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CERTIFICATE OF LIABILITY INSURANCE �DATE(MM Dor
<br />O6r23/201 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 INSUREDprovisions 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 />NAME.
<br />PHONE ) (866) 283-7122 (800) 363-0105
<br />IAIC. Na. Eat : . No.:
<br />E -MAL
<br />ADDRESS:
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURED
<br />INSURERA: National Union Fire Ins Co of Pittsburgh 19445
<br />Tetra Tech, Inc.
<br />17885 Von Karman Ave., suite 500
<br />Irvine CA 92614 USA
<br />INSURER B: AIG Europe Limited AA1120841
<br />INSURERC: The Insurance Co of the state of PA 19429
<br />INSURER D: American Home Assurance Co. 19380
<br />GL7468716
<br />INSURER E: Lexington Insurance Company 19437
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570071906624 REVISION NUMBER:
<br />IS
<br />I rill, 1l, I tJ tat( I II -Y I HAI I Ht FULIGIES 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.
<br />Limits shown are as requested
<br />INSLT TYPE OF INSURANCE ADDL S R POLICY NUMBERUGY
<br />LTR INSD WVD MOLIC YYW MMIDD/YY F LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />GL7468716
<br />1010112017
<br />EACH OCCURRENCE $2,000,000
<br />CLAIMS-MAOE X❑ OCCUR
<br />G O$1,000,000
<br />PREMISES Ea occunance
<br />MED EXP (Any one person) $10,000
<br />X X,C.0 Coverage
<br />PERSONAL &ADV INJURY $2,000,000
<br />N
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERALAGGREGATE $4,000,000
<br />POLICY ❑X PRO- ❑X LOC
<br />PRODUCTS -COMP/OPAGG $4,000,000
<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 $2,000,000
<br />BODILY INJURY (Par person)
<br />X ANYAUTO
<br />O
<br />OWNED SCHEDULED
<br />Z
<br />BODILY INJURY (Per accident)
<br />AUTOS ONLY AUTOS
<br />N
<br />PROPERTY DAMAGE
<br />HIRED AUTOS NON -OWNED
<br />R
<br />O
<br />ONLY AUTOS ONLY
<br />peraWtlent
<br />!E
<br />B
<br />X
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />CSUSA1702199
<br />10/01/2017
<br />10/01/2018
<br />EACH OCCURRENCE $10,000,000
<br />V
<br />EXCESS UAB
<br />I CLAIMS -MADE
<br />AGGREGATE $10,000,000
<br />DED X RETENTION 5100,000
<br />C
<br />WORKERS COMPENSATION AND
<br />wcO14629496
<br />10/01/2017
<br />10 1/2018
<br />PEROT11
<br />X STATUTE -
<br />D
<br />EMPLOYERS' LIABILITY YIN
<br />wcO14629497
<br />10/01/2017
<br />10/01/2018
<br />E.L. EACH ACCIDENT $1,000,000
<br />C
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICER(MEMBEREXCLUDED? N
<br />NIA
<br />wCO14629498
<br />101011201710/01/2018
<br />C
<br />(Mandatory in NH)
<br />wc014629499
<br />10/01/201710/01/2018
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If es describe under
<br />DESCRIPTION OF OPERATIONS below
<br />—_
<br />E.L. DISEASE -POLICY LIMIT $1,000,005
<br />E
<br />Env Contr Prof
<br />028182375
<br />10/01/2017
<br />10/01/2019
<br />Each Clain 52,000,000
<br />Prof/Poll Liab
<br />Agggregate $2,000,000
<br />SIR applies per policy ter
<br />s &condi
<br />ions
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more 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 />Iequired 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 Gene1•al Liability policy wherefired by written contract. Stop Gap
<br />Ag
<br />coverage for, the following states: OH, ND, WA, WY.
<br />REVIEWED BY: EUNICE HEREDIA (PG) Oil,:::-)
<br />CERTIFICATE HOLDER
<br />City Of Santa Ana, Public works Agency
<br />Attn: Leticia LOpeZ
<br />20 civic Center Plaza, M-36
<br />Santa Alta CA 92701 USA
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />M. VG4744alGi-9?e7'. VdL?/iCCd /f l.?t e197G
<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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