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PROOF OF INSURANCE (2008) CLOSEDACORD,M CERTIFICATE OF LIABILITY INSURANCE Page j of 3 10/01/2007 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Willis North America, Inc. HOLDERNDTH THIS CERTIFICATE DOES NOT OAMEND, EXTEND OR 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Sox 305191 Nashville, Tx 372305191 INSURERS AFFORDING COVERAGE INSURED NAIC# Tetra Tech, Inc. (ISG) INSURERA:ACE American Insurance Com an Suite 200 22667 -012 16241 Laguna Canyon Road INSURER B: American International Specialty Lines In 26883 -001 Irvine, CA 92618 INSURERC: INSURER D: I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED BE ISSUED OR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH BY PAID IN SR DO' CLAIMS. LTR NSR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICYEXPIRATION DATE MM DO LIMITS A X GENERAL LIABILITY HDOG23734825 10/1/2007 10/1/2008 EACH OCCURRENCE • COMMERCIAL GENERAL LIABILITY $ 1 000,000 PREMISES Eaoccurence $ 1 000 000 CLAIMS MADE � OCCUR MEDEXP(Anyoneperson) $ 100,000 • Contract Liab. X X ,C,V COVer8ge PERSONAL &ADVINJURY $ 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 PRODUCTS- COMP /OPAGG $ 2 000 000 PRO- POLICY X JECT X LOC A X AUTOMOBILE LIABILITY ISAH08238431 10/1/2007 10/1/2008 X ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ 2, 000,000 X ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS X NON - OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: A EXCESS /UMBRELLA LIABILITY XOOG23886005 AGG $ 10/1/2007 10/1/2008 EACHOCCURRENCE $ 5 000 X OCCUR D CLAIMS MADE 000 AGGREGATE $ 5 000 0 0 0 DEDUCTIBLE — X RETENTION $ 5 0 $ WORKERS COMPENSATION AND A EMPLOYERS'LIABILITY WLRC44479886 $ 10/1/2007 10/1/2008 X OER A TORYI -I ANY PROPRIETOR/PARTNER/EXECUTIVE SCFC44479898 OFFICER/MEMBEREXCLUDED? 10/1/2007 10/1/2008 E.L. EACH ACCIDENT $ 11000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ 11000,000 B OTHER 1952583 10 1 2007 E. L. DISEASE - POLICY LIMIT $ 10 1 2008 11000.000 Liability $5,000,000. Each Claim Contractor's Contractor's Pollution $5,000,000. Aggregate Liability $250,000 Deductible DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Each claim Stop Gap coverage for the following states: OH, ND, WA, WV, Wy, PR, USVI CERTIFICATE HOLDER /^AUIroI 1 ATIAu City of EL Segundo Attn: Dan Garcia, Asst. City Engineer 350 Main Street EL Segundo, CA 90245 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR C011:2127220 Tpl:684085 Cert:9603931 TIVE © ACORD CORPORATION 1988 WI11IS CERTIFICATE OF LIABILITY INSURANCE Page 2 of 3 10/01/2007 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis North America, Inc. 26 Century Blvd. P. O. Box 305191 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# Nashville, TN 372305191 INSURED Tetra Tech, Inc. (ISG) Suite 200 INSURERA:ACE American Insurance Compan 22667 -012 INSURERB:American International Specialty Lines In 26883 -001 16241 Laguna Canyon Road Irvine, CA 92618 INSURERC: INSURER D: INSURER E: Commercial Property: Policy Number: YU2L9L435456017 Effective: 10/1/07 - 10/1/08 Issuing Carrier: Liberty Mutual Fire Insurance Company Business Personal Property Including Valuable Papers, Special Form $5,000,000. Limit Project Start Date: 9/01/2007 Project End Date: 12/31/2011. Re: 3.1 MG Tank Seismic Evaluation. It is agreed that City of EL Segundo, its officials and employees are included as Additional Insureds as respects to General Liability and Auto Liability as required by contract. It is further agreed that such insurance as is afforded shall be Primary and Non - contributory with any other insurance in force for or which may be purchased by Additional Insureds as required by contract. Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Amnon Ic 1.3nn4mo% POLICY NUMBER: HDOG23734825 COMMERCIAL GENERAL LIABILITY CG20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Location And Description of Completed Operations Or Organization(s) City of EL Segundo, its officials, and employees Re: 3.1 MG Tank Seismic Evaluation. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 Policy No: HDOG23734825 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Of Additional Insured Person(s) EName Or Organization(s): Location(s) Of Covered Operations L Segundo, its officials, and employees Re: 3.1 MG Tank Seismic Evaluation. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Sectinn IT — Whn T� A , T A : a _A . .._,=. — — am, w inciuue as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004