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<br />DATE(MM/DD/YYYY)
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<br />~.~~1 V J_~~IJ~Zl~1~~'~~ 09/26/2008
<br />PROnucER
<br />Aon Risk Insurance Services West, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br />fka Aon Risk services , Inc . of s CA AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />707 Wi 1 s hi re Boulevard CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
<br />Suite 2600 COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Los Angeles CA 90017-0460 USA
<br /> INSURERS AFFORDING COVERAGE NAIC #
<br />PaoxE- 866 283-7122 FAX- 847 953-5390
<br />INSURED INSURER A: NdtlOndl Union Fire Ins Co of Pittsburgh 19445
<br />Tetra Tech, inc. rrrsuRERS: Insurance Company of the State of PA 19429
<br />16241 La
<br />una canyon Rd
<br />g
<br />.
<br />Irvine CA 92618 uSA
<br />trrsURERC: American International Specialty Lines
<br />26883
<br />~
<br />~ _`O 7 INSURER D:
<br />OD
<br />// INSURER E:
<br />CDVF.R:~GE,S ,
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUII2EMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICi1TE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . LIMITS SHOWN ARE AS REQUESTED
<br />(NSR
<br />LTR ADD'
<br />INSRD
<br />TYPE OF LSURANCE
<br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
<br />LIMITS
<br /> DATF_(MM\DD\YY) DATE(MM\DD\YY)
<br />A GF,NERAL LIABILITY GL19$253$ 10/Ol/OS 10/Ol/O9 EACH OCCURRENCE $1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1, 000 , 000
<br /> PREMISES (Ea ocwrence)
<br /> CLAIMS MADE ~ OCCUR MED EXP (Anv one person) 1Q0 , 000
<br /> X X, C, U Coverage PERSONAL & ADV INJURY
<br />$1,000,000
<br /> ~ ~
<br /> GENERAL AGGREGATE $2
<br />000
<br />000
<br /> ' ,
<br />,
<br /> GEN
<br />L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS-COMP/OPAGG
<br />$2,000,000
<br /> ^ POLICY X^
<br />^ LOC
<br />R
<br /> CT
<br />.TE
<br />A AUTOMOBILELIABII.TFY 648263140 10/01/08 10/01/09
<br />COMBINED SINGLE LIIvfIT
<br /> X ANY AUTO (Ea accident) $1, 000, 000
<br /> ALL OWNED AUTOS
<br />BODII,Y INJURY
<br /> SCHEDULED AUTOS ~ (Per person)
<br /> )( HIItED AUTOS
<br />BODII,Y INJURY
<br /> X NON OWNED AUTOS (Per accident)
<br /> PROPERTY DAMAGE
<br /> id
<br /> (Per acc
<br />ent)
<br /> GARAGE LIABII.ITY AUTO ONLY - EA ACCIDENT
<br /> 8 ANY AUTO ~_ _
<br />,,,.- `~-
<br />OTHER THAN EA ACC
<br /> ~
<br />. AUTO ONLY
<br /> ~
<br />CCC _ AGG
<br /> EXCESS /UMBRELLA LUIBII.ITY
<br />~~ '
<br />~ '
<br />~ EACH OCCURRENCE
<br /> ^ OCCUR ^ CLAIMS MADE ~~ AGGREGATE
<br />
<br /> eDEDUCTIBLE
<br /> RETENTION
<br />B
<br />8
<br />WORKERS COMPENSATION AND
<br />' WC4
<br />wC4990697 1 O1
<br />10/01/OS
<br />10/01/09 )( WC STATU-
<br />TRY LIMI OTH-
<br />R
<br />
<br />=
<br /> EMPLOYERS
<br />LIABILITY E.L. EACH ACCIDENT $1, 000 , 000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE
<br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $1, 000 , 000 ^
<br /> If yes, describe under SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT $1, 000 , 000 •
<br /> below
<br />~ COP51952583 10/01/08 1 1 each slain $5,000,000 ~
<br /> OTHER Prof/Poll Liab
<br />Agggregate $5,000,000 ~
<br /> Contractor Prof Deductible $250,000
<br />DESCRIPTION OF OPERATIONS20CATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />Re: San Lorenzo Sewer Lift station City of Santa Ana, its officers, agents, volunteers and representatives are ~
<br />named as Additional Insured as respects General Liability, as required by written contract. Coverage is primar
<br />y
<br />and non-contributory as respects General Liability, as required by written contract. stop Gap coverage for the
<br />
<br />CERT]F1CAT HOLD ~ CAI~1 =_: TInN
<br />Cl t Of s anta Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ~
<br />PUb I l C WOrkS Agency DATE THEREOF, THE ISSUING INSURER WILL £NB€A~AR-T9 MAII, y
<br />Attn : Steve wo r ral 1 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~
<br />220 S. Daisy Avenue
<br />Santa Ana CA 92703 uSA ~
<br />
<br /> AUTHORIZED REPRESENTATIVE ^^~~J //'' ~~ 66 ~~pp OO~~1~//~' 6 ~
<br />e.SYaas a7risif~Jirevstsssess e.7ctr.~ss /~'~c.~vat
<br />A RD 2, -2001/ K A RD ,ORP RA'17 N 19, ~
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