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® DATE(MM/DD/YYYY)
<br /> A�o CERTIFICATE OF LIABILITY INSURANCE F
<br /> 10/09/2025
<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 endoreement(s),
<br /> PRODUCER CONTACT 'CD
<br /> Aon Risk Insurance Services west, Inc. PHONE FAX •-
<br /> LOS Angeles CA Office (Arc. Exi): (866) 283-7122 waNe-: (800) 363-0105 m
<br /> 707 Wilshire Boulevard E-MAIL
<br /> suite 2600 ADDRESS: _
<br /> LOS Angel eS CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURERA: Safety National Casualty Corp 15105
<br /> Tetra Tech, Inc INSURERS: 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:570116159764 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 POLICY NUMBER MMlDDIYYYY MMlDD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY Y Y GL 7 4 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE X❑OCCHR 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
<br /> ED
<br /> GENIAGGHEGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,066 PRO- N
<br /> J
<br /> POLICY ElECT �X LOC PRODUCTS-COMP/OPAGG $4,000,000 co
<br /> ECT
<br /> OTHER:
<br /> A Y DAMAGE
<br /> AUTOMOBILE LIABILITY Y Y CA 667680S 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT
<br /> Ea accident $1,000,000
<br /> X ANYAUTO BODILY INJURY{Per person) Z
<br /> OWNED SCHEDULE[) 1300ILY INJURY{Per accident) m
<br /> AUTOS ONLY AUTOS
<br /> HIRE)AUTOS NON-OWNED Per PROPERTY
<br /> accident)
<br /> tl
<br /> ONLY AUTOS ONLY
<br /> L
<br /> Qr
<br /> c X UMBRELLA LIAS X OCCUR 62785232 10/01/2025 10/01/2026 EACH OCCURRENCE $5,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $S,OOO,000
<br /> DED RETENTION
<br /> A WORKERS COMPENSATION AND Y LDC4068970 10 01 2025 10 01 2026 X I PER STATUTE I OTH-
<br /> EMPLOYERS'LIABILITY Y J N AOS ER
<br /> ANY PHOPMFTOR f PARTNER(EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> A OFFICERIM EMBER EXCLUDED? � NIA PS4068969 10/O1/2025 l0/01/2026
<br /> (Mandatory in NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> It yes,descrihe 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 $2,000,000
<br /> Prof Prof/Pall-Claims Made Cov Aggregate $2,000,000
<br /> SIR applies per policy terns & condi ions
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required]
<br /> RE: Agreements Numbers: A-2023-088-02, A-2023-033-01 and A-2023-034-01. Stop Gap Coverage for the following states: OH, ND,
<br /> WA, WY. The City, its officers, officials, employees and volunteers are included as Additional Insured in accordance with the
<br /> policy provisions of the General Liability and Automobile Liability policies as required by written contract. General
<br /> Liability and Automobile Liability policies evidenced herein are Primary and Non-Contributory to other insurance available to
<br /> an Additional Insured, but only in accordance with the policy provisions as required by written contract. A waiver of
<br /> Subrogation is granted in favor of certificate Holder in accordance with the policy provisions of the General Liability,
<br /> Automobile Liability and workers' Compensation policies as required by written contract. should General Liability and
<br /> CERTIFICATE HOLDER I APPROVED ANCELLATION
<br /> f.1y TU Tr711 NgUyefl tf'IQ:S2 df7?,OCt'I.7,,2Q.25 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 /> cityof Santa Ana DjOi signed
<br /> Tu Tran: Y YAUTHORIZED REPRESENTATIVE
<br /> Attn: Public works Agency JuTranNguyent
<br /> CIP/Design Engineering N u ��.Aa;e:22,.10.,
<br /> 20 Civic Center Plaza, M-36 g y. os§;z�roo' ,�/J � � Offf',Lf�,
<br /> Santa Ana CA 92701 USA �9y �
<br /> 01988-2015 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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