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/-"I ® DATE(MM/DD/YYYY)
<br /> �`� CERTIFICATE OF LIABILITY INSURANCE ,0/0,/2025
<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. N
<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 CONTACT
<br /> NAME:
<br /> Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105
<br /> Los Angeles CA Office (A/C.No.Ext): A/C.No.: -a
<br /> 707 Wilshire Boulevard E-MAIL p
<br /> Suite 2600 ADDRESS: _
<br /> Los Angeles CA 90017-0460 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Safety National Casualty Corp 15105
<br /> Tetra Tech, Inc. INSURERB: Allied World Surplus Lines Insurance Co 24319
<br /> 17885 Von Karman Ave., Suite 500
<br /> Irvine CA 92614 USA INSURER C: American International Group UK Ltd AA1120187
<br /> INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570115917585 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 TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y GL EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $1,000,000
<br /> X X,C,U Coverage MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000 02
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 n
<br /> POLICY X❑JE� ❑X LOC PRODUCTS-COMP/OP AGG $1,000,000 E�
<br /> OTHER: ^o
<br /> A Y Y CA 6676805 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) 0
<br /> Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) 0
<br /> AUTOS ONLY AUTOS R
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE V
<br /> ONLY AUTOS ONLY Per accident
<br /> C X UMBRELLALIAB X OCCUR 62785232 10/01/2025 10/01/2026 EACH OCCURRENCE $5,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED RETENTION
<br /> A WORKERS COMPENSATION AND Y LDC4068970 10/01/2025 10/01/2026 X PER STATUTE OTH-
<br /> EMPLOYERS'LIABILITY Y/N ADS ER
<br /> ANY PROPRIETOR/PARTNER,EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> A OFFICER/MEMBER EXCLUDED? N/A Ps4068969 10/01/2025 10/01/2026
<br /> (Mandatory in NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000-_
<br /> B Environmental Contractors and v �03120276 10/01/2025 10/01/2026 Each Claim $2,000,000-
<br /> Prof Prof/Poll-Claims Made Cov Aggregate $2,000,000
<br /> SIR applies per policy terms & condi ions
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: Job Description: On-Call Engineering Design Services for PFAS Treatment Systems, RFP No. 22-133, Agreement No. 2N
<br /> A-2023-053-01. Stop Gap Coverage for the following States: OH, ND, WA, WY. City of Santa Ana, Its City Council, officers,
<br /> officials, employees, agents and volunteers are included as Additional Insured in accordance with the policy provisions of the
<br /> General Liability and Automobile Liability policies as required by written contract. General Liability and Automobile Liability
<br /> policies evidenced herein are Primary and Non-Contributory to other insurance available to an Additional Insured, but only in
<br /> accordance with the policy provisions as required by written contract. A Waiver of Subrogation is granted in favor of City of
<br /> Santa Ana, its City Council, officers, officials, employees, agents and volunteers in accordance with the policy provisions of
<br /> CERTIFICATE HOLDERJ�APPROVECANCELLATION
<br /> u Tran Nguyen at 2:25 pm,Oct 01,2025 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 AUTHORIZED REPRESENTATIVE
<br /> Attn: Heidi Chou Digitallysigne
<br /> 215 S. Center St., M-85 TU Tran by Tu Tran San '){jY/� �
<br /> Santa Ana CA 92701 USA Nguyen
<br /> Nguyen Date:2025.10., n `(/�(J� 4AIWIMc Gt/lff.Go nu
<br /> 14:26:37-07'0
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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