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<br />,- <br /> <br />ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE <br />09/30/2005 <br />PRODUCER 877-945-7378 THIS CERTIACATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willis North America. Inc. . Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. O. Box 305191 <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Tetra Tech, Inc. INSURER A: ACE American Insurance Company 22667-011 <br /> 16241 Laguna Canyon Road INSURER B: Continental Casualty Company 20443-002 <br /> Suite #200 <br /> Irvine. CA 92618 INSURER C: Indemnity Insurance Company of North Amer 43575.001 <br /> INSURER D: American International Specialty Lines In 26883-000 <br /> , A . '2006 - \11- INSURER E:' <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />II~ ~..P..~~ TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION <br /> <br />LIMrrs <br /> <br />A <br /> <br />X ~NERAL UABIUTY <br />X COMMEACIALGENERALUABILlTY <br />I CLAIMS MADE [i] OCCUR <br />~ Contract Liab. <br />~ Broad Form <br />~N'LAGGRE~E LIMIT AP~S PER: <br />I IpOLlcyIXI':',B..Q: liLaC <br />~TOMOBILE LIABILITY <br />~ ANY AUTO <br />~ ALL OWNED AUTOS <br />~ SCHEDULED AUTOS <br />~ HIRED AUTOS <br />~ NON-OWNED AUTOS <br /> <br />~ <br /> <br />IlDOG21724798 10/1/2005 10/1/2006 EACH OCCURRENCE $ 1 000 000 <br /> ~~~~~~~9E~~6~~nce' $ 1 000 000 <br /> MED EXP (Anyone person) $ 100 000 <br /> PERSONAL & ADV INJURY $ 1 000 000 <br /> GENERAL AGGREGATE $ 2 000 000 <br /> PRODUCTS-COMPJOPAGG $ 2 000 000 <br /> <br />B <br /> <br />BUA2074970365 <br /> <br />10/1/2005 10/1/2006 <br /> <br />~RAGE UABILITY <br />---1 ANY AUTO <br /> <br />'Pi'ROVtLl AS ro FOl~lvl <br />II (lA n n j. / /'"2... <br /> <br />D <br /> <br />EXCESS UABIUTY <br />~::rOCCUR D CLAIMS MADE <br /> <br />I DEDUCTIBLE <br />-I ~ETENTION S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABIL.ITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERlMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />Professional <br />Pollution/EiO Legal Liab. <br /> <br />--'- ';1 'fa S~#S;'.:;c y <br />l",>..:>lS <l.ilt-oo.y Arln' " <br /> <br />000001952583 <br /> <br />10/1/2005 <br />10/1/2005 <br />10/1/2005 <br /> <br />107172005 <br /> <br />10/1/2006 <br />10/1/2006 <br />10/1/2006 <br /> <br />E.L. EACH ACCIDENT $ 1 000 <br />E.L.DISEASE-EAEMPLOYEE $ 1 000 <br />E.L. DISEASE- POLICY LIMIT $ 1 000 <br />$5,000,000. Each Claim <br />$5,000,000. Aggregate <br />$ 250,000. Retention ClaLm <br />Max. Claim durin~ ~olic'r uear <br /> <br />000 <br />000 <br />000 <br /> <br />A <br />C <br />A <br /> <br />WI SCFC44335207 <br />AOS WLRC44335244 <br />WLRC44335219 <br /> <br />10/1/2006 <br /> <br />DESCRIPTION OF OPERA TlONSlLOCATlONS/VEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTJSPECIAL PROVISIONS <br />Re: San Lorenzo Sewer Lift Station <br /> <br />City of Santa Ana, its officers, agents, volunteers and representatives are named as Additional <br />Insured as respects General Liability, as required by written contract. <br />Coverage is primary and non-contributory as respects General Liability, as required by written <br />contract. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Public Works Agency <br />Attn; Steve Worrall <br />220 S. Daisy Avenue <br />Santa Ana, CA 92703 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIL.L. Vl3f\Y1/\P,VYllr MAIL ~ DAYS WRlnEN <br />NOTICE TO TIiE CERTIFICATE HOLDER NAMED TO niE LE~L <br />_""~>>J[~~~ltIOl_ilJIl{ <br />- <br /> <br />ACORD 25 (2001/08) <br /> <br />Co11,1416960 Tp1:415118 <br /> <br />