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ACcRD® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY)
<br /> iks...----- 08/28/2025
<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 INSURER A: AXIS Surplus Insurance Company 26620
<br /> -
<br /> INSURED INSURER B: The Continental Insurance Company 35289
<br /> -
<br /> Tait&Associates,Inc INSURER C: Valley Forge Insurance Company 20508
<br /> 701 Parkcenter Dr INSURER o: 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 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 SUM POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) SMMIDO/YYYY1_ LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> �/
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 25,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A Y Y SP002747-08-2025 09/01/2025 09/01/2026 PERSONAL&AOVINJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X PRO- 2,000,000
<br /> JECT LOC PRODUCTS-COMP/OP AGG $
<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 V Y 7034395486 09/01/2025 09/01/2026 BODILYINJURY(Peraccident) $
<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 $ 5,000,000
<br /> A X EXCESS LIAB CLAIMS-MADE Y Y SX002748-08-2025 09/01/2025 09/01/2026 AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION X STATUTE EORH
<br /> AND EMPLOYERS'LIABILITY
<br /> Y/N C ANY PROPRIETORIPARTNERJEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBEREXCLUDED? 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
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,C) Q.°00
<br /> Profess/Poll Ea Claim 2,000,000
<br /> Professional Liab/Contractors Pollution
<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 I LOCATIONS I 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 /> Tu Tran 7u Digitraallyn Nguyensi9,,y by
<br /> Date:2025.09.0
<br /> T
<br /> Nguyen 09 1632.07'00?
<br /> APPROVED
<br /> By Tu Tran Nguyen at 9:15 am,Sep 02,2025
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn Heidi Chou
<br /> AUTHORIZED REPRESENTATIVE
<br /> 215 S Center St M-85
<br /> Santa Ana CA 92701 ��
<br /> 1
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