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<br />CERTIFICATE OF LIABILITY INSURANCE
<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.
<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
<br />A00 Risk InsDrance Services West, Inc.
<br />LOS Angeles CA office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />PHONE (g66) 283-0122 FAX (800) 363-0105
<br />(NC.No.EXi: NC. No.:
<br />E-MAIL
<br />ADDRESS:
<br />LOS Angeles Ca, 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURED
<br />INSURER A: Safety National Casualty Carp
<br />15105
<br />Tetra Tech, Inc.
<br />17885 Von Kerman Ave., suite 500
<br />Irvine CA 92614 USA
<br />INSURER B: American International Group UK Ltd
<br />M1120187
<br />INSURER ¢ Allied World surplus Lines Insurance Co
<br />24319
<br />INSURER D:
<br />NSURER E:
<br />INSURER F:
<br />COVERAGES GEHIiFiGAtt NUMtlhH: b7Ul UU3942bb 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 />INSH
<br />LTR
<br />TYPE OF INSURANCE
<br />AUDI
<br />INSD
<br />BUSH
<br />WVO
<br />POLICY NUMBER
<br />POLICY Err
<br />MWDDIYYYY
<br />POLICY EXP
<br />MMNG/YWY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GL667
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS MADE X� OCCUR
<br />PREMISES Ea occurrence)
<br />$1,000,000
<br />X
<br />MED UP (Any one person)
<br />$10, 000
<br />X, C , U Coverage
<br />PERSONAL& ADV INJURY
<br />$2,000,000
<br />GEN-LAGGREGATE LIMNAPPLIES PER:
<br />X POLICY PRO X LOG JECT
<br />GENERALAGGREGATE
<br />$4,000,000
<br />PRODUCTS-COMPIOPAGG
<br />$4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 6676805
<br />10/01/2024
<br />10/01/202 5
<br />COMBINED SINGLE LIMB
<br />Ea
<br />$5,000,000
<br />BODILY INJURY( Per person)
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Par XWom)
<br />PROPERTY DAMAGE
<br />Per ecddenl
<br />B
<br />X
<br />UMBRELLA LIAR
<br />OCCUR
<br />62785232
<br />10/01/2024
<br />10/01/2025
<br />EACH OCCURRENCE
<br />$10,000,000
<br />EXCESS LIM
<br />H
<br />CLAIMSMADEAGGREGATE
<br />$10,000,000
<br />DED X RETENTION %300, 000
<br />A
<br />A
<br />WORKERS COMPENSATION AND
<br />EMPLOVERSLIABILITY Y/N
<br />ANY PROPRIETOR/ PARTNER/ EXECUTIVE
<br />OFFICEWMEMBER EXCLUDED? flN
<br />(Mandalory in NM
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS he.
<br />NIA
<br />LDC4068970
<br />ADS
<br />Ps4068969
<br />WI
<br />10/01/2024
<br />10/01/2024
<br />10 01/2025
<br />10/01/2025
<br />X PER STATUTE I JOTH-
<br />E
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />C
<br />Environmental contractors and
<br />Prof
<br />03120276
<br />Prof/Poll-Claims Made Cov
<br />10/01/2024
<br />10/01/2025
<br />Each claim
<br />Aggregate
<br />$5,000,000
<br />$5,000,000
<br />SIR applies per policy ter
<br />s & condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be enriched if more space Is required)
<br />RE: SA-2 Pressure Control station Relocation and Transmission Main Improvements. The City, its officers, officials, employees,
<br />and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and
<br />Automobile Liability policies as required by written contract. General Liability evidenced herein is Primary to other insurance
<br />available to an Additional insured, but only in accordance with the policy provisions as required by written contract. A Waiver
<br />of subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability,
<br />Automobile Liability, Workers Compensation and Professional/Pollution Liability policies as required by written contract.
<br />should any of the above described policies be cancelled before the expiration data thereof, the policy provisions will govern
<br />how notice of cancellation may be
<br />CERTIFICATE HOLDER
<br />APPROVED
<br />CANCELLATION
<br />By Tu Train Nguyen at 3:08 pm, Apr 03, 2025
<br />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
<br />PWA Water Resources
<br />TU Tran MM1y
<br />juinolMu�
<br />AUTHORIZED REPRESENTATIVE
<br />220 5 Daisy Ave M85
<br />Santa Ana, CA 92703
<br />wT..urs m
<br />Nguyen
<br />e,�Q/ n ,�mi¢�tdPira>rt� cJcevsza
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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