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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 />