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PROOF OF INSURANCE (2009) CLOSEDDATE(MM /DD /YYYY) AGORDTM . CERTIFICATE OF,, I IABILITY IlYSUI2ANCE 09 /26 /2008 PRODUCER Aon Risk Insurance services West, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY fka Aon Risk services, Inc. of S CA AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 707 Wilshire Boulevard CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 2600 COVERAGE AFFORDED BY THE POLICIES BELOW. o Los Angeles CA 90017 -0460 USA z INSURERS AFFORDING COVERAGE NAIC # w PHONE-(866) 283 -7122 FAx- 847 953 -5390 INSURED INSURER A: National Union Fire Ins CO Of Pittsburgh 19445 INSURER B: Insurance Company of the state of PA 19429 16241 Laguna Canyon Rd. c INSURER Lexington Insurance Company 19437 Irvine CA 92618 USA INSURER D: American International Specialty Lines 26883 INSURER E: 0 ►� THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE, FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W11 'H RESPECT TO WHICH THIS CF.R1i FICATE MAY BE ISSUED OR MAY PF:RTAIN,'111H INSURANCE AFFORDED BY 1'HE POLICIES DESCRIBED HERF.'IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVI; BFF.N REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS RFQUESTED INSR LIR A01)'1 INSRD TYPE OFINSURANE C POLICYNIIMBER POLICY FFFECPIN'E DrYfl ?(MMvIJDv1'Y) POLICY EXPIRATION DAIE(M1IMv)DWY) 1.1MI'I'S A Gl_1982538 1.0/01/08 1.0/01/09 FACII0(CliRRt;NCIt $1,000,000 ceNr:RAL LInsH,rry x C')MMER(- JAI - 6ENERAL LIABII.I I Y _ DAMAGE TO RENTED $1,000,000 CLAIMS MADE F1 OCCUR PREMISES (Fa �ec�rcncc) ME) F.XP (A,w one person) $100,000 x X,C,II Coverage C-11, PFRS01N,1L. K ADV INJURY $1,000,000 GI?NGRAL AGGRIiGATE $2,000,000 � (iEN'I. AGGI(EGATE LIMIT' APPLIES TR: CD m O PRODUCTS- COMP/OPAGG $2,000,000 ❑ POLICY X PRO- ❑ LOC JECT A AUTOMOBILE LIABILITY CA8263140 10/01/08 10/01/09 COMBINED SINGLE LIMIT O X ANY AUTO (Ea accident) $1,000,000 4 BODILY INJURY ALL OWNED AUTOS v SCHEDULED AUTOS ( Per person) w t BODILY INJURY X HIRED AUTOS d U X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT A" AUTO OTHER THAN EA ACC H AUTO ONLY AGG C EXCESS /UMBRELLA LIABILITY 2213731 10/01/08 1 EACH OCCURRENCE $5,000,000 ElOCCUR ❑ CLAIMS MADE AGGREGATE $5,000,000 ®DEDUCTIBLE RETENTION $50,000 B WC X WC STATU- OTH- B WORKERS COMPENSATION AND WC4990697 10 /O1 /O8 10/01/09 —_ E.L. EACH ACCIDENT $19000,000 EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS E.L. DISEASE- POLICY LIMIT S1,000,000 below D COPs1952583 10/01/08 Each Clain $5,000,000 OTHER Prof /Poll Liab A gggregate $5,000,000 contractor Prof Deductible $250,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 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 st +." t,,.r, �.. `.?�.01 .E,,.. f:;. .as- ,i.. �•N�. .. y,l City Of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION y Attn: Dan Garcia, ASSt. City ng-i r DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 350 Main street 30 BUT DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY EL Segundo CA 90245 USA OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Li AUTHORIZED REPRESENTATIVE Wv Attachment to ACORD Certificate for Tetra Tech, Inc. (ISG) The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Tetra Tech, Inc. (ISG) 16241 Laguna Canyon Rd. Irvine CA 92618 USA INSURER INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSIt 1,1R AI WL INSIM TYPE OF INSURANCE POLICYNUN1 It I: POLICY DESCRIPTION POLICY EEEE.C'TIVE U,YII? POLICY EXPIRA9'ION DA FE LINTITS DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 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. Stop Gap coverage for the following states: OH, ND, WA, WV, WY, PR, USVI. Certificate No : 570030577197 INSURED Tetra Tech, Inc. (ISG) 16241 Laguna Canyon Rd. Irvine CA 92618 USA CG 20 10 07 04 COMMERCIAL GENERAL LIABILITY 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 Name of Additional Insured Person(s) or organization(s): Any Owner, Lessee or contractor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of the loss. Location(s) of covered operations: Information required to complete this schedule, if not shown above, will be shown in the Declarations. A. 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, 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 or ni ation other than another contractor or subcontractor engaged in performing operatio for principal as a part of the same project. CG 20 10 07 04 (c) ISO Properties, Inc., 2 4 Certificate No : 570030577197 INSURED Tetra Tech, Inc. (ISG) 16241 Laguna Canyon Rd. Irvine CA 92618 USA CG 20 37 07 04 COMMERCIAL GENERAL LIABILITY 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) or Organization(s): Any owner, Lessee or contractor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of the loss. Location and Description of completed Operations: 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 persons) 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 Certificate No : 570030577197