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� A4C4ORa CERTIFICATE OF LIABILITY INSUVANCE DATE(MM/oomm) <br /> F1 <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 CONTACT NAME: <br /> 12 Truman PHONE o : 949 559-6700 FAX IAIC,No: 949 559-6703 <br /> Irvine, CA 92620 E-MAIL ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAI;# <br /> www.garrett-mosier.com OB84519 INSURERA: Travelers Prop@rly Casualty Co Of America <br /> INSURED INSURER 8: <br /> Tait&Associates, Inc. <br /> Tait Environmental Services, Inc. INSURERc: <br /> 701 Parkcenter Dr. INSURER D: <br /> Santa Ana CA 92705 INSURER E: <br /> INSURERF: <br /> COVERAGES CERTIFICATE NUMBER: 10974291 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 TYPE OF INSURANCE Jim wo ADL POLICY NUMBER MMO/DD CY EFF MM/DDP LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MADE 0 OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO LOC <br /> A AUTOMOBILE LIABILITY 810-7138R642 9/1/2011 9/1/2012 Ea COMBINED <br /> SINGLE LIMIT $ 1,000.00 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS 8 AUTOS BODILY BODILY INJURY(Per accident) $ <br /> NON-OWNED Vero <br /> ROPERTYDAMAGE <br /> HIRED AUTOS AUTOS Per accident $ <br /> f $1,000 Comp.Ded. $ <br /> $1,000 Coll.Ded. $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS UAB HCLAIMS-MADE AGGREGATE $ <br /> DEDL—J RETENTION$ $ <br /> A WORKERS COMPENSATION UB-7244R703 9/1/2011 9/1/2012 vi�sTATu- o AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1,000,00 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1-000000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000.00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more 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 /> MRT NO.: 10974291 Cheryl 2ierke 8/25/2011 11:34:05 AM Page 1 of 1 <br />