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CERTIFICATE OF LIABILITY INSURANCE
<br />r ATE(MMIDD/YYYY)
<br />10l03/2017
<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 Anggeles CA office
<br />CONTACT
<br />NAME: _
<br />PH NE (866) 283-7122 _ FAX (800) 363-0105 _
<br />(AIC. No. Ext): (AIC. No.):
<br />E-MAIL
<br />ADDRESS:
<br />707 Wilshire Boulevard
<br />suite 2600
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC #
<br />LOS Angeles CA 90017-0460 USA
<br />INSURED
<br />INSURER A: National Union Fire Ins Co of Pittsburgh
<br />19445
<br />Tetra Tech, Inc.
<br />17885 Von Korman Ave., Suite 500
<br />Irvin
<br />Irvine CA 92614 USA
<br />INSURERB: AIG Europe Limited
<br />AA1120841
<br />INSURER C: The Insurance Co of the state of PA
<br />19429
<br />INSURERD: American Home Assurance Co.
<br />19380
<br />INSURERE: Lexington Insurance Company
<br />19437
<br />INSURER F:
<br />GOVEKAGES CERTIFICATE NUMBER: b1UU613bb4b2/ 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />DDL
<br />UB SRI
<br />POLICY NUMBER
<br />OC
<br />MM/OD/YYYY
<br />MMfDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GL
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE
<br />A E TO RERM
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$10 , 000
<br />X,C,U Coverage
<br />PERSONAL .&ADV INJURY
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />POLICY a JEC7 PRO- AI LOC
<br />PRODUCTS - COMP/OP AGG
<br />$4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 428-80-55
<br />101011201710/01/2018
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000
<br />BODILY INJURY ( Per person)
<br />X ANYAUTO
<br />BODILY INJURY (Per accident)
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />CSUSA1702199
<br />10/01 2017
<br />10/01/2018
<br />EACH OCCURRENCE
<br />$10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$10,000,000
<br />DED I X RETENTION $100, 000
<br />C
<br />D
<br />C
<br />C
<br />ORKE SCOMPENSA ION AND
<br />WORKERS
<br />YIN
<br />ANY PROPRIETOR/ PARTNER! EXECUTIVE
<br />OFFICER/MEMBEREXCLUDED?
<br />(Mandatory In NH)
<br />N/A
<br />WC014629496
<br />WC014629497
<br />WC014629498
<br />WC014629499
<br />10 01 2017
<br />10/01/2017
<br />10/01/2017
<br />10/01/2017
<br />10/01/2018
<br />10/01/2018
<br />10/01/2018
<br />10/01/2018
<br />X STA UTE OTH-
<br />IER
<br />E.L. EACH ACCIDENT
<br />$1, 000 , 000
<br />E.L. DISEASE -EA EMPLOYEE
<br />_
<br />$1, 000 , 000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1, 000, 000
<br />E
<br />Env Gontr Prof
<br />028182375
<br />10/01/2017
<br />10/01/2019
<br />Each Clain
<br />$2,000,000
<br />Prof/Poll Liab
<br />Agggregate
<br />$2,000,000
<br />SIR applies per policy terns
<br />& condi
<br />ions
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: contracts: A-2017-154 & A-2014-240. City of Santa, its officers and employees, agents, volunteers and representatives are
<br />included as Additional insured in accordance with the policy provisions of the General Liability policy as required by written
<br />contract. General Liability policy evidenced herein is Primary to other insurance available to an Additional Insured, but only
<br />in accordance with the policy's provisions as required by written contract. Stop Gap Coverage for the following states: OH, ND,
<br />WA, WY. r
<br />REVIEWED BY: EUN[CE HEREDIA (PG 10 )
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<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 Public Works Agency
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Leticia LOpeZ
<br />20 Civic Center Plaza, M-36
<br />Santa Ana CA 92701 USA
<br />�a 9tOief�recz Gtft/ar
<br />9iG,
<br />OO 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />I
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