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Client#: 422600 <br />II I/_111 111 <br />ACORDT., CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />8/22/2018 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Adriana Medina <br />NAME: <br />Marsh & McLennan Agency LLC <br />_ <br />PHONE , E.1): 949-900-2264 11 <br />A/C, No <br />Marsh &McLennan Ins. Agency LLC <br />�nnRESs:Adriana.Medina@MarshMMA.com <br />1 Polaris Way #300 Lic# OH18131 <br />.................._..___- _ -- ._........ --- <br />Aliso Viejo, CA 92656 <br />INSURER(S) AFFORDING COVERAGE NAIC X <br />CLAIMS -MADE FlOCCUR <br />INSURER A: AXIS Surplus Insurance Company 126620 <br />INSURED <br />Tait & Associates, Inc. <br />INSURER B : <br />- ....... <br />701 N. Parkcenter Drive <br />INSURER C <br />MED EXP (Any one person) $5,000 <br />Santa Ana, CA 92705 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />LTR <br />TYPE OF INSURANCE <br />NSRADDL <br />SUBR <br />WVD <br />POLICY NUMBER <br />MMIDDY EFF <br />MM/DD/YYXYY <br />LIMITS <br />A <br />X; COMMERCIAL GENERAL LIABILITY <br />SP002747022018 <br />9/01/2018 <br />09/0112019 <br />EACH OCCURRENCE $2000000 <br />CLAIMS -MADE FlOCCUR <br />DAMAGE <br />REM SES (ERENTED <br />occu ence) $50000 <br />MED EXP (Any one person) $5,000 <br />XProfessional Liab <br />X' POIIIutionLiab <br />PERSONAL &ADV INJURY $2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY LXI ._. JECT LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />Deductible $$10,000 <br />OT_H_ER_: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />BODILY INJURY (Per person) S <br />ANY AUTO <br />OWNED SCHEDULED <br />- ---_� AUTOS ONLY ' AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />I PROPERTY DAMAGE $ <br />Per accident <br />$ <br />A <br />UMBRELLA LIAB <br />OCCUR <br />SX00274802201$ <br />9/01/2018 <br />0910112019 <br />EACH OCCURRENCE $9,000,000 <br />AGGREGATE $9,000,000 <br />X'. EXCESS LIAB - <br />X <br />CLAIMS -MADE <br />DED X' RETENTION $0 <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITYSTA <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />LITE <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />*Professional Liability is Claims Made coverage* <br />The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named as <br />additional insured, where required by written contract, per the attached. This insurance is primary and non <br />contributory. <br />REVIEWED BY: EUNICE HEREDIA (PG ( OF SO <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702-0000 <br />ACORD 25 (2016/03) 1 Of 1 <br />#S3617002/M3616912 <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 />AUTHORIZED REPRESENTATIVE <br />0l�M�w'�tsat�;�v <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />WOACM <br />