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Client#:422600 TAITASSOC Villareal „030A92190436 <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DA TE DD,YYYY) <br />826/2/2612 020 <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 />TACT <br />NAME: Stephanie Holly <br />Marsh & McLennan Agency LLC <br />PHONE 949.540-6947 A <br />Marsh & McLennan Ins. Agency LLC <br />(A/C No EXU:_ IA/C No): <br />E'MAILADDREss: stephanie.holly@marshmma.com <br />1 Polaris Way <br />Aliso Viejo, CA 92656 <br />92 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: AXIS Surplus Insurance Company <br />26620 <br />INSURED <br />Tait & Associates, Inc. <br />INSURER B . <br />--._................................ ......... -- _..... ............__ _ ........... <br />.... _ _._................. ..._. <br />Tait Environmental Services, Inc. <br />-INSURER C-—.._._.....: ............ ____ ___--_----......................... .....-_......... ___ ------- .........____ <br />__._........_---- __. <br />701 N. Parkcenter Drive <br />INSURER D <br />Santa Ana, CA 92705 <br />wsuRER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS <br />IS TO CERTIFY THAT THE POLICIES <br />OF <br />INSURANCE <br />LISTED BELOW HAVE BEEN <br />ISSUED TO <br />THE INSURED <br />NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, <br />TERM OR CONDITION OF ANY <br />CONTRACTOR <br />OTHER DOCUMENT <br />WITH RESPECT TO WHICH THIS <br />CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE <br />POLICIES <br />DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS <br />AND CONDITIONS OF SUCH <br />POLICIES, <br />LIMITS SHOWN MAY HAVE BEEN <br />REDUCED <br />BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INS- R <br />SUBR <br />WVD <br />_ POLICY_NUMBER _ <br />POLIO. E.. <br />PIYYYY) (MMID <br />POLICY EXP <br />(MMIDDNYYY) <br />LI- '-""'...."'- <br />MITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />j`POO2747042020 <br />09101/2020 <br />09/01/2021 <br />EACH OCCURRENCE $2�000,000 <br />CLAIMS -MADE OCCUR <br />PREMISES Ea RENTED occurrence $100000 <br />X Professional Liab <br />MED EXP (Any one person) <br />$50,000 <br />PERSONAL & ADV INJURY <br />— <br />s2,000,000 <br />X PoilutionLiab <br />--_ ..._._................................ .----- - <br />GEN'LAGGREGATE LIMIT APrPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMPIOPAGG <br />$210001000 <br />X POLICY __ JECOT LOC <br />Deductible <br />$$10,000 <br />OTHER: <br />- - <br />_ _. .......... ..___— ___ <br />AUTOMOBILE LIABILITY <br />_._ <br />.. <br />..........._ . ___- _- .......... <br />_- - _ ____. <br />...._.... <br />CEP acmtle05WGLE LIMIT <br />..... <br />$ <br />O <br />BODILY INJURY (Per person) <br />$ <br />OWNED <br />OWNED- SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />( I <br />$ <br />HIRED NON-OWNEDOP <br />AUTOS ONLY AUTOS ONLY <br />AUTOS <br />PRERTY DAMAGE <br />Per accideir�_ <br />$ <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR <br />SX002748042020 <br />9/01/2020 <br />09/01/2021 <br />EACH OCCURRENCE— <br />$9000,000 <br />X <br />X <br />AGGREGATE <br />_ <br />$9 000zQ00 <br />r--- <br />EXCESS LIAB <br />CLAIMS -MADE <br />*Follows Form <br />�X <br />DED _ ___ _ RETENTION $0 _ _ <br />_ <br />._......._.. .___ _ � �� ����-������� <br />___-- - _-- <br />$ <br />WORKERS COMPENSATION <br />� � � ������������ � <br />iPER OTH <br />l IER <br />- - � ������- -----------��� � <br />AND EMPLOYERS'LIABILITY YIN <br />JSTATUTE <br />ANY PROPRIETO RIPARTNERIEXE C UTIVE""" <br />OFFICERIMEMBER EXCLUDED? [ 1 <br />N/A--- <br />F.L.ACH ACCIDENT .......... <br />$ _..._.... <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYEE <br />---' <br />$ <br />If yes, describe under <br />E.L. DISEASE-POLICYLIMIT <br />------- <br />$ <br />___ <br />DESCRI PTION OF OPERATIONS below <br />_ _ _ <br />] <br />_ <br />1 <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 />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza <br />Santa Ana, CA 92702-0000 <br />AUTHORIZED REPRESENTATIVE <br />„ s. <br />RlekMarta�mmerrtDM <br />.•tr4:� I <br />�`i <br />REVIEWED Ca APPROVED <br />r <br />XM <br />�'� - V <br />©1988-2016 ACORD <br />Iarl4 <br />ACORD 25 (2016103) 1 of 1 The ACORD name and <br />logo are registered marks of ACORD <br />. <br />Ri$leManagcrnentnn, <br />#S63547871M6354660 <br />