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<br /> CERTIFICATE OF LIABILITY INSURANCE 1U10912025
<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 N
<br /> Aon Risk Insurance Services West, Inc. NAME:PHONE (866) 283-7122 FAX (800) 363-0105 w
<br /> Los Angeles CA Office (ArC.No.Ext): A C.No.):
<br /> 707 Wilshire Boulevard EMAIL
<br /> suite 2600 ADDRESS: 0
<br /> Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: safety National Casualty Corp 15105
<br /> Tetra Tech, Inc INSURE13B: Allied world surplus Lines insurance co 24319
<br /> 17885 Von Karman Ave., Suite 500
<br /> Irvine CA 92614 USA INSURER0: American Irternational 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 /> INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM1DDlYYYY MWDDlYYYY POLICY Fff POLICY l=XP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y GL EACH OCCURRENCE $2,000,000
<br /> DAVI
<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 RADVINJURY $2,000,0D0
<br /> GEN'L AGG REGATE LIMIT APPLI ES PER: I GENERALAGGREGATE $4,000,000
<br /> POLICY EPRO- ❑X LOG i PRODUCTS-CGMP/GP AGO $4,000,000 cp
<br /> JECT
<br /> OTHER: O
<br /> A AUTOMOBILE LIABILITY Y Y CA 6676805 10/01/2025 10/01/202G COMBINED SINGLE LIMIT
<br /> Ea accidentl $1,000,000
<br /> X ANYAUTO BODILY INJURY(Per person) 0
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) di
<br /> AUTO5 ONLY AUTOS %
<br /> HIRECAUTOS NON-OWNED PROPERTY DAMAGE
<br /> ONLY AUTOS ONLY Per accident
<br /> �E
<br /> N
<br /> C X UMBRELLALIAB X OCCUR 62785232 1D/01/202510/01/20Z6 EACH OCCURRENCE $5,000,000 V
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,a00
<br /> DE❑I RETENTION
<br /> A WORKERS COMPENSATION AND Y LDC4069970 10/01/2025 10/01/2026 X PER STATUTE oiR
<br /> EMPLOYERS'LIABILITY YIN ADS ER
<br /> ANY PROPRIETORI PARTNER!EXECJTIVE E.L.EACH ACCIDENT $1,000,0aa
<br /> A OFFICERfMEMeEREXCLUDED? F9 N1A PS4068969 10/01/2025 10/01/2026
<br /> (Mandatory in NH) W1 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 10/01/2oZ5 10/01/2026 Each claim $2,000,000
<br /> Prof Prof/Poll-claims Made cov Aggregate $2,000,0aa
<br /> SIR applies per policy terns & condi ions $$$j
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it 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 APPROVED ANCELLATION
<br /> By Tu Tran Nguyen at 10 52 am,Oct 13,2D25
<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 ,,v,t Ifysloned YAUTHORIZED REPRESENTATIVE
<br /> Attn: Public works Agency TU�rRn'TuTNguyen
<br /> CIP/Design Engineering {��ry �l Dete,2025,10.1
<br /> 26 civic Center Plaza, M-36 '•yu).e� o,sa:tz-oy'oo-' � � �
<br /> Santa Ana Ca 92701 USA 6JT
<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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