gt�orro® CERTIFICATE OF LIABILITY INSURANCE
<br />DW
<br />DATEIMM01111M1911120 Y)
<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 INSURERS). AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be Endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollclse may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder In lieu of such Encore emenga .
<br />FROGMEN
<br />�.a�TACT
<br />non Risk Insurance Services West, Inc.
<br />Los Angeles CA Office
<br />yqo piE
<br />INC. IIP. Ewp (866) 283-7122 1 fkNC. Ne.p (800) 363-0105
<br />707 Wilshire Boulevard
<br />2600
<br />MISS:
<br />Los Angeles CA 90017-0460 USA
<br />INSURENSI AFFORDING COVERAGE
<br />"too
<br />INSURED
<br />INSURERA: Zurl Ch American Ins Co
<br />16535
<br />Tetra Tech, Inc
<br />17885 Irvin VOA Kerman Ave., Suite 500
<br />Irvine CA Karla USA
<br />INSURER a: American International Group UK Ltd
<br />AA1120187
<br />WSURERC: Lexington insurance Company
<br />P Y
<br />19437
<br />IxsuflEfl o:
<br />XTUflER E:
<br />INSURER F;
<br />COVERAGES CERTIFICATE NUMBER: 570078816231 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID Lmits shown IRS asrequeaied
<br />CCLAIMSSy.Y��p
<br />ILiq
<br />TYPE OF INSURANCE
<br />1Nge
<br />lLIMITS
<br />Wyp
<br />POLICY NUMBER
<br />IMMNOIYYYYI
<br />���ES%pp��
<br />(MeRvnli TII
<br />wmff.
<br />A
<br />X
<br />COA:RONLOENERAL UAOIUTY
<br />GLO18174 6D
<br />1 2019
<br />1 / /2D
<br />FA.HOCCURRENCE
<br />$2,000,000
<br />CLNMS-IMOE aOCCUR
<br />aA IIE'QT
<br />PREWSES ('E"Wreff
<br />S1,0D0,00
<br />A
<br />MEOEXPIA1.1ru n)
<br />S1D, DOD
<br />%C U cV,MRA
<br />PERSONAL a AOV INNIRY
<br />SZ,000,000
<br />GENL AGGREGATE LIMIT APPLIES PER
<br />POLICY Pan-
<br />� ECT ❑% LOC
<br />GENERKAOGREGATE
<br />$4,000,000
<br />PRODUCTS-COMPAIP AGO
<br />$4.000,000
<br />OTHER
<br />A
<br />AUTOMERELMURrY
<br />BAP1857085-01
<br />10/01/20191010112020
<br />CG MMSINr LIW
<br />(RSmMmI,
<br />52,000,000
<br />OOWLY MUM (Per pamnn)
<br />X ANYAUIO
<br />OMNEDAUTOR a..EOULEO
<br />ONLY AUTOS
<br />NIIiEOAUf0.9 NOR-OLyNEG
<br />ONLY AUTOS ONLY
<br />Op01LYRIJURYIPe,eW rrI)
<br />PROPERTY OAMIGE
<br />IPSaFNNVI
<br />M
<br />X
<br />UMOgaLA LIAO
<br />X
<br />OCCUR
<br />62785232
<br />10/01/2029
<br />10/01/2020
<br />EACH OCCURRENCE
<br />$2,000,00
<br />EXCE90 LIAR
<br />CUMMSMADE
<br />AGGREGATE
<br />$2,000,006
<br />EO I X RETENTION 5100,000
<br />A
<br />A
<br />WORKSEMPLOYERS' SOMPPEENNSATTION AND
<br />YIN
<br />PNYPRGPERTORIPM1mER,E%ECUTIVE
<br />OFFICEWMEMMER E%CLUX01 H
<br />IaHrIM AB"I
<br />NIA
<br />WC254061601
<br />WC785708701
<br />10/01/203.910/01/2020
<br />10/01/2019
<br />10/01/2020
<br />pEpME
<br />K STA"
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />EL OISEASEFAEMPLOYEE
<br />$1,000,000
<br />D, er.IPT19 antler
<br />ESdiOF OPEMTN]Ne L..F
<br />L OISFAGEFOLICY LIMB
<br />$1,000,000
<br />C
<br />Env Contr Prof
<br />028182375
<br />10/01/2019
<br />10/01/2021
<br />Each claim
<br />S1,000,000
<br />Prof/Poll Liab
<br />Agggregate
<br />$2,000,000
<br />SIR applies per policy to ts
<br />& condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101, AddlNenel Remnxe acNedule, mry btlN.Md if AMR,M. MnAMnq
<br />RE: Job Description: Lincoln Avenue Pedestrian Pathway Connectivity RFP No. 18-042 also, A-2014-240, A-2017-154,
<br />A-2D18-160-02. Cityof Santa Ana, officers, agents, employees and vuiunteers 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 evidence
<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, W.
<br />REVIEWED & APPROVED
<br />CERTIFICATE HOLDER CANCELLATION
<br />1 V LOIN ISROU ANY OF THE DESCRIBED POLICIES BE CLACELM BEFORE THE
<br />'ATE XEREOr, NOTICE WILL EEOELNE ED IN ACCORDANCE WITH THE LPOLICY PN VISIONAL EXPIRATION
<br />Rit of Santa Ana INMIIaEO NEPREMENTATIVE
<br />Risk Management Division RANCINE R. VIUA EAL
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702 USA
<br />@1988-2015 ACORD CORPORATION. All rights reserved
<br />ACORO 25 (2016103) The ACORD name and logo are registered marks cf ACORD
<br />M
<br />a
<br />Le
<br />c
<br />m
<br />a
<br />v
<br />x
<br />
|