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1 ® <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYYY) <br />00112026 <br />I <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 />Aon Risk Insurance Services West, Inc. <br />Los Angeles CA Office <br />CONTACT <br />NAME:PHONE <br />(Bfi6) 283-7122 FAX (800) 363-0105 <br />(A/C.No.Exq: C.No.: <br />707 Wilshire Boulevard <br />Suite 2600 <br />E-MAIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />NAIC N <br />LOS Angeles CA 90017-0460 USA <br />INSURED <br />INSURER A: Safety National Casualty Corp <br />15105 <br />Tetra Tech, Inc. <br />17885 Von Karman Ave., Suite 500 <br />Irvine CA 92614 USA <br />INSURER B: American International Group UK Ltd <br />AA1120187 <br />INSURER C: Allied World Surplus Lines Insurance Co <br />24319 <br />INSURER D: <br />INSURER E: <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570111332284 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 />LTR <br />TYPE OF INSURANCE <br />INSO <br />WVD <br />POLICY NUMBER <br />fPOLICYEFF <br />MMPOLICY <br />DDIYV <br />E.1 <br />MWDDIYYYYI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE ❑X OCCUR <br />PREMISES Ea occurrence)$1, <br />000, 000 <br />X <br />MED EXP (Any one person) <br />$10, 000 <br />X. C. U Coverage <br />PERSONAL B ADV INJURY <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$4,060,000 <br />POLICY ❑X JECPROT FXJ LOU <br />PRODUCTS -CONI AGG <br />$4,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />CA 6676805 <br />10/01/2024 <br />10/01/2025INED <br />SINGLE LIMIT <br />iden <br />$1,000,000 <br />INJURY( Per person) <br />X ANYAUTO <br />Y INJURY(Par accidenn <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />ERTY DAMAGE <br />cident <br />B <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />62785232 <br />10/O1/2024 <br />CCURRENCE <br />1,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />GATE <br />$1,000,000 <br />DED I X HETENRON$10D,000 <br />A <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR I PARTNERI EXEGWIVE <br />OFFICEwMEMBER EXCLUDED? <br />(Mandatory In NM <br />NIA <br />LDC4068970 <br />ADS <br />PS4068969 <br />WI <br />10/01/2024 <br />10/Ol/2024 <br />10/01/2025 <br />10/Ol/2025 <br />X PERSTATUTE I <br />OTH- <br />ER <br />EL EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONSbelow <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />C <br />Environmental Contractors and <br />03120276 <br />10/01/2024 <br />10/01/2025 <br />Each Claim <br />$1,000,000 <br />I <br />Prof <br />Prof/Poll-Claims Made Cov <br />Aggregate <br />$2,000,000 <br />SIR applies per policy terns <br />& condi <br />ions <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Monitored Remarries Schedule, maybe attached N more space is required) <br />Stop Gap Coverage for the following States: OH, ND, WA, WY. RE: On -Call Water Resources Engineering Services, REP No. 24-083. <br />City of Santa Ana, its officers, officials, employees and volunteers are included as Additional Insured in accordance with the <br />policy provisions of the General Liability and Automobile Liability policies as required by written contract. General <br />Liability and Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to <br />an Additional Insured, but only in accordance with the policy's provisions as required by written contract. A Waiver of <br />Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, <br />Automobile Liability and Workers' Compensation policies as required by written contract. should General Liability, Automobile <br />CERTIFICATE HOLDER CANCELLATION �_ <br />City of Santa Ana <br />Attention: Public Works Agency <br />20 civic Center Plaza (IdI <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />clan "Cotanee J6bauxd iy ,fm <br />01988-201 ar;-M <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of APPR VED <br />Tu Tran I.y." a".a°„" By Tu Tran Nguyen at 11:08 am, Mar 19, 2025 <br />x <br />......... wrtu,sola.ly <br />