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DAVID EVANS AND ASSOCIATES
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Last modified
6/15/2022 8:51:54 AM
Creation date
9/18/2018 12:14:20 PM
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Contracts
Company Name
DAVID EVANS AND ASSOCIATES
Contract #
A-2018-202
Agency
Public Works
Council Approval Date
8/21/2018
Expiration Date
8/20/2020
Destruction Year
2025
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ACORE® CERTIFICATE OF LIABILITY INSURANCE <br />12/1/20188/22/2018 <br />PATE(MM/DD/YYYY) <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 INSUREDS), 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 <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816)960-9000 <br />CONTACT <br />PHONE FAX <br />A/C No Ext : A/C No): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC If <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED DAVID EVANS AND ASSOCIATES, INC. <br />1332516 2100 SW RIVER PARKWAY <br />INSURER B : Endurance American Insurance Company <br />10641 <br />INSURER C : Llo ds of London <br />INSURER D : <br />PORTLAND OR 97201 <br />INSURER E : <br />INSURER F : <br />COVERAGES DEAINOI CERTIFICATE NUMBER: 15567934 REVISION NUMBER: XXXXXXX <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. <br />INSR <br />LTR <br />I TYPE OF INSURANCE <br />ADDL <br />N <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE IN] OCCUR <br />Y <br />N <br />GLO 9830389 <br />12/l/2017 <br />12/ 1 /�018 <br />EACH OCCURRENCE <br />$ $1 000 000 <br />PREMISES Ea occT ENT D <br />urrence <br />$ $300 OOO <br />MED EXP (Any one person) <br />$ $10,000 <br />PERSONAL & ADV INJURY <br />$ $1 000 000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ $2 000,000 <br />GEN'L <br />X <br />PRO - <br />POLICYF71 PRO- LOC <br />PRODUCTS - COMP/OP AGG <br />$ $2 O0O 000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />N <br />BAP 9830390 <br />12/l/2017 <br />12/1/2018 <br />Ea acl denfSINGLE LIMIT <br />$ $1 000 000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTY <br />(Parr a cidenDAMAGE <br />$ XXXXXXX <br />$XXXXXXX <br />B <br />UMBRELLA LIAB <br />OCCUR <br />N <br />N <br />EXCI0005994303 <br />12/l/2017 <br />12/1/2018 <br />EACH OCCURRENCE <br />$ $1 000 000 <br />N <br />AGGREGATE <br />$ $ ] 00Q 000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ XXXXXXX <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? �N <br />N / A <br />N <br />WC 9336626 <br />12/1/2017 <br />12/1/2018 <br />X SPER TATUTE EORH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000.000 <br />C <br />PROFESSIONAL <br />N <br />N <br />LDUSA1704625. <br />12/I/2017 <br />12/l/2018 <br />$2,000,000 PER CLAIM AND <br />LIABILITY <br />ANNUAL AGGREGATE <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: RFP 18-038 — 6TH AND LACY PARK — LANDSCAPE DESIGN. THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES. AND <br />REPRESENTATIVES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AS REQUIRED BY WRITTEN <br />CONTRACT. <br />REVIEWED BY: EUNICE HEREDIA (PG I OF Rd <br />t-r-rs r Irra.l-+I rz rlVLLJCn <br />15567934 <br />CITY OF SANTA ANA <br />ATTN: LETICIA LOPEZ <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />©1988f201S ACORD CORPORATION. All rinhts rPSPrvPrl <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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