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Lambert
<br />by M.
<br />Samantha
<br />DM m-Samantha M. Lamt
<br />CERTIFICATE OF LIABILITY IN _Whprtjemail laN4fi@Q(i6}a^CaDan
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEF.rIFICA
<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 provisions 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 endorsement(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 />PHO (g66) 283-7122 FAX (800) 363-0105
<br />(NC.No.Ea): ANC. No.:
<br />E-MAIL
<br />ADDRESS:
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURED
<br />INSURER A: Lexington Insurance Company
<br />19437
<br />Tetra Tech, Inc.
<br />17885 Von Karmen Ave., Suite 500
<br />INSURER B: Zurich American Ins Co
<br />16535
<br />INSURER C:
<br />Irvine CA 92614 USA
<br />INSURER D:
<br />NSUREfl E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570084427980 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are BE requested
<br />MISS LTR
<br />TYPE OF INSURANCE
<br />Inc
<br />WYD
<br />POLICY NUMBER
<br />MWDDTYY
<br />MAGONY
<br />LIMITS
<br />a
<br />GENERAL LIABILITY
<br />GLOEACH
<br />OCCURRENCE
<br />S1,000,000CLAIMS
<br />tXCOMMERCIAL
<br />MADE OCCURPREMISES
<br />Eeoxurtence
<br />$1.000,000
<br />MED EXP(Any one person)
<br />$10,000
<br />OU Coverage
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$2,000,000
<br />POLICY ❑X PEQ ❑% LOG
<br />PRODUCTS -COMPIOPAGG
<br />S2,000,000
<br />OTHER:
<br />e
<br />AUTOMOBILE LIABILITY
<br />BAP 1857085 02
<br />10/01/202010/01/2021
<br />COMBINED SINGLE LIMIT
<br />fee ancideall
<br />$2,000.000
<br />BODILY INJURY (Per person)
<br />% ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED AUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Par accident)
<br />PROPERTY DAMAGE
<br />Peraccklent
<br />UMBRELLA LIAa
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />H
<br />CIAIMS-MADE
<br />AGGREGATE
<br />DEDI
<br />IRETENTION
<br />B
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER/EXECUTIVE ❑
<br />OFFICERIMEMSER EXCLUDED? N
<br />(Mandatory In NM
<br />NIA
<br />WC254061602
<br />wc185708702
<br />10/01/202010/01/2021
<br />10/01/202010/01/2021
<br />X I PER STATUTE OH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />51, 000, 0 00
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />E.L. DISEASE -POLICY LIMIT
<br />S1,000,000
<br />A
<br />Env Contr Prof
<br />028182375
<br />1U/O1/2019
<br />10/01/2021
<br />Each Clain
<br />$1,000,000
<br />Prof/Poll Liab
<br />Agggregate
<br />$2,000,000
<br />SIR applies per policy ter
<br />s & condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Scbeaule, may be aNaehe l N more apace Is required)
<br />Reference: Professional Design Services for Lincoln Avenue Pedestrian Pathway Connectivity Project A-2018-224 and
<br />Professional Engineering Services for First street Pedestrian Improvements PS&E A-2020-012
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in
<br />accordance with the policy provisions of the General Liability and Automobile Liability policies as required by written
<br />contract. General Liability policy evidenced herein is Primary to other insurance available to an Additional Insured, but
<br />only in accordance with the policy's provisions as required by written contract. A Waiver of Subrogation is granted in favor
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<br />CERTIFICATE HOLDER CANCELLATION Lft
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana CA 92702 USA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />cSrYan J9stdt�tdzaa L/GLi/tYni f3�c ��
<br />©1988-2015 ACORD COF
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />//�Rult,,� •REVIEU/ED• APPROV®B:
<br />® Ruk Management Supervisor
<br />
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