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'CCO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM /DD/1'Yl'Y)
<br />t0/03/20t1
<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: H the certlflcata holder is an ADDITIONAL INSURED, the pollcy(les) must ba endorsed. If SUBROGATION IS WAIVED, subJect to
<br />the terms and wndltlons of the policy, cartaln policies may require an endorsement. A statement on this cartiflcate doss not confer rights to the
<br />cartlflcate holder In Ileu of such sndorsamant(s).
<br />PRODUCER
<br />AOn Risk Insurance SerVl CeS West, Inc.
<br />LOS Angel es CA Offi ce
<br />CONTACT
<br />NAME,
<br />(A/G Ne. EzU_ <S 661 283 -7122 F� No C847J 953 -5390
<br />E-MAIL
<br />707 wi l shi re Boulevard
<br />Sui Le 2600
<br />ADDRESS:
<br />LOS Angeles CA 90017 -0460 USA
<br />INSURER(3) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />INSURER A: NatlOnal Uni On Fl re Ina CO Of Pittsburgh
<br />1944$
<br />Tetra Tech, Inc.
<br />3475 E. Foothill Boulevard
<br />INSURER B: Insurance Company Of Lhe State Of PA
<br />19429
<br />INSURER C: Chartis Specialty Insurance Company
<br />26883
<br />Pasadena CA 91107 -6024 USA
<br />PREMISES Ea occurrence
<br />INSURER D: LeXI ngLOn Insurance Company
<br />19437
<br />INSURER E:
<br />X X,C,U Coverage
<br />INSURER F:
<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 />INSR
<br />WVD
<br />POLICY NUMBER
<br />M OD
<br />MM/DD
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Santa Ana cA 92703 u5A
<br />GL
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />PREMISES Ea occurrence
<br />E1, 000, 000
<br />MED EXP (Any one person)
<br />$lO, 000
<br />X X,C,U Coverage
<br />PERSONAL 8 ADV INJURY
<br />$1, 000, OOO
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER_
<br />PRODUCTS - COMP /OP AGG
<br />$ 2 , OOO , OOO
<br />POLICY X PRO- X LOC
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 170 7 78
<br />1 Ol 2011
<br />1 1
<br />COMBINED SINGLE LIMIT
<br />$2 , 000 , 000
<br />BODILY INJURY (Par person)
<br />X ANV AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />X HIRED AUTOS X AUTOS
<br />BODILY INJURY (Par eccitlant)
<br />PROPERTY DAMAGE
<br />Par accitlan[
<br />D
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />THIIOOO27
<br />10/01/201110/01
<br />/2012
<br />EACH OCCURRENCE
<br />$$,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$ $ , 000 , 000
<br />DED
<br />RETENTION
<br />B
<br />B
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILrlY Y/N
<br />OFFICER/MEM ER /F,(OLUDEDi EXECUTIVE �
<br />N/A
<br />WC20635697
<br />WC2063 $698
<br />wC20635699
<br />10 O1 201110
<br />10/Ol/201110/Ol/2012
<br />10/Ol/201110/01/2012
<br />O1 2012
<br />WC STATU- OTH-
<br />X TORY LIMITS
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$l, 000, 000
<br />(Mantlatory In NN)
<br />If es, tlascriba untlar
<br />DESCRIPTION OF OPERATIONS below
<br />E L DISEASE- POLICY LIMIT
<br />$1, 000, 000
<br />D
<br />Contractor Prof
<br />COP51952583
<br />10/01/2011
<br />10/01/2012
<br />Each cl sin
<br />5,000,000
<br />Prof /Poll Li ab
<br />Agggre9aie
<br />$5,000,000
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AUach ACORD 101, Atltlltlonal Remarks Scnatlula, If more apace la regral[pj�T ^ yr �l A � �^ � ^�y yi q
<br />Stop Gap coverage for the following states: OH, WA, WY. / \t�l�t =(j Y] l rl <J `J `lVl
<br />\_
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<br />_ _
<br />Laura St: Li Sh e y
<br />,�SS15 Ca DI C1Ly AY[OrIIC }'
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WRH THE
<br />POLICY PROVISIONS.
<br />Cl Ly Of Santa And
<br />AUTHORIZED REPRESEMATNE
<br />Public Works Agency
<br />Attn: Steve WOrrall
<br />220 5- Daley Avenue
<br />Santa Ana cA 92703 u5A
<br />�s ftQrsf6�s sLSS�SA 6Orr faa
<br />®1988 -20'10 ACORD CORPORATION. All rights reserved -
<br />ACORD 25 (20'10/05) The ACORD name and logo erg registered marks of ACORD
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