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<br />CERTIFICATE OF LIABILITY INSURANCE DATE(mm/DDz o9 )
<br />PRODUCER
<br />AOn Risk insurance Services west, Inc.
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br />Los Angel es 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 />Sui to 2600
<br />Los Angeles CA 90017-0460 USA
<br />COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />o
<br />"' ,
<br />I U S AFFORDING COVERAGE
<br />NAIC # w
<br />PHONE- 866 283-7122 FAX- 847 -5390
<br />95371
<br />INSURED
<br />INSURE -A., American international Specialty Lines
<br />26883 •-
<br />Tetra Tech, Inc.
<br />16241 Laguna Canyon Rd. CI r�-;.,
<br />-
<br />BVS{lRKR.1j: Insurance Company of the State of PA
<br />�-
<br />19429
<br />Irvine CA 92618 USA C L L_,
<br />—SURER C, National Union Fire Ins Co of Pittsburgh
<br />19445 �
<br />-e
<br />INSURER D: Lexington insurance company
<br />19437 I~..
<br />a,
<br />INSURER E:
<br />0
<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 />INS.
<br />A
<br />LTR
<br />INS..
<br />NSR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />POLICY EXPIRATION
<br />LIMITS
<br />DATE MM/DD/YYYV
<br />DATE MM/DD/YYYV
<br />ERAL LIABILITY
<br />GL4376193
<br />10/Ol/2009
<br />10/Ol/2010
<br />EACH OCCURRENCE
<br />$1,000,00R0
<br />L
<br />COMMERCIAL GENERALIABILITY
<br />DAMAGE TO RENTED
<br />$100,000PREMISES
<br />CLAIMS MADE ® OCCUR
<br />nY one personX,C,U
<br />Coverage
<br />PERSONAL Bc ADV INJURY
<br />$1, 000,000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGO
<br />$2 , 000, 000
<br />POLICY ® PRO- LOC
<br />IECT
<br />c
<br />AUTOMOBILE LIABILITY
<br />CA 826 33 86
<br />10/01/2009
<br />lO/01/2010
<br />COMBINED SINGLE LIMIT
<br />x ANY AUTO
<br />(Ea accident)
<br />$ 2 , 000 , 000
<br />ALL OWNED AUTOS
<br />BODILY INJURY
<br />SCHEDULED AUTOS
<br />( Per Person)
<br />X HIRED AUTOS
<br />` ,
<br />APPRO y E IJ
<br />/
<br />- S i V r (1
<br />^ ,I
<br />1�',
<br />BODILY INJURY
<br />X NON OWNED AUTOS
<br />(Per accident)
<br />'
<br />--
<br />l
<br />--
<br />PROPERTY DAMAGE
<br />(Per accWrnr)
<br />ed
<br />GARAGE LIABILITY
<br />A5515 IT
<br />lty Attorncl
<br />AUTO ONLY - EA ACCIDENT
<br />ANY AUTO
<br />OTHER THAN EA ACC
<br />AUTO ONLY:
<br />AGO
<br />D
<br />EXCESS / UMBRELLA LIABILITY
<br />TH0900029
<br />10/01/2009
<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 V / N
<br />WC6987927
<br />10/O1/2009
<br />10/O1 /2010
<br />x
<br />We sTATU-
<br />OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />$1, 000, 000
<br />11 JI
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1, 000 , 000
<br />OFFICER/ME EXCLUDED?
<br />(Maadarory In NH) NH)
<br />E.L. DISEASE -POLICY LIMIT
<br />$1, 000 , 000
<br />H s, descrbc under SPECIAL PROVISIONS below
<br />A
<br />OTHER
<br />Contractor Prof
<br />COPS1952583
<br />Prof/Poll Lia6
<br />10/01/2009
<br />Each Clain $5,000,000
<br />Agggregate $5, 000,000
<br />Deductible $250,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />RE: On -Call Engineering Design Services for Water and sewer Main Improvement Project The City of Santa Ana, 20
<br />Civic Center Plaza, Santa Ana, CA 92701, its officers, employees, agents, volunteers and representatives are
<br />included as Additional Insured as respects to General Liability as required by contract. Coverage is Primary and
<br /><.C1C l ll• - — — I — 11VLLl — 11VP1
<br />Ci ty of Santa Ana - Public Works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />Attn: Cesar E. Barrera DATE THEREOF, THE ISSUING INSURER WILL EAiB6 QRaQ MAIL
<br />ASSt . E1, nee r II 31 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />220 s. Daisy Avenue, M-85
<br />Santa Ana CA 92702 USA �O
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All right$/iese e
<br />The ACOR13 name and logo are registered marks of ACORD
<br />C
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