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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 09/19/2025
<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 /> PRODUCER CONTACT Accounts Team
<br /> NAME:
<br /> Scott&McCauley Insurance Agency PHONE (949)503-1953 FAx
<br /> A/C No Ext: A/C,No):
<br /> 2 Ritz Carlton Drive E-MAIL COI@sminsuranceagency.com
<br /> ADDRESS:
<br /> Suite 204 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Dana Point CA 92629 INSURERA: AXIS Surplus Insurance Company 26620
<br /> INSURED INSURER B: The Continental Insurance Company 35289
<br /> Tait&Associates,Inc INSURER C: Valley Forge Insurance Company 20508
<br /> 701 Parkcenter Dr INSURER D: Colony Insurance Company 39993
<br /> INSURER E:
<br /> Santa CA 92705 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: TAIT MSTER 25-26 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 MAYBE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 25,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A Y Y SP002747-08-2025 09/01/2025 09/01/2026 PERSONAL&ADV INJURY $ 2,000,000
<br /> MOTHER
<br /> LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> JECT: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED Y Y 7034395486 09/01/2025 09/01/2026 BODI LY I NJ U RY(Pe r accide nt) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> A X EXCESS LAB CLAIMS-MADE Y Y SX002748-08-2025 09/01/2025 09/01/2026 AGGREGATE $ 5,000,000
<br /> DED I I RETENTION $ $
<br /> WORKERS COMPENSATION ER/� STATUTE EORH
<br /> AND EMPLOYERS'LIABI LI TY YIN 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> C OFFICER/MEMBER EXCLUDED? ❑ N/A Y 7034395505 09/01/2025 09/01/2026
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> P
<br /> Professional Liab/Contractors Pollution rofess/Poll Ea Claim 2,000,000
<br /> AID Excess Liability SP002747-082025/EX04295007 09/01/2025 09/01/2026 Ea Claim/Aggregate 4,000,000 X 5M
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are additional insureds per written contract or agreement.
<br /> The certificate holder is included as an Additional Insured as required by a written contract or agreement on the General Liability,Auto Liability,and
<br /> Umbrella.Coverage is Primary&Non-Contributory when required by a written contract or agreement with the named insured.Blanket Waiver-of-Subrogation
<br /> is granted in favor of the Additional Insured with respect to the General Liability,Auto Liability,and Workers'Compensation when required by written
<br /> contract or agreement.Umbrella follows form over General liability,Auto liability,Employers liability,pollution and professional liability.Thirty(30)days'
<br /> notice of cancellation with ten(10)days'notice for non-payment of premium is provided to the certificate holder.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> TU Trdn Digit z�ly signed by THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> TAT 2025.09.2 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana PWA-Facilities oate:zozso9.z9
<br /> Nguyeno82506-
<br /> 20 Civic Center Plaza,M-11
<br /> AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) APPROVED are registered marks of ACORD
<br /> By Tu Tran Nguyen at 8:24 am,Sep 29,2025
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