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H.i® CERTIFICATE OF LIABILITY INSURANCE
<br />1 MMiD19 DATE(MM/20YV)
<br />19
<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 have ADDITIONAL INSURED provlslons or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endomement(s).
<br />PRODUCER
<br />AOn Risk Insurance services West, Inc.
<br />Los Angeles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME
<br />ONE(866) 283-7122 aC. No.: (B00) 363-0105
<br />C PH
<br />E-MM
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICp
<br />Los Angeles CA 90017-0460 USA
<br />INSURED
<br />INSURfiRA: Zurich American Ins Co
<br />1653S
<br />Tetra Tech, Inc
<br />VGA Korman Ave., Suite 500 Irvin
<br />Irvine CA Karla USA
<br />INSURER B: American International Group UK Ltd
<br />AA1120187
<br />INSURER C: LeXington Insurance Company
<br />P y
<br />19437
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />GVVEK,Al GERIIFICAFF NUMBER: blUU7B116639 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />We
<br />POUCYNUMBER
<br />DD
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLO
<br />ffiMMIDDA7'YY
<br />ENCHOCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occurtence
<br />$1,000,000
<br />X
<br />MED EXP(Any one person)
<br />$10,000
<br />X,C,U Cwemge
<br />PERSONAL& ADV INJURY
<br />$2,000,500
<br />GEN'LAGGREGATE UNITAPPUES PER:
<br />GENERALAGGREGATE
<br />$4,000,000
<br />POLICY PRO F LOC
<br />JECT
<br />PRODUCTS - COMP/OPAGG
<br />$4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />BAP1857085-01
<br />10/01/201910/01/2020
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000
<br />_
<br />BODILY INJURY(Porpemon)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE
<br />Pereccident
<br />B
<br />X
<br />UMBRELLALIA6
<br />X
<br />OCCUR
<br />62785232
<br />10/01/2019
<br />10/01/202D
<br />EACH OCCURRENCE
<br />$2,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$2,000,000
<br />DED1 X
<br />IRETENTION3100,000
<br />A
<br />A
<br />WORKERSCOMPENSATION AND
<br />YIN
<br />ANY PROPRIETOR/ PARTNERI EXECUTIVE
<br />WC254061601
<br />WC185708701
<br />10/01/2019
<br />10/01/2019
<br />10/01/202U
<br />10/01/2020
<br />X PER OTH
<br />IER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />OFFICEROAEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000.000
<br />C
<br />Env Contr Prof
<br />028182375
<br />10/01/2019
<br />10/Ol/2021
<br />Each Claim
<br />$1,000,000
<br />Prof/Poll Liab
<br />Agggregate
<br />$2,000,000
<br />SIR applies per policy terilrs
<br />& conditions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he atUched If more space Is required)
<br />RE: Job Description: Lincoln Avenue Pedestrian Pathway connectivity. RFP No. 18-042 also, A-2014-240, A-2017-154,
<br />A-2018-160-02. City of Santa Ana, officers, agents, employees and volunteers are included as Additional Insured in accordance
<br />with the policy provisions of the General Liability policy as required by written contract. General Liability policy evidenced
<br />herein is Primary and Non -Contributory to other insurance available to Additional Insured, but only in accordance with the
<br />policy's provisions as required by written contract. Stop Gap Coverage for the following states: OH, ND, WA, WY.
<br />I
<br />CERTIFICATE HOLDER CANCELLATION iii
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH THE
<br />POLICY PROVISIONS.
<br />City Of Santa Ana AUTHORIZED REPRESENTATIVE
<br />Risk Management Division
<br />20 Civic GCAtPlaza 92
<br />Santa Ana CA 92702 USA tNP/ (✓CYJ /!Y//
<br />n nvruuure efsrire
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
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