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CERTIFICATE OF LIABILITY INSURANCE
<br />°ATE(MM%Go 4YY"
<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 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 lieu of such endorsement(s).
<br />PRODUCER
<br />AOT Risk Insurance Services West, Inc.
<br />LOS Angeles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />PHONE
<br />CNN.EXp: (866) 283-7122 jyA6. No.: (800) 363-0105
<br />EMAIL
<br />ADDRESS:
<br />Los Angeles CA 90017-0460 USA
<br />City
<br />GLS 4
<br />INSURER(S) AFFORDING COVERAGE NAIC k
<br />INSURED
<br />INSURER A: Lexington Insurance Company 19437
<br />Tetra Tech, Inc. (IWR)
<br />17885 Von Karman Ave.
<br />Ste. 500
<br />INSURER B: National union Fire Ins CO Of Pittsburgh 19445
<br />INSURER c The Insurance Co of the State of PA 19429
<br />Irvine CA 92614 USA
<br />INSURER AIG Europe Limited AA1120841
<br />n ar.4rctzcna etnaire
<br />INSURER E:
<br />O RENTED rr$1,000,000
<br />PREMISES Ea occuence
<br />INSURER F:
<br />COVERAGES CERTIFICATE (NUMBER: 570055756372 REVISION NUMRFR-
<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 />INSD
<br />MD
<br />POLICY NUMBER
<br />MMIDOIYYVY
<br />In
<br />1ULIUMMIDDIYYXP
<br />LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />City
<br />GLS 4
<br />AUTHORIZED REPRESENTATIVE
<br />EACH OCCURRENCE $1,000,000
<br />Rudolfo Rosas
<br />CLAIMS -MADE X❑ OCCUR
<br />220 S.
<br />Santa
<br />Baily Avenue, Suite A
<br />Ana CA Avenue,
<br />USA
<br />n ar.4rctzcna etnaire
<br />O RENTED rr$1,000,000
<br />PREMISES Ea occuence
<br />MED SAP (Any one person) $10,000
<br />X XUS Coverage
<br />PERSONAL& ADV INJURY $1,000,000
<br />GEHL AGGREGATE LIMIT APPLIES PER
<br />POLICY X PRO -
<br />POLICY LOC
<br />LJ JECT
<br />GENERAL AGGREGATE $1,000,000
<br />PRODUCTS - COMPIOP AGO $1,000,000
<br />OTHER'.
<br />B
<br />AUTOMOBILE LIABILITY
<br />CA 5101755
<br />10/01/201410/01/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident 51,000,000
<br />BODILY INJU RY( Perparson)
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per aocitlmd)
<br />PROPERTY DAMAGE
<br />Per accident
<br />X HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />X ISO Palley Form Cq
<br />0
<br />UMBRELLALIABX
<br />OCCUR
<br />TH1400061
<br />10/01/2014
<br />10/01/2015
<br />EACH OCCURRENCE $10,000,000
<br />1
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $10,000,000
<br />DED X
<br />RETENTION8100,000
<br />O
<br />C
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILITY YIN
<br />ANYPROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />wc028328161
<br />wc02832816S
<br />wc028328166
<br />10/01/2014
<br />10/01/2014
<br />10/01/2014
<br />10/01/2015
<br />10/01/2015
<br />10/01/2015
<br />PER GTH-
<br />X STATUTE
<br />E,LEACHACCIOENT $1,990,000
<br />E. L. DISEASE -EA EMPLOYEE $1,000,000
<br />C
<br />(Mandatory In NH)
<br />byes, descibe under
<br />wcD28328167
<br />10/01/201410/01/2015
<br />E L. DISEASE -POLICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Contractor Prof
<br />028182375
<br />Prof/Poll Liab
<br />10/01/2013
<br />10/01/2015
<br />Each Claim $5,000,000
<br />Agggregate $5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />RE: San Lorenzo Lift Station project: City of Santa Ana -Public Works Agency its officers, employees, agents, volunteers and
<br />representatives are included as Additional Insured in accordance with the policy provisions of the General Liability policy as
<br />required by written contract. General Liability policy evidenced herein is Primary and Non-Contribu(gry to othe insurance
<br />available to an Additional Insured, but only in accordance with the policy's provisions as regui'rerl- wrtC n co tract. stop
<br />Gap Coverage for the following states: OH, ND, WA, WY. } / ---
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
<br />CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City
<br />Of Santa Ana -Public Works Agency
<br />AUTHORIZED REPRESENTATIVE
<br />Attn:
<br />Rudolfo Rosas
<br />220 S.
<br />Santa
<br />Baily Avenue, Suite A
<br />Ana CA Avenue,
<br />USA
<br />n ar.4rctzcna etnaire
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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