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S a m a n t h a Digitally signed by Samantha M.
<br />Lambert
<br />DN: cn=Samantha M. Lam I
<br />CERTIFICATE OF LIABILITY IN �emaa°anl
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CIF; lIFICA
<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 />ANC. No. Ezi; (866) 263-7122 NE aC. No.: (600) 363-010S
<br />E-MAIL
<br />ADDRESS:
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICIf
<br />INSURED
<br />INSURERA: Lexington insurance Company
<br />19_437
<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 />INSURER 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 as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MMIDOIVVYY
<br />MMIDDIYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />ULO
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE ❑X OCCUR
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />X
<br />MED EXP(Any one person)
<br />$I0' 000
<br />X,C,U Coverage
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GENIAGGREGATE UMITAPPLIES PER:
<br />POLICY X PRO % LOC
<br />JECT
<br />GENERALAGGREGATE
<br />$2,000,000
<br />PRODUCTS - COMP/OPAGG
<br />$2,0003006
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />BAP 1857085 02
<br />10/01/202010/01/2021
<br />COMBINED SINGLE LIMIT
<br />Ea .alder
<br />$2,000,000
<br />BODILY INJURY(Perpemon)
<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 />Per accident
<br />UMBRELLAUAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DEO
<br />RETENTION
<br />B
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/ PARTNER I EXECUTIVE
<br />OFFICERIMEMBER EXCLUDEDI
<br />(Myyandatory in MIN)
<br />DESORIPTION OF ohe OPERATIONS below
<br />NIA
<br />WC254061602
<br />wc185708702
<br />10 01 2020r10/01/2021
<br />10/01/2020
<br />1010112021
<br />X PER STATUTE
<br />OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />a
<br />Env COntr Prof
<br />028182375
<br />Prof/Poll Liab
<br />10/Ol/2019
<br />EachClain
<br />Agggregate
<br />$1,000,000
<br />$2,000,000
<br />SIR applies per policy ter
<br />s & condi
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 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
<br />DL_C:Lty_� kcib The policy prn,,i,JCDc of Th.
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<br />CERTIFICATE HOLDER CANCELLATION 0
<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 />City Of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana C4 92702 USA
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<br />©1988-2015 ACORD CO
<br />rj RFVIEWED&APPROVED.HV:
<br />a 13
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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<br />RiskManagemen(WinervLTor
<br />
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