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DA � E(MMfDYYY'�
<br />CERTIFICATE OF LIABILITY I D rY
<br />NSURANCE
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOE$ 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 />—thecerfificate holder an —ADDITIONAL INSURED, the pOIiCy(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 t!Us certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s),
<br />CONTACT
<br />PRODUCER NAME:
<br />Aon Risk Insurance services West, Inc. '_F; —H(FN E F� (866) 2�3-71"2 FAX
<br />(800) 363-0105
<br />LOS ArIgEIPS CA OffiCe (= No xll �AJ C No,):
<br />707 y:ilshire Boulevard E-MAT
<br />Suite 2600 —ADDRESS:
<br />I_QS ArgeleS CA 90017-6460 USA INSURER(S) AFFORDING COVERAGE NAIC 9
<br />INSURED INSURER A� National Union Fire ins co of Pittsburgh 19445
<br />Tetra Tech,. Inc. (IWR) INSURER B: The Insurance cc of the state of PA 19429
<br />.......... .
<br />17885 von Korman Ave. R , k c, Al(, Europe Llm�ted AA11208111
<br />Ste. SOO
<br />Irvine CA 92614 USA INSURER 0: Lexington Insurance Company 19437
<br />INSURER E:
<br />INSURER r.
<br />pr7liminpi
<br />T'NI5 IS "1CD CER °iIFY THr THE POLICIES OF NNSUi ANCE LISTED BELOW HAVE BEEN' ISSUED TO THE INSUFZEf3 dAMED AaOVE FC)I2 THE PO &..ICY 0D
<br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />BEO HEREIN 13 SU13JECT TO ALL THE TERMS,
<br />EXCLUSIONS ANt3 CONDITIONS OF SLIC14 POLNOIES LN uIITS SIOWN MAY I °NAVE BEEN REDUCED PY PAIb Ims. Limits shown are as requested
<br />Cl,AIMS4AADZ_ X OCCUR
<br />'00a
<br />PREMISES La occuner
<br />crao '000
<br />LIED E (Any one person)
<br />,11 1111AL 11111 1111RW
<br />$10 ,000
<br />S1,000,000
<br />X x,c,U Coveraqe
<br />GENT AGGREGATE LIMITAPPLEES PER
<br />LLNERM. AfC'�REGATE
<br />$2,000,000
<br />'Ivr'Op
<br />PRt DUCTS • Cc�
<br />12,000,0
<br />x PRO. LOC
<br />=,I POLICY Fq JECT 1XI
<br />OTHFR,
<br />A
<br />AUTOMOBILE LIABI41TY
<br />CA 3194397
<br />10/02/201s
<br />10/0112016
<br />COMBINED SINGLE 4JWT
<br />$1,000.000
<br />BODILY INJURY ( Per nwson�
<br />X ANY AUTO
<br />ALI C)AINED SCHEDULED
<br />BODILY INJURY jklmr accident;'
<br />AUTOS AUTOS
<br />X KRED AUTQ8 X NON-OWNED
<br />O_
<br />_x AUTOS
<br />6T,—i-',:—
<br />RrFT5A w3E
<br />20 Pal c, Form CA
<br />X
<br />UMBRELLA LIAB X OCCUR
<br />EXCESS UAB CbkIMS.MADE
<br />—"7z'
<br />'T00079
<br />�
<br />16/01/2015
<br />10/0 T/ 2016
<br />EACH OCCURRENCE
<br />S1,000,000
<br />AGGRIEGAlj
<br />S1,000,000
<br />PER �OTH-
<br />ST "IT, ER
<br />_-Li—A
<br />CL ' E,�CH ACCIDENT
<br />$1,000,000
<br />8
<br />9
<br />B.
<br />D
<br />NIA
<br />�WC014267906
<br />wCo 14267908
<br />�VJC014267907
<br />wc0142679'12
<br />02_8182375
<br />/Poll Liab
<br />1010112015
<br />10/01/20AS
<br />10/01/201S
<br />10/01/2015�10/01/2016
<br />10/01_/201.5
<br />1,l
<br />10/01/2016
<br />J�D/01/2016
<br />10/01/2016
<br />1010112017
<br />TIR i, 0 N S140, ODO
<br />WORKERS COMPENSATION AND
<br />EMPLOYrRS* LIABILITY YIN
<br />AN—ROPMETOR f PART ITFR '"EC UTIVE
<br />()�FKIERIME!'IBER Ex'_LUDLD?
<br />Iyandalory In NH)
<br />If yes, descrte under
<br />DESCRIPTION OF OPER/JIONS below
<br />contractor Prof
<br />— -----
<br />El DISEASE-EAEMPLOYLL
<br />S1,000,000
<br />E.L. DISEASE-POUCY LIMIT
<br />Each Claim
<br />Agggregate
<br />S1,000,000
<br />$1,000,000
<br />$1_000,000
<br />�Prof
<br />SIR applies per policy ter
<br />ions
<br />DESCRIPTION OF OPERATIONS; LOCATIONS f VEHICLES (ArORID 101, Additional Remarks Schedule, may be a"8 Ch9d If more space Is roquired!I
<br />RE� Contract NO. A2014129-01; an--Call Water Resource. Engineering Services,
<br />Cat of Santa Ana, its officers, employees agents, Volunteers and representatives are included as Additional insured in
<br />accordance will) the PC] 1 icy provi . 51 . Ons of t1!le Gene. ral Liability policy. General Liability policy evidenced herein is Primary
<br />and Non-Contributory to other insurance available to certificate Holder, but only in accordance with the policy's provisiDns.
<br />A Waiver of subrog4ti . crii . siyranted in favor of certificate Itolder in accordance with the policy provisions of the General
<br />Lijbility, AUtonTO fle L ab ity, umbrella Liability and workers' compensation policies. Stop Gap coverage for the following
<br />states: 011, NO, WA, WY.
<br />l ` Santa Ana
<br />Public Works Agency
<br />Attn: Brian Ige
<br />220 South Daisy Avenue
<br />Santa Ana CA 92702 USA
<br />ACORD 25 (2014;01)
<br />r.AM(IPI I ATION
<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
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<br />01988-2014 ACORD CORPORATION, All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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