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• (MMIDDIYYYY) <br /> Av CERTIFICATE OF LIABILITY INSURANCE DATE <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(les)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 CONTACT NAME: - <br /> Risk Management& Insurance Services PHONE (949) -6� FAX AIC,No: (949)559-6703 <br /> 12 Truman <br /> Irvine, CA 92620 EMAIL ADORE I <br /> INSURERS AFFORDING COVERAGE NAICp <br /> www.gmgs.com OBB4519 INSURER A: Traf elers property Qasmally Co O <br /> f America <br /> INSURED INSURERS <br /> Tait&Associates, Inc. INSURER C: <br /> Tait Environmental Services, Inc. <br /> 701 Parkcenter Dr. INSURER D:_ <br /> Santa Ana CA 92705 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 13984405 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 /> INBR ADDL BR POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIOOIYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DgMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Eaoccunence $ <br /> CLAIMS�MAGE ❑OCCUR MED EXP(Any one person) $ <br /> PERSONAL B ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ <br /> POLICY PRO- LOC $ <br /> JECTA AUTOMOBILE LIABILITY 810-713BR642-TIL-12 9/1/2012 9/1/2013 E2 cchl ntSINGLE LIMIT $ 1 000 000 <br /> BODILY INJURY(Per person) y <br /> ANY AUTO <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accltlent) $ <br /> AUTOS UTOS <br /> NON-OWNED PReOPf�ea AMAGE $ <br /> HIRED AUTOS ✓ AUTOS <br /> $1,000 Comp.Ded. $ <br /> S <br /> 1000 toll.Ded. <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> 8 <br /> DEO I RETENTION$ <br /> $ <br /> TATU- <br /> A WORKERS COMPENSATION UB-7244R703-TIL-12 9/1/2012 9/1/2013 TORY LIMITWC LIMITS 9TT9' <br /> AND EMPLOYERS'LIABILITY Y 1 N E.L.EACH ACCIDENT $ 1 DDD DDD <br /> ANY PROPRIETOMPARTNEWEXECUTIVE❑ NIA <br /> OFFICERIMEMBER EXCLUDED'? E.L.DISEASE-EA EMPLOYEE $ 1 OD0000 <br /> (Mandatory In NH) <br /> If yes,tlescdbe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS be. <br /> DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES I flach ACORD 101,Additional Remarks Schedule,If mare space Is required) <br /> RE: Evidence of Insurance <br /> FOR PROPOSAL USE ONLY <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Tait&ASSOCIateS Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 11118 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana CA 92711 <br /> AUTHORIZED REPRESENTATIVE <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.: 13964405 Chazfee Eberhard 8/30/2012 12:23:41 FM Page 1 of 1 <br />