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A CERTIFICATE OF LIABILITY INSURANCE °ATE`MM'°°'YY°"
<br /> 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(les)must have ADDITIONAL INSURED provisions or be endorsed.If N
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this s
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ',
<br /> PRODUCER CONTACT m
<br /> AOn Risk Insurance Services West, Inc. PHON
<br /> Los Angeles CA Office PHONE
<br /> No.Eat): (866) 283-7122 FAX
<br /> No): (800) 363-0105 V
<br /> 707 Wilshire Boulevard E-MAIL
<br /> suite 2600 ADDRESS: S
<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. INSURER B: Allied World Surplus Lines Insurance Co 24319
<br /> 17885 Von Kerman Ave., Suite 500
<br /> Irvine CA 92614 USA INSURER C: 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 es requested
<br /> TRgA ADDL SUHR POLICY LW- POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYW ((MM/DD/YYYYt LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY GL6676804 10/U1/1025 10/01/2026 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE pi OCCUR DAMAGE TO nUN1LD $1,000,000
<br /> PREMISES(Ea occurrence)
<br /> X X,C,U Coverage MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $2,000,000 8
<br /> GENLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY I X PRO. X LOC 2
<br /> JECT PRODUCTS-COMP/OPAGG $4,000,000 m
<br /> OTHER:
<br /> 0
<br /> A AUTOMOBILE LIABILITY CA 6676805 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT m
<br /> (Ea accident) 85,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) 0
<br /> OWNED SCHEDULED BODILY INJURY(Per eacMeng m
<br /> AUTOS
<br /> HIRED AUOTNOSY NON-OWNED PROPERTY DAMAGE V
<br /> ONLY —AUTOS ONLY (Per accident)
<br /> C X UMBRELLA LIAR X OCCUR 62785232 10/01/2025 10/01/2026 EACH OCCURRENCE $10,000,000 8
<br /> EXCESSLIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED RETENTION
<br /> A WORKERS COMPENSATION AND LDC4068970 10/01/2025 10/01/2026 X PERSTATUTE OTH-
<br /> EMPLOYERS'LIABILITY Y/N AOS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000
<br /> A OFFICER/MEMBER EXCLUDED? N N/A P54068069 10/01/202S 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 /> a Environmental contractors and 03120276 10/01/2025 10/01/2026 Each Claim $5,000,000
<br /> Prof prof/Poll-Claims Made Coy Aggregate $5,000,000
<br /> SIR applies per policy terns & condi :ions
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addillonal 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 'E-^'
<br /> required by written contract. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance 517
<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 Tran ''.Digitally signed by
<br /> Tu Tran Nguyen
<br /> Date:2025.09,22 APPROVED I"'
<br /> CERTIFICATE HOLDER CANCELLATION By TuTran Nguyen at 1 40 pm,Sep 22,2db
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEj
<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 -:a
<br /> Santa215 S. Center 5t., M-85 rCf6 f%9ldt is �,l'„�9
<br /> Ana CA 92701 USA e(/„(/ `/6�//
<br /> Sa
<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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