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A�RO� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />1011112019
<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(fes) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsements .
<br />PRODUCER
<br />AOn Risk Insurance Services west, Inc.
<br />Los Angeles CA Office
<br />CONTACT
<br />NAME:
<br />(ATIN.Est): (866) 283-7122 �ac No.): (810) 363-0105
<br />E-MAIL
<br />ADDRESS:
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />Los Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />INSURER A: Zurich American Ins Co
<br />16535
<br />Tetra Tech, Inc
<br />17885 Von Karman Ave., Suite 500
<br />Irvine CA 92614 USA
<br />INSURERB: American International Group UK Ltd
<br />AA1120187
<br />INSURERC: Lexington Insurance Company
<br />19437
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />r:i]VFRAr.FSi rF RTI Frr: OTF NI IMRFR, 570078815231 RFVISIOPJ NI IMRFR-
<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. Limps shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />AINS�
<br />WVD
<br />POLICY NUMBER
<br />P / EFF
<br />(MM/OD/ EFF
<br />FIDLMMI
<br />tMMIODM/VYj
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLO18174 60
<br />1 01 19
<br />1010112020
<br />EACH OCCURRENCE
<br />$ 2 , 000 , 000
<br />CLAIMS -MADE M OCCUR
<br />DRAMAEMISEGES (Ea occurren. RE ce)
<br />P
<br />$1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$10 , 000
<br />X C U C—mge
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />`
<br />POLICY PROECT LI X 1 LOC
<br />PRODUCTS - COMP/OPAGG
<br />$4,000,000
<br />OTHER
<br />A
<br />AUTOMOBILE LIABILITY
<br />BAP1857085-01
<br />10/01/2019
<br />10/01/2020
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 2 , 000 , 000
<br />BODILY INJURY ( Per person)
<br />X ANY AUTO
<br />BODILY INJURY (Per accident)
<br />OWNEDAUTOS SCHEDULED
<br />ONLY AUTOS
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />HIREDAUL. NON -OWNED
<br />ONLY AUTOS ONLY
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />62785232
<br />10/01/2019
<br />10/01/2020POCCURREN"CE
<br />$2,000,000
<br />12,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DIED X RETENTION $100,000
<br />A
<br />WORKERS COMPENSATION AND
<br />WC254061601
<br />10/01/2019
<br />10/01/2020AEMPLOYERS'
<br />LIABILITY YIN
<br />wcl85708701
<br />10/01/2019
<br />10/01/2020ANYPROPRIETOR/
<br />NT
<br />11,000,000
<br />PARTNER I EXECUTIVE
<br />N
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />N I A
<br />E L DISEASE -EA EMPLOYEE
<br />$1 , 000 , 000
<br />K yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E L DISEASE -POLICY LIMIT
<br />$1, 000 , 000
<br />c
<br />Env Contr iii-of
<br />028182375
<br />10/01/2019
<br />10/01/2021
<br />Each Claim
<br />$1,000000
<br />Prof/Poll Liab
<br />Agggregate
<br />$2,000:000
<br />SIR applies per policy to rl,s
<br />& condi
<br />ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required)
<br />RE: job Description: Lincoln Avenue Pedestrian Pathway Connectivity, RFP No. 18-042 also, A-2014-240, A-2017-154,
<br />A-2018-160-02. city of Santa Ana, officers, agents, employees and volunteers are included as Additional Insured in accordance
<br />as
<br />with the policy provisions of the General Liability policy as required by written contract. General Liability policy evidence
<br />herein is Primary and Non -Contributory to other insurance to Additional insured, but only in accordance with the
<br />policy's provisions as required by written contract. Stop Gap Coverage for the following states: OH, NO, WA, WY.
<br />REVIEWED & APPROVED
<br />CERTIFICATE HOLDER CANCELLATION
<br />BEFORE THE
<br />16 20191 DATE THEREOF, NOT CE WILL EEDELIVERED IN ACCORDANCE WITH DESCRIBED POLICIES BErTHEELED POLICY PROVISIONS, EXPIRATION
<br />City of Santa Ana LA EttwuaED REPRESENTATIVE
<br />Risk Management Division RANCINE R. VILAL
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702 USA
<br />N
<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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