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CERTIFICATE OF LIABILITY INSURANCE �DATE(MMDDMW)
<br />06r23/201 B
<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 AtIel es CA office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />Los Angeles CA 90017-0460 USA
<br />CONTACT
<br />PHONE (g66) 2837122 (800) 363-0105
<br />I... Na. Eat) -
<br />:
<br />E-MAL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />Tetra Tech, Inc.
<br />17885 Von Karman Ave., suite 500
<br />Irvine CA 92614 USA
<br />INSURERA: National Union Fire Ins Co of Pittsburgh
<br />19445
<br />INSURERS: AIG Europe Limited
<br />AA1120841
<br />INSURERC: The Insurance Co of the state of PA
<br />19429
<br />INSURER D: American Home Assurance Co.
<br />19380
<br />INSURER E: Lexington Insurance Company
<br />19437
<br />------------
<br />INSURER F:
<br />I�.HIC fmvivinrim: Diuvt iLfuoOZ4 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 />INSLT TYPE OF INSURANCE DL S R POLICY NUMBER LTR INSO US MM/DDIYYW POLICYEFF POLICY
<br />WMID YEXP LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERALLIABILITY
<br />GL
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE X❑ OCCUR
<br />G O
<br />PREMISES Ea occunan.
<br />$1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$10, 000
<br />X,C.0 Coverage
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />N
<br />GEN'LAGGREGATE
<br />LIMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />$4,000,006
<br />o
<br />POLICY ❑X ❑X LOC
<br />PRODUCTS -COMP/OPAGG
<br />$4,000,000
<br />JECT
<br />OTHER:
<br />t
<br />a
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 428-80-55
<br />10/01/201710/01/2018
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 2 , 000 , 000
<br />BODILY INJURY (Par person)
<br />X ANYAUTO
<br />O
<br />OWNED AUTOS ONLY AUTOS SCHEDULED
<br />Z
<br />N
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE
<br />HIRED AUTOS NON -OWNED
<br />R
<br />O
<br />ONLY AUTOS ONLY
<br />Par acGtlent
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />CSUSA1702199
<br />10/01/2017
<br />10/01/2018
<br />EACH OCCURRENCE
<br />$10,000,000
<br />V
<br />EXCESS LIAB
<br />I CLAIMS -MADE
<br />AGGREGATE
<br />$10,000,000
<br />DED X RETENTION 5100.000
<br />C
<br />WORKERS COMPENSATION AND
<br />wc014629496
<br />10/01/2017
<br />10 112018
<br />PER OTH-
<br />X STATUTE -
<br />D
<br />C
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR / PARTNER/ EXECUTIVE
<br />OFFICER/MEMBEREXCLUDED7
<br />NIA
<br />wcO14629497
<br />wC014629498
<br />10/01/201710/O1/2018
<br />101011201710/O1/2018
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />C
<br />(Mandatory in NH)
<br />If es describe under
<br />WC014629499
<br />10/01/20171010112018
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />-_
<br />E
<br />Env Contr 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 ter
<br />ns & condi
<br />ions
<br />DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if rnore space is required)
<br />RE: Job Description: On -Call Engineering Services for General Engineering and water, Resources Projects (RFP 17-083), Location:
<br />17885 Von Karman Ave., #500, Irvine, CA 92614.City Of Santa Ana, its officers, employees, agents, volunteers
<br />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 to other insurance available to an
<br />Additional Insured, but only in accordance the
<br />with policy's provisions as required by wri ten contract. cross
<br />Liability/severability of interest is included under the General Liability policy where ired by written Contract. Stop Gap
<br />Coverage for the following states: OH, No, WA, WY.
<br />REVIEWED BY: MA EUNICE MEREDIA (PG) OJGJ
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITHTHE
<br />POLICY PROVISIONS.
<br />_
<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 />fa '��� 6ty� � �i�
<br />M-41
<br />ram"•
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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