />www.gmgs.com OB84519 <br />INSURED <br />Tait & Associates, Inc. <br />Tait Environmental Services, Inc. <br />INSURER B: <br />INSURERC: <br />INSURER D: <br />701 Parkcenter Dr. <br />INSURERE: <br />Santa Ana CA 92705 <br />INSURER F: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED ✓ AUTOS ONLY ✓ AOTOSONLY <br />COVERAGES CERTIFICATE NUMBER: 37448818 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AODL <br />SUER <br />POLICY NUMBER <br />MMIDDY� <br />MMIDDNYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FIOCCUR <br />EACH OCCURRENCE $ <br />M" 'GrTURTNTFU_ <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) S <br />PERSONAL 8 ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />POLICY D PRO, <br />JECT n LOC <br />HOTHER: <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OPAGG $ <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED ✓ AUTOS ONLY ✓ AOTOSONLY <br />810 -7138R642 -17 -CAG <br />$1,000Comp.Ded. <br />$1,000 Coll. Ded. <br />9/1/2017 <br />9/1/2018 <br />COMBIINdED SINGLE LIMIT $ 1,000,00 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PBOPaER,de DAMAGE $ <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED I I RETENTION <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNER/EXECUTIVE YIN <br />OFFICERIMEMBEREXCLUDED7 a <br />(Mandatary In NH) <br />Ir yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />UB -4J588939-17 <br />9/1/2017 <br />9/1/2016 <br />�/ STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (ACORD 101, Addillonal Remarks Schedule, may be attached If more space le required) <br />REVIEWED BY: EUNICE HEREDIA (PGI OFT)-]_ <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana <br />20 Civic Center Plaza <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Michael Finn <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />37446818 1 17-18 A/W I Ashley Brewster 1 8/28/2017 12:56:18 PI4 (PDT) I Page 1 of 1 <br />
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