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<br />Alm o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DOM'YV)
<br />DB127/2021
<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 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 R15k Insurance Services West, Inc.-NAME:PHONE
<br />LOS An ales CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />(aC.
<br />(866) 283-]122 FAX (800) 363-0105
<br />No. EXD:INC. No.:
<br />E.MAL
<br />ADDRESS:
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICIf
<br />INSURED
<br />INSURER A: Zurich American Ins CO
<br />16535
<br />Tetra Tech, Inc.
<br />17885 Von Karman Ave., Suite 500
<br />Irvine CA 92614 USA
<br />INSURER B: American Guarantee & Liability Ins Co
<br />26247
<br />INSURER C: Lexington Insurance Company
<br />19437
<br />INSURER D: American International Group UK Ltd
<br />A,1120187
<br />INSURER E:
<br />INSURER F:
<br />CLJV1::HA19G5 GtH11FICAl h NUMtlEH: b7UUb9b931 /1 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 />LTA
<br />TYPE OF INSURANCE
<br />INSO
<br />WVDI
<br />POLICY NUMBER
<br />POLICY EFF MMDDNYY
<br />MMDWYYYY POLICY IEXP
<br />LIMA
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLO
<br />EACH OCCURRENCE
<br />$2,000,050
<br />1CLAIMS-MADE �X OCCUR
<br />PREMISES Ea occurrence
<br />$1,000.000
<br />%
<br />MED UP (Anyone person)
<br />s10,000
<br />X,C,U Coveega
<br />PERSONAL& ADV INJURY
<br />$2,000,006
<br />GENIAGGREGATE LIMITAPPLIES PER
<br />GENERALAGGREGATE
<br />$4,000,000
<br />POLICY PRO
<br />ECT LOC
<br />PRODUCTS-COMP/OP AGO
<br />$4,000,000
<br />OTHER :
<br />A
<br />AUTOMOBILE LIABILITY
<br />BAP 1857085 03
<br />10/01/2021
<br />10/01/2022
<br />COMBINED SINGLE LIMB
<br />Ee accident)
<br />$5, 000,000
<br />BODILY INJURY I Per person)
<br />% ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Par ..Want)
<br />PROPERTY DAMAGE
<br />Per ecmdent
<br />D
<br />%
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />12711232
<br />10/01/2021
<br />10/01/2022
<br />EACH OCCURRENCE
<br />$2,000,000
<br />EXCEBB LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$2,000.600
<br />DED I X
<br />RETENTION S100,000
<br />A
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICERMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />NIA
<br />WC254061603
<br />WC185708703
<br />1 202110
<br />10/01/2021
<br />01 2 222
<br />10/01/2022
<br />X PER STATUTE OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />$1,000,OD0
<br />E.L DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />If yes,dascrbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L DISEASE-POLICV LIMB
<br />$1, 000,000
<br />C
<br />Env Contr Prof
<br />016182375
<br />10/01/2021
<br />10/01/2022
<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 />fions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be crashed II more space Is required)
<br />City of Santa Ana, officers, agents, employees and volunteers are included as Additional Insured in accordance with the policy
<br />provlsf ons of the General Liability policy as required by written contract. General Liability policy evidenced herein is
<br />Primary and Non-contributory to other insurance available to Additional Insured, but only in accordance with the policy's
<br />provi Slons as required by written contract. Stop Gap coverage for the following states: OH, ND, WA, WY.
<br />i'
<br />CERTIFICATE HOLDER
<br />CANCELLATION 5<
<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 />Risk Management Division
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA er Plaza
<br />20 Civic center 02 US
<br />USA
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<br />©1988-2015 ACORD COR ���---gbh At,,,,Ne.,t.,vaenrrlaee�
<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD or
<br />
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