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,a►� �® 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 An el es CA office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />PHONE(866) 283-7122 FAX (800) 363-0105
<br />(A/C. No. Ext): (AIC. No.):
<br />E-MAIL
<br />ADDRESS:
<br />Los Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE NAIC If
<br />INSURED
<br />INSURERA: National Union Fire Ins Co of Pittsburgh 19445
<br />Tetra Tech, Inc. (IEW)
<br />17885 Von Karman Ave., Suite 500
<br />Irvine CA 92614 USA
<br />INSURER B: AIG Europe Limited AA1120841
<br />INSURER C: The Insurance co of the State of PA 19429
<br />INSURERD: American Home Assurance Co. 19380
<br />CLAIMS -MADE X❑ OCCUR
<br />��=
<br />INSURER E: Lexington Insurance Company 19437
<br />92702 USA
<br />02 USAa
<br />INSURER F:
<br />UUVtKA(it5 UtK I II-IUAI It NUMIitK: b/UUbdbIJ13V4y 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 />ADDI.
<br />INSD
<br />SUBRI
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MMIDD/YYYI'
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Public Works
<br />GL
<br />EACH OCCURRENCE $2,000,000
<br />E.
<br />Ave., M-85
<br />CLAIMS -MADE X❑ OCCUR
<br />��=
<br />Santa Ana CA
<br />92702 USA
<br />02 USAa
<br />tin `(//
<br />DAMAGET RENTED $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 />GENT AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $4,000,000
<br />POLICY ❑X PRO 7-7 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 />ANYAUTO
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident
<br />.1 ISO Policy Form CA
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />CSUSA1702199
<br />10/01/2017
<br />10/01/2018
<br />EACH OCCURRENCE $5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $5,000,000
<br />DED I X RETENTION$100,000
<br />C
<br />D
<br />C
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILITY YIN
<br />AN PROPRIETOR PARTNER I OFFICERIMEM ER/EXCLUDED?EXECUTIVE
<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 />10/01/2017
<br />10/01/2018X
<br />10/01/2018
<br />10/01/2018
<br />10/01/2018
<br />PER OTH-
<br />STATUTE ER
<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 $5,000,000
<br />Prof/Poll Liab
<br />Agggregate $5,000,000
<br />SIR applies per policy ter
<br />s & conditions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Project: San Lorenzo Sewer Lift Station, 134P00597-0085-00. City of Santa Ana, its officers, agents, volunteers and
<br />representatives are included as Additional Insured with respect to the General Liability policy as required by written
<br />contract. General Liability coverage evidenr d herein is Primary and Non-contributory to other insurance available to an
<br />Additional Insured, but onlyin accordanc n� h the policy's prQvisions. Stop Gap coverage for the following states: OH, WA,
<br />WY, ND. REVIEWED BY: o/ EUNICE HEREDIA (PO OF
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) 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
<br />Agency
<br />AttnSant Cesar
<br />220 S. Daisy
<br />E.
<br />Ave., M-85
<br />� 'X�W1M y5��
<br />��=
<br />Santa Ana CA
<br />92702 USA
<br />02 USAa
<br />tin `(//
<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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