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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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ACORN° CERTIFICATE OF LIABILITY INSURANCE <br />12/l/201911/ <br />ATE(MM/DD/YYYY) <br />P13/2018 <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(les) 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 />NAME: <br />AIC, W, Ext : A/C, No): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />AIC If <br />INSURER A: Zurich American Insurance Com aRy <br />16535 <br />INSURED DAVID EVANS AND ASSOCIATES, INC. <br />1331894 2100 SW RIVER PARKWAY <br />PORTLAND OR 97201 <br />INSURER B : Continental Casualty Company <br />20443 <br />INSURER C <br />INSURER D : <br />INSURER E <br />INSURER : <br />COVERAGES DF,AiN01 CERTIFICATE NUMBER: 13663011 RFVIRICIN NIIMRFR• 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 />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />NND <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />N <br />GL09830389 <br />12/l/2018 <br />12/1/2019 <br />EACH OCCURRENCE <br />$1 000,000 <br />CLAIMS -MADE x OCCUR <br />PREMISESOEa occurrrence <br />$300,000 <br />MED EXP (Any oneperson) <br />$1 O 000 <br />PERSONAL & ADV INJURY <br />$ $1.000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY[:]PRO LOC <br />GENERAL AGGREGATE <br />$ $2,000,000 <br />PRODUCTS - COMP/OPAGG <br />$ $2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />BAP9830390 <br />12/1/2018 <br />12/l/2019 <br />EeaBcideDtSINGLELIMIT <br />$ $1,000,000 <br />Ix <br />ANY AUTO <br />AUTOS ONLY SCHEDULED <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Per accident <br />$XXXXXXX <br />AUTOS ONLY X NON-OWNED <br />ONLY <br />Perr acEcidentOAMAGE <br />$ XXXXXXX <br />$XXXXXXX <br />UMBRELLA LIAB <br />EXCESS LABCLAIMS-MADE <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />DED I I RETENTION S <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />N <br />WC 9336626 <br />12/l/2018 <br />12/1/2019 <br />_ <br />X STATUTE aR <br />E.L. EACH ACCIDENT <br />$ 1 000.00U <br />ANV PROPRIETOR/PARTNER/EXECUTIVE i <br />OFFICERJMEMBER EXCLUDED? N� <br />(Mand.tary In NHI <br />If yes, deuribe under <br />DESCRIPTION OF OPERATIONS below <br />NIA A <br />E.L. DISEASE - EA EMPLOYEE <br />s 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />B <br />PROFESSIONAL <br />LIABILITY <br />N <br />N <br />L -I <br />AEH591924704 <br />12/l/2018 <br />12/l/2019 <br />PER CLAIM S 1,000,000 <br />ANNUAL AGGREGATE $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />RE: LANDSCAPE CONSULTING - MEMORY LANE/SANTA ANA RIVER PARK; MEMORY LANE/SANTA ANA RIVER PARK RFP NO. 15-058. THE <br />CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, VOLUNTEERS AND <br />REPRESENTATIVES ARE ADDITIONAL INSUREDS AS RESPECTS TO GENERAL LIABILITY, THIS COVERAGE IS PRIMARY AND <br />NON-CONTRIBUTORY AS REQUIRED BY WRITTEN CONTRACT. <br />REVIEWED BY: EUNICE HEREDIA (PG J O ) <br />wl` JCC/ UdWIRICILL <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 />13663013 AUTHORIZED REPRESENTATIVE <br />CITY OF SANTA ANA <br />ATTN: SUZI FURJANIC <br />20 CIVIC CENTER PLAZA, 3RD FLOOR, ROSS ANNEX <br />SANTA ANA CA 92701 <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights rPSPrvPri <br />The ACORD name and logo are registered marks of ACORD <br />
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