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AC40 CERTIFICATE OF LIABILITY INSTANCE DATE(MMlDD1YWY) 16� 12/1/2025 11/27/2024 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 INSURERS), 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,LLC CONTACT 444 W.47th Sheet,Suite 900 PHONE Fax Kansas City MO 64112-l 906 E-MAIL we No (816)960-9000 ADDRESS: kcasu@lockton.com INSURERS AFFORDING COVERAGE NAIC# INsuRER A:Zurich American Insurance Company 16535 INSURED DAVID EVANS AND ASSOCIATES,INC. INSURER B;Continental Casualty Compaay 20443 1331102 2100 S RIVER PARKWAY,SUITE 100 INSURER C:American Guarantee and Liab.Ins. Co. 26247 PORTLAND OR 97201 INSURER D;American Zurich Insurance Company 40142 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 19487723 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 TKS 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR 1 SO wVD POLICYNUMBER MMIDDIYYYY MMIDD1YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X Y Y CrL09830389 12/1/2024 32/E/2025 CLAIMS-MADE � OCCUR DAMAGE TO RE PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 00O 000 X POLICY�PEA LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ C AUTOMOBILE LIABILITY N Y BAP9830390 12/l/2024 12/1/2025 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX AUTOS ONLY AUTOS $ XXXXXXX HIRED AUTOSNON-OWNED Y PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Peraccident $ XXXXXXX A UMBRELLA LIAB X OCCUR N N SXS 6408058 12/l/2024 12/V2025 EACH OCCURRENCE $ 21000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,00 000 DED RETENTION$ $ XXXXXXX D WORKERS COMPENSATION YIN Y WCg336626 12/1/2024 121U2025 X STATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXHCI TIVE N!A E.L.EACH ACCIDENT $ 1000 000 OFFICERIMEMBEREXCLJDED7 I NJ (Mandatory In NH) E.L.DISEASE.EA EMPLOYEE $ 1 00O 000 yes,describe undeT DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B PROFESSIONAL N N AEH591924704 12/1/2024 12/1/2025 PER CLAIM$2,000,000 LIABILITY ANNUAL AGGREGATE$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) RE PROJECT NUMBER:22-124 PROJECT NAME: l OTH&FLOWER PARK(22-124).THE CITY,ITS OFFICERS,OFFICIALS,EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY,IF REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY,AUTO LIABILITY AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY WHERE ALLOWED BY STAFF LAW AND IF REQUIRED BY WRITTEN CONTRACT. APPROVED By Cynthia Mora at 10:55 am, Dec 11, 2024 CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 19487723 THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: CLERK OF CITY COUNCIL 20 CIVIC CENTER PLAZA(M-30)P.O.BOX 1988 AUTHORIXED REPRESENTATIv SANTA ANA CA 92702-1988 /� dz�& ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD