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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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ACORO°° CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />TYPE OF INSURANCE <br />8/27/2018 <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 rights to the certificate holder in lieu of such endorsement(s). <br />GMGS Risk Management & Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />CONTPRODUCER <br />NAME: Ashley Brewster <br />PHONE FAX <br />A/C Na Ext): 949-559-3377 AlC No): 949-559-6703 <br />-ADDRESS". SS". ashle b@ m s.com <br />INSURERS AFFORDING COVERAGE ! NAIC # <br />EACH OCCURRENCE $ <br />INSURER A: Travelers Property Casualty Co of America 25674 <br />www.gmgs.com OB84519 <br />INSURED <br />Tait & Associates, Inc. <br />INSURER B: <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY JECT LOC <br />OTHER: <br />Tait Environmental Services, Inc. <br />INSURERC: <br />INSURER D: <br />A <br />701 Parkcenter Dr. <br />Santa Ana CA 92705 <br />INSURER E: <br />INSURER F: <br />9/1/2018 <br />9/1/2019 <br />COVERAGES CERTIFICATE NUMBER: 43841963 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 />ILTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />I POLICY NUMBER <br />MMIDDPOLICY EFF <br />POLICY <br />M DD�Y <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F OCCUR <br />EACH OCCURRENCE $ <br />AMAGE TO NTED <br />PREMISES Ea CCU".".) <br />currence $ <br />MED EXP (Any one person) $ <br />PERSONAL &ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY JECT LOC <br />OTHER: <br />GENERAL AGGREGATE $ <br />PRODUCTS -COMP/OPAGG $ <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />✓ ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOSHIRED <br />✓ AUTOS ONLY ✓ AUTOS ONLDY <br />810 -7138R642 -TIL -18 <br />$1,000 Comp. Ded. <br />1$1,000 Coll. Ded. <br />9/1/2018 <br />9/1/2019 <br />COMBINED tSINGLE LIMIT $1,000,000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY Per accident <br />( ) $ <br />PR <br />accide DAMAGE $ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />HCLAIMS-MADE <br />i <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />i <br />UB -4J588939 -18-43-G <br />9/1/2018 <br />9/1/2019 <br />PER OTH- <br />✓ STATUTEI ER <br />EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $1 00,000 <br />E.L. DISEASE - POLICY LIMIT $ 1 n00,000 <br />I <br />� <br />I <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />REVIEWED BY: EUNICE HEREDIA (P OF ) <br />IiCRI Ir-11,MIC r7VLUCr% <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />Michael Finn <br />W 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />93891963 1 18-19 A/W I Ashley Brewster 18/27/2018 10:36:02 AM (PDT) I Page I of 1 <br />
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