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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />10/08/2009 <br />PRODUCER <br />Aon Risk Insurance services west, Inc. <br />Los Angeles CA Office <br />THIS CERTIFICATE IS ISSUED AS A ,MATTER OF INFORINIATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />707 Wilshire Boulevard <br />CERTIFICATE DOES NOT ANIEND, EXTEND OR ALTER THE <br />Suite 2600 <br />Los Angeles CA 90017-0460 USA <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PHONE- 86fi 283-7122 FAX- 847 953-5390 <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURED <br />INSURER A: American International specialty Lines <br />26883 <br />Tetra Tech, Inc. <br />16241 Laguna Canyon Rd. <br />Irvine CA 92618 USA <br />INSURERS: Insurance company of the state of PA <br />19429 <br />rNSUPFRL National Union Fire ins co of Pittsburgh <br />19445 <br />IiiSURER D. Lexington insurance Company <br />19437 <br />4�7SURER El <br />µ <br />a <br />u <br />0 <br />rnvFT?Ae>;c SIR annlies Der terms and conditions of the Dolicv Ok <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND IIG <br />ANY REQUIRE\IENT, TERIM OR CONDITION OF ANY CONTRACT OR OTIIER DOCUMENT W1TII RESPECT TO WHICH THIS CERTIFICATE NIAY BE ISSUED OR ALAY <br />PERTAIN, THE INSURANZ CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All. THE TEMMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />L <br />TR <br />LTR <br />nS <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />POLICY EFFECTIVE <br />DATE , LfI/DD/FYYY <br />POLICYEXPIRATION <br />DA .1,N/DD/YY1' <br />LIMITS <br />c <br />ERALLIABILITY <br />GL4376193 <br />10/01/2009 <br />10/01/2010 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />S100,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLALMSAIADE ® OCCUR <br />PR)LAdISFS (Ea ocnmence <br />Am one venon <br />x X,C,U Coverage <br />PERSONAL & ADV INJURY <br />S1,000,000 <br />GENERALAGGREGATE <br />$2.000,000 <br />GF,VL AGGREGATE LIMIT APPLIESPER <br />PRODUCTS -COMP,OPAGG <br />52,000,000 <br />❑ POLICY X❑ )ECT X❑ LOC <br />C <br />AUTOMOBILE LIABILITY <br />CA 826 33 86 <br />10/01/2009 <br />10/01/2010 <br />COSIBINED SINGLE IllaT <br />ANY AUTO <br />(Ea a,:ddem) <br />$2 , 000, 000 <br />ALL OWNED AUTOS <br />BODILY rNHIRY <br />SCIE?DULEDAUTOS <br />nA <br />(Pere—n) <br />HB2m AUTOS <br />)( NON OWNED AUTOS <br />y7 <br />APP i� <br />0 <br />(fi <br />BODILY INIURY <br />(Per ac idenl) <br />PROPERTY DAMAGE <br />(Peraccidem) <br />GARAGE LIABBSIY <br />1'au 1tY <br />SS1SC (lI1 t <br />'y1tOTTICY <br />AUTO ONLY - EA ACCIDENT <br />OTlfERTHAN EA ACC <br />ANY AUTO <br />AUTO ONLY <br />AGO <br />D <br />EXCESS/ UMBRELLA LLADILrl1 <br />TH0900029 <br />10/01/2009 <br />10 1 1 <br />P�ACHoccuRRENCB <br />aOCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />$5,000,000 <br />®DEDUCTIBIXs <br />RETENTION $100,000 <br />B <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILIlY Y/, <br />WC 987 <br />WC6987927 <br />10/01/2009 <br />10/01/2010 <br />X WC STATIF OTH• <br />T vIMNUTS <br />E.L. EACH ACCIDENT <br />$1,000.000 <br />A,NY PROPRIETOR / PARTNER / EXECITIIA'E <br />OFFICERMEMBER EXCLUDED? <br />(Mandatc y in NH) <br />LL DISEASE-EAENPIAYEE <br />S1,000,000 <br />E.L. DISEAS&POLICYLL\BT <br />$1, 000, 000 <br />Ifyes, cl xnba under SPECIAL PROVISIONS below <br />A <br />OTHER <br />coPs1952583 <br />prof poll Liab <br />/ <br />10/01/2009 <br />1670172010 <br />Each Clain S510001000 <br />Agggregate 55,000,000 <br />contractor Prof <br />deductible 5250,000 <br />DESCRIPTION OF OPERATIO?ISII.00ATIONSNEMCIESIEXCLUSIONS ADDED BY ENDORSF.MENTISPECIAL 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 927011 its officerst employees,•agents, volunteers and <br />representatives are included as Additional insured as respects to General Liability policy as required by <br />UEKl"IYI tVI'EHOLDUK C:ANUL.I'LA11VP( <br />City of Santa Ana - Public works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE nieExPrRAT10N <br />Attn: Cesar E. Barrera DATE THEREOF, THE ISSUING INSURER Val &MEAMDRT MAIL <br />ASSt. Engineer II 30 DAYS A\RITTENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />220 S. Daisy Avenue, M-85DM 49 DO lt�gt5ft! <br />----------- -....-...--_._-..... _. <br />Santa Ana CA 92702 USA ��J //���jj pp ��p� OO��////` <br />AUTHORIZEDREPRESENTATIVE e(o» ilR'dorfraa. -9.11. fYe —fi ra <br />ACORD 25 (2009/01) 01988-2004 ACORD CORPORATION. All rights reserve <br />The ACORD name and logo are registered marks ofACORD <br />en <br />to <br />Ol <br />l0 <br />en <br />It <br />t0 <br />en <br />O <br />rn <br />