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<br />" <br /> <br />11 Me l/l) Jfl T:,tU f it-! -fc:J <br /> <br />Il ~Oo6~/~2- <br /> <br />ACORDTM CERTIFICA TE OF LIABILITY INSURANCE Page 1 of 3 I DATE <br />10/01/2007 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONl Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willis North America, Inc. 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 22667-012 <br /> 16241 Laguna Canyon Road INSURER B: American International Specialty Lines In 26883-001 <br /> Suite #200 <br /> Irvine, CA 92618 INSURER C: <br /> INSURER D: <br />I 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 />I~~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Pgi!fY EXPIRATION LIMITS <br />A X ~NERAL LIABILITY HDOG23734825 10/1/2007 10/1/2008 EACH OCCURRENCE $ 1. 000.000 <br /> JL ~MMERCIAL GENERAL LIABILITY ~~~~w,~~9ta~~J~~nce) $ 1. 000.000 <br /> I I ~ CLAIMS MADE LiJ OCCUR MED EXP (Anyone person) $ 100 000 <br /> I--- <br /> JL Contract Liab. PERSONAL & ADV INJURY $ 1. 000 000 <br /> ~X,C,U Coveraqe GENERAL AGGREGATE $ 2.000.000 <br /> n'L AGGREGAT~ LIMIT AP~S PER: PRODUCTS. COMP/OP AGG $ 2 000 000 <br /> i POLICY 1Xl~~RT X LOC <br />A ~ro..<"'''u~'= ISAH08238431 10/1/2007 10/1/2008 COMBINED SINGLE LIMIT <br /> (Ea accident) $ 2,000,000 <br /> X ANY AUTO <br /> X ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> ~ SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY <br /> ~ NON.OWNED AUTOS (Per accident) $ <br /> ., . ~.- . . ,,;, PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~AGE LIABILITY .~c!~ V- 1/--' AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO .<'., ~-" -- . - /..-5 OTHER THAN EA ACC $ <br /> / AUTO ONLY: AGG $ <br /> R......._"u.~cm / EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> i i RETENTION $ $ <br />A WORKERS COMPENSATION AND AOS WLRC44479886 10/1/2007 10/1/2008 X I rVj,f ~TAT~;, I IOJ~' <br />I EMPLOYERS' LIABILITY T RY IMIT <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE WI SCFC44479898 10/1/2007 10/1/2008 EL. EACH ACCIDENT $ 1. 000.000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ 1 000.000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS beiow E.L. DISEASE. POLICY LIMIT $ 1 000 000 <br />B I OTHER 1952583 10-/172007 10/1/2008 $5,000,000. Each Claim <br /> Professional Liability $5,000,000. Aggregate <br /> \ Contractor's pollution $250,000 Deductible <br /> Liabilitv Each claim <br />DESCRIPTION OF OPERA TIONSlLOCA TIONSlVEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Stop Gap coverage for the following states: OH, ND, WA, WV, WY, PR, USVI <br />Re: San Lorenzo Sewer Lift Station <br />City of Santa Ana, its officers, agents, volunteers and representatives are named as Additional <br />Insured as resnects General Liabilitv. as rAm,ired bv written 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 CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL JmI:iIUl\KiIlJfIlMAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFQtIAltDHB~L <br />imlIUJIIK~KHl{/lCilIilI'''UDKlQKOCllIiKiK~iIliK <br />~ :II X <br />ESENT~TIVE <br /> <br />ACORD 25 (2001/08) <br /> <br />Coll:2126994 Tpl:684347 <br /> <br />