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AC R' P CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Garrett/Mosier/Griffith/Sistrunk Ins. Services 12 Truman Irvine, CA 92620 www.garrett-mosier.com 0684519 CONTACT NAME: PHONE (A/C, No, Ext): (949)559-6700 FAX (A/C, No)' (949)559-6703 E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # INSURED Tait & Associates, Inc. Tait Environmental Services, Inc. 701 Parkcenter Dr. Santa Ana CA 92705 INSURER A: Travelers Property Casualty Co of America INSURER B: INSURER C: INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 8202235 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A L SUBR POLICY NUMBER MMIDPOLIDY EFF POLICY EX MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE D OCCUR PERSONAL & ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT LOC $ A AUTOMOBILE LIABILITY 810-71388642 9/1/2010 9/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ _ BODILY INJURY (Per accident) $ V/ SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE $ V $1,000 Comp. Ded. $ 171 $1.000 Coll. Ded. $ UMBRELLA LI _AR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE F—I N/A UB -7244R703 9/1/2010 9/1/2011 WC STATU- OTH- LIMITS _ER E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERT NO.: 8202235 Phyllis Menashe 9/3/2010 2:07:36 PM Page 1 of 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sample Certificate ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Any Street Any Town CA 90000 AUTHORIZED REPRESENTATIVE Michael Finn ACORD 25 (2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERT NO.: 8202235 Phyllis Menashe 9/3/2010 2:07:36 PM Page 1 of 1