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DATE (MM/DD/YYYY) A�C'OR" CERTIFICATE OF LIABILITY INSURANCE 08/25/2023 THIS CERTIFICATE IS ISSUED ASA 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 have ADDITIONAL INSURED provisions or 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 CONTACT Accounts Team NAME: Scott & McCauley Insurance Agency PHONE (949) 503- 1953 FAX AIC No Ext : A/C, No) : 2 Ritz Carlton Drive E-MAIL coi@sminsuranceagency. com ADDRESS : Suite 204 INSURER(S) AFFORDING COVERAGE NAIC # Dana Point CA 92629 INSURERA : AXIS Surplus Insurance Company 26620 INSURED INSURER B : The Continental Insurance Company 35289 Tait & Associates, Inc INSURER C : Valley Forge Insurance Company 20508 Tait Environmental Services , Inc INSURER D : 701 N . Parkcenter Dr INSURER E : Santa Ana CA 92705 1INSURER F COVERAGES CERTIFICATE NUMBER: Tait - Mstr - 2023-24 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 CONTRACTOR 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 ADUL 5Ut3K POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2 , 0001000 CLAIMS-MADE ❑X OCCUR DAM ET " ' - 25 , 000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 50000 A Y Y SP002747-06-2023 09/01 /2023 09/01 /2024 PERSONAL & ADV INJURY $ 2 ,000 , 000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 21000 , 000 POLICY X PRO LOC PRODUCTS - COMP/OPAGG $ 21000 , 000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,000 , 000 Ea accident X ANYAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED Y Y 7034395486 09/01 /2023 09/01 /2024 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9, 000,000 A X EXCESS LIAB CLAIMS-MADE SX002748-06-2023 09/01 /2023 09/01 /2024 AGGREGATE $ 93000,000 DED RETENTION $ $ WORKERS COMPENSATION X STATUTEORH AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 , 000, 000 C OFFICER/MEMBER EXCLUDED? N / A Y 7034395505 / 7034395522 09/01 /2023 09/01 /2024 (Mandatory in NH ) E.L. DISEASE - EA EMPLOYEE $ 110003000 If yes, describe under 1 , 000, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Professional Liability A Contractors Pollution SP002747-06-2023 09/01 /2023 09/01 !2024 Per Claim $ 21000 , 000 Per Claim $ 23000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached if more space is required) Re: Evidence of Insurance. FOR PROPOSAL USE ONLY. Excess follows form . Professional Liability is Claims-Made Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS . AUTHORIZED REPRESENTATIVE too @ 1988-2015 ACORD CORPORATION . All rights reserved. ACORD 25 (2016/03 ) The ACORD name and logo are registered marks of ACORD