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<br /> DAT (MACS 1 )
<br /> CERTIFICATE OF LIABILITY INSURANCE 02/DDD
<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.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on w
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). m
<br /> PRODUCER CONTACT -o
<br /> NAME:
<br /> Aon Risk Insurance Services West, Inc. PHONE FAX
<br /> Los Angeles CA Office (NC.No.Ext): (866) 283-7122 (NC.No.): (800) 363-0105 MS
<br /> 707 Wilshire Boulevard E-MAIL (7
<br /> Suite 2600 ADDRESS: I
<br /> Los Angeles CA 90017-0460 USA
<br /> INSURER($)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Lexington Insurance Company 19437
<br /> Tetra Tech, Inc. INSURER B: National Union Fire Ins Co of Pittsburgh 19445
<br /> 10306 Eaton Place, Suite 340
<br /> Fairfax VA 22030 USA INSURER C: The Insurance Co of the State of PA 19429
<br /> INSURER D: American Home Assurance Co. 19380
<br /> INSURER E: AIG Europe Limited AA1120841
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:570067851433 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YWY) IMM/DD/YYYY) LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY GL6051604 10/01/2016 10/01/2017 EACH OCCURRENCE $2,000,000
<br /> r DAMAGE10 RENTED
<br /> CLAIMS-MADE I X I OCCUR $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 M
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,0015
<br /> POLICY X PJECOT- I X I LOC PRODUCTS-COMP/OP AGG $4,000,000 m
<br /> 0
<br /> OTHER: 0
<br /> I-
<br /> B AUTOMOBILE LIABILITY CA 319-45-11 10/01/2016 10/01/2017 COMBINED SINGLE LIMIT $2,000,000 000,000 `n
<br /> (Ea accident) ..
<br /> X ANY AUTO BODILY INJURY(Per person) o
<br /> z
<br /> OWNED —SCHEDULED BODILY INJURY(Per accident) W
<br /> AUTOS ONLY AUTOS
<br /> HIRED AUTOS —
<br /> NON-OWNED PROPERTY DAMAGE N
<br /> V
<br /> ONLY _AUTOS ONLY (Per accident) :=
<br /> E
<br /> o
<br /> E X UMBRELLA LIAB X OCCUR TH1600053 10/01/2016 10/01/2017 EACH OCCURRENCE $10,000,000 0
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$100,000
<br /> C WORKERS COMPENSATION AND WC014629374 10/01/2016 10/01/2017X IPER I IOTH-
<br /> D EMPLOYERS'LIABILITY Y/N WC014629378 10/01/2016 10/01/2017 STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> C OFFICER/MEMBER EXCLUDED? I N I N/A wc014629379 10/01/2016 10/01/2017
<br /> C (Mandatory in NH) Wc014629380 10/01/2016 10/01/2017 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 /> _
<br /> A Env Contr Prof 028182375 10/01/2015 10/01/2017 Each Clain $5,000,000—
<br /> Prof/Poll Liab Agggregate $5,000,000 2__■■.�
<br /> SIR applies per policy terms & condi ions �-y
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of San Marcos, Texas is included as Additional Insured in accordance with the policy provisions of the General Liability
<br /> and Automobile Liability policies as required by written contract. A waiver of Subrogation is granted in favor of City of san
<br /> Marcos, TX in accordance with the policy provisions of the General Liability and Automobile Liability policies as required by
<br /> written contract. Stop Gap coverage for the following states: OH, ND, WA, WY.
<br /> CERTIFICATE HOLDER CANCELLATION
<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 San Marcos, TX AUTHORIZED REPRESENTATIVE
<br /> Attn: city Manager
<br /> 630 East Hopkins Jen � ?.) -<ata, ,9/0.,mad Jiaa05
<br /> San Marcos TX 78666 USA
<br /> MI
<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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