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/-"I ® DATE(MM/DD/YYYY) <br /> 14� CERTIFICATE OF LIABILITY INSURANCE 09/22/2025 <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. N <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 CONTACT 13 <br /> NAME: <br /> Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 8 <br /> Los Angeles CA Office (A/C.No.Ext): A/C.No.: -a <br /> 707 Wilshire Boulevard E-MAIL p <br /> suite 2600 ADDRESS: _ <br /> Los Angeles CA 90017-0460 USA <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: safety National Casualty Corp 15105 <br /> Tetra Tech, Inc. INSURERB: Allied World surplus Lines Insurance Co 24319 <br /> 17885 Von Karman Ave., suite 500 <br /> Irvine CA 92614 USA INSURERC: American International Group UK Ltd AA1120187 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570115594525 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 /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $2,000,000 <br /> CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $1,000,000 <br /> X X,C,U Coverage MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $2,000,000 N <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 Co <br /> POLICY X❑JE� ❑X LOC PRODUCTS-COMP/OP AGG $4,000,000 UE <br /> OTHER: ^o <br /> A CA 6676805 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT n <br /> AUTOMOBILE LIABILITY $5,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) 0 <br /> Z <br /> OWNED SCHEDULED BODILY INJURY(Per accident) 0 <br /> AUTOS ONLY AUTOS R <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE V <br /> ONLY AUTOS ONLY Per accident <br /> C X UMBRELLALIAB X OCCUR 62785232 10/01/2025 10/01/2026 EACH OCCURRENCE $10,000,000 U <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DED RETENTION <br /> A WORKERS COMPENSATION AND LDc4068970 10/01/2025 10/01/2026 X PER STATUTE OTH- <br /> EMPLOYERS'LIABILITY Y/N AOs ER <br /> ANY PROPRIETOR/PARTNER,EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> A OFFICER/MEMBER EXCLUDED? N/A Ps4068969 10/01/2025 10/01/2026 <br /> (Mandatory in NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000- <br /> B Environmental Contractors and 03120276 10/01/2025 10/01/2026 Each Claim $5,000,000- <br /> Prof Prof/Poll-Claims Made Cov Aggregate $5,000,000 <br /> SIR applies per policy terms & condi ions <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE: San Lorenzo Lift station project. City of Santa Ana-Public Works Agency, its officers, employees, agents, volunteers and <br /> representatives are included as Additional Insured in accordance with the policy provisions of the General Liability policy as ti- <br /> required by written contract. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance <br /> available to an Additional Insured, but only in accordance with the policy's provisions as required by written contract. stop <br /> Gap Coverage for the following states: OH, ND, WA, WY. <br /> TU Tra n Digitally signed by <br /> Tu Tran Nguyen <br /> Nquye[jDate:2025.09.22 f�APPROVEDCERTIFICATE HOLDER CANCELLATION Tu Tran Nguyen at 1:40 pm,Sep 22,2025 <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 /> City of Santa Ana AUTHORIZED REPRESENTATIVE <br /> Attention: Heidi Chou <br /> 215 S. Center St., M-85 �J ��{ /T �/� b! /T <br /> Santa Ana CA 92701 USA e�4'an (�Kl. K SFIW� Y�� /�� SF1 <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />