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<br />� CERTIFICATE F LIABILITY
<br />DAT 1
<br />4 "'
<br />INSURANCE ANCE
<br />10/51201
<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 DOE'S 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(iesp must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions: of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
<br />certificate holder in I!ieu of such endorsements }.
<br />.,.PRODUCER
<br />AGn Risk Insurance :Services West, Inc.
<br />Los Angeles CA Office
<br />707 wi f shi re Boulevard
<br />SUite 2600
<br />Los Angeles CA 9001.7 -0460 USA
<br />CONTACT
<br />NAME:
<br />jaic No. Exp: (866) 2'.83 -7122 FAX (800) 363 -0105
<br />E-MAIL
<br />ADDRESS:
<br />MED EXP (Any one person) $10,000
<br />PERSONAL 8. ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br />POLICY, PRO- M LOC
<br />IN.SURER(S) AFFORDING, COVERAGE
<br />NAIL
<br />INSURED
<br />Tetra Tech, Inc,
<br />' 47$85 von Korman Avve. e.
<br />INSURER A: Lexington Insurance Company
<br />19437
<br />INSURER B: National Union Fire Ins Co of Pittsburgh
<br />19445
<br />ste. 500
<br />Irvine CA 92614 USA
<br />INSURER C:, The Insurance Co of the state of PA
<br />19429
<br />INSURER D: AIG Europe Limited
<br />AA1120841
<br />INSURER E:
<br />CCi'VERA('IFC 4+00r'offlrw9re ern aYMr n_ e� e
<br />INSURER F:
<br />Ea accident ,
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
<br />NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
<br />CLAIMS. Limits shown are as requested
<br />LTR TYPE OF INSURANCE INSD uti POLICY NUMBER (MM DO MMiDDMYYY LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY GL,. -
<br />EACH OCCURRENCE $1,000,000
<br />GLAI'MS -MADE X1OCCUR oA AG TO N D
<br />$1,000,000 PREMISES Fa
<br />occurrence
<br />X X:,O,U Coverage
<br />MED EXP (Any one person) $10,000
<br />PERSONAL 8. ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br />POLICY, PRO- M LOC
<br />JECT PRODUCTS. COMPIOP AGG $2,000,000
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />'.....CA 5101755
<br />10/01/2014
<br />10/0117015....
<br />COMBINED SINGLE LIMIT
<br />Ea accident ,
<br />$1, 000,.000
<br />BODILY INJURY ( Per person)
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />BODILY INJURY Per accident
<br />( )
<br />AUTOS AUTOS
<br />X HIRED AUTOS X NON -OWNEO
<br />PROPERTY DAMAGE.
<br />AUTOS
<br />X d50 Ppiicy F.— CA
<br />Per accident
<br />D
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />1
<br />40/01/2014
<br />10/01 /20.15
<br />EACH OCCURRENCE
<br />$110001000
<br />4EXCE.S LIAB
<br />CLAIMS -MADE
<br />AGGREGATE:
<br />$1,000,000
<br />ED,''X RETENTION S 100, 000
<br />• WORKERS COMPENSATION A(Jd 161 10/61/2014 10101/2615 X PER
<br />EMPLOYERS' LIABILITY
<br />• YIN 165 10/01/2014.10 STATUTE OTTH-
<br />C ANYPROPRIETORIPARTNERIEXECUTIVE /61/2015 $1,oO0,000
<br />#Nl.WCO28328166 EACH ACC @BENT
<br />OFFICERIMEMBER EXCLUDED? � 66 10/01/2014
<br />10/01/2015'E.L.
<br />C I yes ,darybeun 167 10/01/2014 10/01 /2015 E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If yCS, deSCdbe nndat
<br />DESCRIPTION of OPERATIONS below E.L. DISEASE - POLICY LdMIT $1, 000, 000
<br />A Contractor Prof 5 10/01/2013 46/01/2015 Each Claim $1,000,000
<br />l Liab Agggregate $1,Q00,000
<br />DESCRIPTION OF OPERATIONS i LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached '. if more space is requkred)
<br />RE: On -Call Water Resource Engineering services. City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are included as Additional insured in
<br />accordance with the policy provisions of the General Liability policy, 11
<br />General Liability policy evidenced herein is Primary and Non-Conyributory to other insurance available to Certificate Holder,
<br />but only in accordance with the policy's provisions, A Waiver of Subrogation is in favor
<br />granted of Certificate Holder in
<br />accordance with the policy provisions of the General Liability, Automobile Liability, Umbrella Liability and Workers'
<br />Compensation policies. Stop Gap Coverage for the following states: OH, ND, WA, WY.
<br />cn l UFIL lI G rIkJ4.uCK,
<br />CANCELLATION
<br />01988 -2014 ACORD CORPORATION. All rights reserved,
<br />ACORD 25 (2014/01) The AOORD mime and logo are registered marks of ACORD
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED B]THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
<br />POLICY PROVISIONS,.
<br />Cit of Santa Ana.
<br />Public Works Agency
<br />AUTHORIZED REPRESENTATIVE
<br />220 S. Daisy
<br />Sant Brian
<br />Santa Ana CA
<br />ge
<br />Ave.
<br />92702 USA
<br />01988 -2014 ACORD CORPORATION. All rights reserved,
<br />ACORD 25 (2014/01) The AOORD mime and logo are registered marks of ACORD
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