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DATE (MM/DD/YYYY) <br />.�acoRo CERTIFICATE OF LIABILITY INSURANCE <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Garrett/Mosier/Griffith/Sistrunk Ins. Services <br />CONTACT NAME: Andrea Chastain <br />12 Truman <br />Irvine, CA 92620 <br />PHONE - 949-559-6700 FAX ac No: 949-559-6703 <br />E-MAIL ADDRESS: and reaG arrett-mosier.com <br />INSURERS AFFORDING COVERAGE NAIC ft <br />INSURER A: Travelers Property Casualty Co of America <br />www.garrett-mosier.com OB84519 <br />INSURED Tait & Associates. Inc. <br />Tait Environmental Services, Inc. <br />701 Parkcenter Dr. <br />INSURER B <br />INSURER C: <br />INSURER D: <br />Santa Ana CA 92705 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 8537131 REVISION NLIMRFR- <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 />ILTR <br />TYPE OF INSURANCE <br />A <br />U <br />POLICY NUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />G <br />MAE TO RENED <br />PREDAMISES(E... ur—c.$ <br />MED EXP (Any one person) $ <br />CLAIMS -MADE =] OCCUR <br />PERSONAL 8 ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY PRO LOC <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />810-713BR642 <br />9/1/2010 <br />9/1/2011 <br />COB g[31 i4 eDISMGLE LIMIT $ 1,000,000 OOOOOO <br />✓ ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNEDSCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Par accident ) $ <br />✓ HIRED AUTOS ✓ NONGOWNED <br />AUT✓ <br />ROr PE.citl Y DAMAGE $ <br />$ <br />$1,000 Comp. Ded. <br />$ <br />✓ $1,000 Coll. Ded. <br />UMBRELLA LIAROCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENTION $ <br />g <br />$ <br />A <br />WORKER B COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/ PARTNER/EXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />N / A <br />UB -7244R703 <br />9/9/2090 <br />9/1/2011 <br />WC STATU- OTFI <br />✓ TORY LIMITS ER <br />E.L. EACH ACCIDENT $ 1.000.000 <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE- POLICY LIMIT s 1.000.00 <br />DESCRIPTION OF OPERATIONS below <br />�S <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Rem <br />RE: All Operations as performed by the named insured <br />la, Ifmui <br />�tK�� TV ej <br />3oseQ Gi'CJ p' <br />- tsI1D` <br />CERTIFICATE HOLDER I <br />C LLATION <br />RE: All Operations as performed by the named insured <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza (M-30) <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO Box 1988 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />Michael Finn <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />CERT NO.. 8537131 Andrea Cthaet 10/12/2010 4:30:14 PM Page 1 0£ 1 <br />