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Aco o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br /> ‘.....---"--' 08/21/2024
<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 (94' )501-��',ry I+�I I" C-�{y(ped by
<br /> (A/C,No,Ext: V �.,,9 ` �/ J V� /
<br /> 2 Ritz Carlton Drive led.)
<br /> I e E-MAIL coi@s rinsuranc ency.com
<br /> ADDRESS:
<br /> Suite 204 NS G V /ed o NAIC If
<br /> Dana Point CA 92629 INSURER A: AXIF S'r lu PnlU1Or 26620
<br /> INSURED INSURER B: Th' Conti tal I urranc /� (� 35289
<br /> Tait&Associates,Inc INSURER c: V,Iley F� ,a• ,e:. '4.0 J.0 5 20508
<br /> 701 N.Parkcenter Dr e e o INSURER 0: 1 1
<br /> INSUP,R'.: 09-30-42 -07 00 _
<br /> Santa Ana CA 92705 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: TAIT-MSTR-24-25 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 /> INSR AUUL SUBH POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER _(MM!DD/YYYY) .JMMIDD/YYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 25,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A SP002747-08-2024 09/01/2024 09/01/2025 PERSONAL&AOV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000
<br /> POLICY X PRO PRODUCTS-COMPIOP AGG $ 00
<br /> JECT n LOC 2,C) CO
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED 7034395486 09/01/2024 09/01/2025 BODILY INJURY(Per accident) $
<br /> _ AUTOS ONLY _ AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY _ AUTOS ONLY (Per accident $
<br /> $
<br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> A X EXCESS LIAB CLAIMS-MADE SX002748-08-2024 09/01/2024 09/01/2025 AGGREGATE $ 9,000,000
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION ./ PER OTH-
<br /> ERAND EMPLOYERS'LIABILITY Y/N /� STATUTE
<br /> C OFFICER/MEMBER EXCLUDED?ANY ECUTIVE (� N/A 7034395505/7034395522 09/01/2024 09/01/2025 E.L.EACH ACCIDENT $ 1,000,000
<br /> (Mandatory In NH) I I E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,O0Q,I)00
<br /> Professional Liability
<br /> A Contractors Pollution SP002747-08-2024 09/01/2024 09/01/2025 Per Claim $2,000,000
<br /> Per Claim $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> The City of Santa Ana,its officers,employees,agents,volunteers,and representatives are included as additional insured on General Liability per the
<br /> attached.Insurance is Primary and Non-Contributory.Waiver of Subrogation applies on General Liability per the attached.30 days Notice of Cancellation for
<br /> non-payment of premium.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana;Risk Management Division ACCORDANCE WITH THE POLICY PROI\ /
<br /> ivision
<br /> 20 Civic Center Plaza o? °°",„ Risk�D
<br /> AUTHORIZED REPRESENTATIVE ! REVIEWED&APPROVED BY:
<br /> 4th floor
<br /> Santa Ana CA 92702-0000
<br /> v ;®, n� 0
<br /> I '�/ Risk Management Specialist
<br /> ©1988-2015 ACOF/
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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