®
<br />A o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />09/22/2017
<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:
<br />PHONE (866) 283-7122 F'O'X (800) 363-0105
<br />(AIC. No. Ext): (A C. No.):
<br />707 Wilshire Boulevard
<br />suite 2600
<br />E-MAIL
<br />ADDRESS:
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURED
<br />INSURERA: National Union Fire Ins Co of Pittsburgh 19445
<br />Tetra Tech, Inc. (IEW)
<br />17885 VOA Karman Ave., suite 500
<br />Irvine CA 92614 USA
<br />INSURER B: AIG Europe Limited AA1120841
<br />INSURER C: The Insurance Co oT the State Of PA 19429
<br />INSURERD: American Home Assurance Co. 19380
<br />INSURERE: Lexington Insurance Company 119437
<br />INSURER F:
<br />C:UVtKAULb ULKIIHUAlt NUMBLK: b/UUbbbUJ944 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 />INSD
<br />WVD
<br />POLICY NUMBER
<br />MMIDDIYYYY
<br />MM/DD
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Attn:Brian Ige
<br />220 South Daisy Avenue
<br />GL
<br />2
<br />Santa Ana CA 92702 USA
<br />EACH OCCURRENCE S2,000,000
<br />_I�
<br />�4 �!G
<br />CLAIMS-MADEX❑OCCUR
<br />$1,000,000
<br />PREMISES Ea occurrence
<br />MED EXP (Any one person) $10,000
<br />X X,C,U Coverage
<br />PERSONAL&ADV INJURY $2,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE $4,000,000
<br />POLICY M PRO FX] LOC
<br />JECT
<br />PRODUCTS - COMP/OPAGG $4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 428-80-55
<br />10/01/2017
<br />10/01/2018
<br />COMBINED SINGLE LIMIT $2,000,000
<br />Ea accident
<br />BODILY INJURY ( Per person)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE
<br />Peraccident
<br />X ISO Policy Form CA
<br />B
<br />X UMBRELLALIAB
<br />OCCUR
<br />CSUSA1702199
<br />10/01/2017
<br />10/01/2018
<br />EACH OCCURRENCE $11000,000
<br />EXCESS LIAB
<br />HX
<br />CLAIMS -MADE
<br />AGGREGATE $1,000,000
<br />DED I X RETENTION 8101, 000
<br />C
<br />D
<br />C
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILRY YIN
<br />OFFICER/MEM ERAN PR PRIETOR /EXCLUDED7EXECUTIVE f9
<br />(Mandatory in NH)
<br />NIA
<br />wc014629496
<br />wc014629497
<br />WC014629498
<br />wc014629499
<br />10/01/2017
<br />10/01/2017
<br />10/01/2017
<br />10/01/201710/01/2018
<br />10/01/2018
<br />10/01/2018
<br />10/01/2018
<br />XPER OTH-
<br />STATUTEEli
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If yes, describe Under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />E
<br />Env Contr Prof
<br />028182375
<br />10/01/2017
<br />10/01/2019
<br />Each Claim $1,000,000
<br />Prof/Poll Liab
<br />Agggregate $1,000,000
<br />SIR applies per policy ter
<br />s 6 condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />RE: Contract No. A2014-129-02, on -Call water Resource Engineering Services. City of Santa Ana, its officers, employees, agents,
<br />volunteers and representatives included Additional Insured in
<br />are as accordance with the policy provisions of the General
<br />Liability policy as required by written contract. General Liability policy evidenced herein is Primary and Non -Contributory to
<br />other insurance available to Certificate Holder, but only in accordance With the policy's provisions as required by written
<br />contract. A waiver of Subrogation is granted in favor of City of Santa Ana in accordance wi the policy provisions of the
<br />General Liability, Automobile Liability, Umbrella Liability and workers' Compensation pol' i as required by written contract.
<br />Stop Gap coverage for the following states: OH, ND, WA, WY.
<br />REVIEWED BY: EUNICE HEREDIA (PG I OF) )
<br />CERTIFICATE HOLDER
<br />CANCELLATION Y
<br />ACORD 25 (2016/03)
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />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 Of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Public works Agency
<br />Attn:Brian Ige
<br />220 South Daisy Avenue
<br />�
<br />2
<br />Santa Ana CA 92702 USA
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<br />ACORD 25 (2016/03)
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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