DAVID EVANS AND ASSOCIATES, INC.

Home Browse Search

I UfI YIE'fSUII Dana: 2621'09.0168a532-07'00' ACORO� CERTIFICATE OF LIABILITY INSURANCE 164� 12/1/2021 DATE(MMIDD/YYYY) 8/31/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City M0 64112-1906 (816)960-9000 CONTACT PHONE FAX A/C No : E-MAILfAI ADDRESS: INSURERS AFFORDING COVERAGE KAIC it INSURER A: Zurich American Insurance Company 16535 INSURED DAVID EVANS AND ASSOCIATES, INC. 1333935 21 DO S RIVER PARKWAY, SUITE 100 INSURER B: Continental Casuaft Company 20443 INSURER C: American Guarantee and Liab. Ins. Co. 26247 INSURER D: American ZLuich Insurance Company 40142 PORTLAND OR 97201 INSURER E: INSURERF: COVERAGES DEAINOI -MAIN CERTIFICATE NUMBER: 17783104 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER D POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/Y1'YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR Y N GL09830389 l2/I/2020 12I1/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREM SES Ea occurrence) $ 1 000 000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1 000 000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT El LOG GENERALAGGREGATE $ 2000000 PRODUCTS-COMP/OP AGO $ 2 000 000 $ OTHER: G AUFILITY Y N BAP9830390 12/1/2020 12/1/2021 COMBINED SINGLE LIMIT$Ea accident 1 000000 BODILY INJURV(Per person) $ XXXXXXii.SCHEDULEDBODILY INJURY Per accident ( )NON $ XXXXXX)� AUTOS -OWNED AUTOS ONLY PROPERTVDAMAGE$XXXXXXX Per accident $XXXXXXX UMBRELLA UAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ }tJQ{XX'J{J{ Id AGGREGATE $ XXX xx EXCESS LIAB CLAIMS -MADE DELI I I RETENTION$ $ xxxxxXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NI N/A 1' WC9336626 12/I/2020 12/]/2021 X STATUTE ERH EL. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 _.DESCRIPTION (Mandatory In NH) If yes, describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000.000 B PROFESSIONAL N N AEH591924704 12/1/2020 12/1/2021 PER CLAIM$2,000,000 LIABILITY ANNUAL AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space is required) RE: CSAN0000-0003. LANDSCAPE ARCHITECTURAL DESIGN- MCFADDEN PARK. CITY OF SANTA ANA, OFFICERS, EMPLOYEES, AND VOLUNTEERS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY AND NON-CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO WORKERS COMPENSATION/EMPLOYER'S LIABILITY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. 17783104 CITY OF SANTA ANA ATTN: RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESS 6 A Marnger s'd D Risk 'nidnon enetrtn PrRw® far. s R%au �%itx:ow Ce119RR D75 ACORrt C( rsxx Ma„anermn um�aae ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I/ �