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DL y ed by Sama ha <br />Samantha M. <br />M..Lambert,t <br />Client#:422600 Lambert Date: 2021.09.0916:02:24 TAITASSOC <br />-0700 <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />8/26/2021 <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 Stephanie Holly <br />NAME <br />Marsh & McLennan Agency LLC <br />PHONE FAX <br />A/C, No, Ext : (A/C, No): <br />Marsh &McLennan Ins. Agency LLC <br />S: SS: occerts@marshmma.com <br />ADDRES <br />1 Polaris Way #300 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />AIISo Viejo, CA 92656 <br />INSURER A: AXIS Surplus Insurance Company <br />26620 <br />INSURED <br />INSURER B : <br />Tait & Associates, Inc. <br />Tait Environmental Services, Inc. <br />INSURER C <br />701 N. Parkcenter Drive <br />INSURER D <br />Santa Ana, CA 92705 <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />SP002747052021 <br />9/01/2021 <br />09/01/2022 <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE 4 OCCUR <br />PREMISESOEa occurrDence <br />$ 100,000 <br />X <br />MED EXP (Any one person) <br />$ 50,000 <br />Professional Liab <br />X <br />Pollution Liab <br />PERSONAL & ADV INJURY <br />$2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY JECT � LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />Deductible <br />$$10,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />UMBRELLA LAB <br />X <br />OCCUR <br />SX002748052021 <br />9/01/2021 <br />09/01/2022 <br />EACH OCCURRENCE <br />$9 000 000 <br />X <br />X <br />AGGREGATE <br />$9 000 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />*Follows Form <br />DED I X RETENTION $0 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N I A <br />PER TE OTH- <br />STATUER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe 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 included as <br />additional insured as respects to General Liability per attached endorsement. Primary and Non -Contributory <br />Wording applies with respects to General Liability per attached endorsement. Cancellation provisions apply <br />with 30 days written notice. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <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 />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92702-0000 AUTHORIZED REPRESENTATIVE <br />© 1988-2016 ACORD <br />ACORD 26 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S8625206/M8624548 <br />,z <br />REVIEWED & APPROVED BY: <br />�1-� Risk Management Supervisor, <br />