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`--� CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />10/08 2009 <br />10/OS/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 Wilshire Boulevard <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Suite 2600 <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Los Angeles CA 90017-0460 USA <br />,; <br />INSURERS AFFORDING COVERAGE <br />NAIC # w <br />PHONE- 866 283-7122 FAX- 847 953-5390 <br />INSURED <br />INSURER A: American International Specialty Lines <br />26883 <br />Tetra Tech, Inc. <br />16241 Laguna Canyon Rd. <br />19429 w <br />INSURERB: Insurance Company of the State of PA <br />INSURER National Union Fire Ins Co of Pittsburgh <br />Irvine CA 92618 USA <br />19445 a <br />INSURER Lexington Insurance Company <br />19437 L <br />d <br />a <br />� <br />INSURER E: <br />WE WA 0: 'XVI atl <br />\iw Annllac nor rarme nnn rnnmi+­ne n+ +ho -1 — — <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 />INSR <br />ADD' <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YYYY <br />POLICY EXPIRATION <br />DATE MM/DD/YYYY <br />LIMITS <br />c <br />ENERAL LIABILITY <br />GL4376193 <br />10/01/2009 <br />10/01/2010 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$100 , 000 <br />CLAIMS MADE OCCUR <br />PREMISES (Ea occurrence) <br />® <br />X X, C, u Coverage <br />EJ <br />MED EXP Any one person <br />PERSONAL & ADV INJURY <br />$1,000,000 <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 - <br />ElJECT LOC <br />c <br />AUTOMOBILE LIABILITY <br />CA 826 33 86 <br />10/01/2009 <br />10/01/2010 <br />COMBINED SINGLE LIMIT <br />X ANY AUTO <br />(Ea accident) <br />$2,000,000 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON OWNED .AUTOS <br />AppR <br />A S <br />� � !'1 <br />q:`�� <br />0 FORM <br />( Per person) <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />eedy <br />GARAGE LIABILITY <br />Lau tt 1ty <br />ttorricy <br />AUTO ONLY -EA ACCIDENT <br />ANY AUTO <br />SS1Sta❑ <br />OTHER THAN EA ACC <br />AUTO ONLY <br />AGG <br />D <br />EXCESS / UMBRELLA LIABILITY <br />TH0900029 <br />10/01/2009 <br />10 1 10 <br />EACH OCCURRENCE <br />S5,000,000 <br />ElOCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />$5,000,000 <br />®DEDUCTIBLE <br />RETENTION $100,000 <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />IL.II <br />WC <br />WC6987927 <br />1 <br />10/01/2009 <br />10/01/2010 <br />X <br />WC STATU- <br />OTH- <br />EL EACH ACCIDENT <br />$1,000,000 <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />E.L. DISEASE-EAEMPLOYEE <br />$1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />If yes, describe under SPECIAL PROVISIONS below <br />A <br />OTHER <br />Contractor Prof <br />COP51952583 <br />Prof/Poll Liab <br />10/01/2009 <br />--n/01/2010 <br />Each Clain $5,000,000 <br />Agggregate $5,000,000 <br />Deductible $250,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Project: 134P00597-0086-00, On -Call Engineering Design Services for Water and Sewer Main Improvement Project. The <br />City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, its officers, employees, agents, volunteers and <br />representatives are included as Additional Insured as respects to General Liability policy as required by <br />C LK l It 1C'A l E HULDER <br />City of Santa Ana - Public works Agency <br />Attn: Cesar E. Barrera <br />Asst. Engineer II <br />220 S. Daisy Avenue, M-85 <br />Santa Ana CA 92702 USA <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WELL &-PFA3IOR O MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZED REPRESENTATIVE -W„ ',� Jsoaay <br />rn <br />to <br />Cn <br />00 <br />to <br />rn <br />O <br />O <br />r` <br />to <br />ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights <br />The ACORD name and logo are registered marks of ACORD <br />