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10 200C i77./
<br />ACOKZ7rc DATE (MM/DD/WYY)
<br />CERTIFICATE OF LIABILR LIABILITY INSUANCE
<br />10/06/2009
<br />PRODUCER
<br />AOn Risk InSUranCe Services West, Inc.
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br />Los Angeles CA Office
<br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />707 wi l shi re Boulevard
<br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
<br />Suite
<br />Los Angeles GA 90017-0460 USA e
<br />COVERAGE AFFORDED BY THE POLICIES BELOW. �
<br />"
<br />PHONE- 866 283-7122 PAx- 847 953-5390
<br />I iJ S AFFORDING COVERAGE
<br />NAIC # w
<br />INSURED
<br />INSURER A:,, American International specialty Lines
<br />26883 ••
<br />Tetra Tech, Inc. CIT'i"
<br />16241 Laguna Canyon Rd. ,_-;-,
<br />INs1�R,t;[i._g:' Insurance Company of the State of PA
<br />y
<br />19429
<br />'L
<br />Irvine CA 92618 USA CL(-'-
<br />- --
<br />INSURER c National Union Fire Ins Co of Pittsburgh
<br />19445 d
<br />INSURER D: Lexington Insurance Company
<br />19437 �.
<br />a.�
<br />INSURER E:
<br />0
<br />G
<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 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 />EVSR
<br />ADO•
<br />LTR
<br />lN5
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />ATE MM/DD/YYYY
<br />POLICY EXPIRATION
<br />DATE MM/DD/YYYY
<br />LDHITS
<br />C
<br />ERAL LIABILITY
<br />GL4376193
<br />10/01/2009
<br />1_0/03_/2010
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED
<br />S 10O , 000
<br />CLAIMS MADE ® OCCUR
<br />PREMISES (Ea occurrence)
<br />ny one person
<br />,
<br />X
<br />X,C,U Coverag¢
<br />PERSONAL& ADV INJURY
<br />E7, 000, 000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG
<br />$ 2 , 000 , 000
<br />POLICY ® PRO- LOU
<br />JECT
<br />C
<br />AUTOMOBILE LIABH.ITY
<br />CA 826 33 86
<br />10/01/2009
<br />10/01/2010
<br />COMBINED SINGLE LIMIT
<br />X ANY AUTO
<br />(Ea acdarnq
<br />$2,000, OOO
<br />ALL OWNED AUTOS
<br />BODILY INJURY
<br />SCHEDULED AUTOS
<br />( Per person)
<br />X HIRED AUTOS
<br />L
<br />APPROV LiJ
<br />CC !! \\V
<br />-.T y '-()RN'
<br />BODILY INJURY
<br />X NON OWNED AUTOS
<br />(Per accident)
<br />-_
<br />/
<br />---
<br />PROPERTY DAMAGE
<br />(Pcr accident)
<br />Sheed-y
<br />GARAGE LIABILITY
<br />ASSIS I1
<br />lty AttorneN
<br />AUTO ONLY - EA ACCIDENT
<br />ANV AUTO
<br />OTHER THAN EA ACC
<br />AUTO ONLY:
<br />AGG
<br />D
<br />EXCESS / UMBRELLA LIABILITY
<br />TH0900029
<br />10/O1/2009
<br />1010112010
<br />EACH OCCURRENCE
<br />OCCUR F--1 CLAIMS MADE
<br />AGGREGATE
<br />$5,000,000
<br />®DEDUCTIBLE
<br />RETENTION $100,000
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />WC6987927
<br />10/03/2009
<br />10/01/2010
<br />X
<br />WCOTH-
<br />E.L. EACH ACCIDENT
<br />$1, BBO, BBB
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1, 000.000
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mantla[pry in NH)
<br />E.L. DISEASE -POLICY LIMIT
<br />$1, 000, 000
<br />If s, tlescnbe under SPECIAL PROVISIONS below
<br />A
<br />OTHER
<br />Contractor Prof
<br />COPS1952583
<br />Prof/Poll Liab
<br />10/01/2009
<br />Each claim $5,000,000
<br />Agggregate $5, 000, 000
<br />Ded—i bl e $ 2 50 , 000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMEM/SPECIAL PROVISIONS
<br />RE: On -Call Engineering Design Services for water and Sewer Main Improvement Project The City Of Santa Ana, 20
<br />Civic Center Plaza, Santa Ana, CA 92701, its officers, employees, agents, volunteers and representatives are
<br />included as Additional Insured as respects to General Liability as required by contract. coverage is Primary and
<br />CERTIFICATE HOLDER
<br />City of Santa Ana - Public works Agency
<br />At
<br />Cesar E. Barrera
<br />As St. Engineer II
<br />220 S. Daisy Avenue, M-85
<br />Santa Ana CA 92702 USA
<br />ACORD 25 (2009/01)
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL SAIB6AK9fFT9 MAIL
<br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />AUTHORIZED REPRESENTATIVE
<br />The ACORD name and logo are registered marks of
<br />-C 1j �-J;V rosmv.9— JJ'saC�/imn
<br />.CORD CORPORATION. All
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