DAVID EVANS AND ASSOCIATES, INC. (4)

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DATE `4C"R" CERTIFICATE OF LIABILITY INSURANCE 16.. - 12/1/2026 12/17/2025 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 1S WANED, 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). PRO13UCER Lockton Companies,LLC CONTACT NAME: DBA Lockton Insurance Brokers,LLC in CA PHONE FAX CA license#OF15767 C No Ext: AC No EMAIL 444 W.47th St.,Ste.900 ADDRESS: Kausas City MO 64112-1906 INSURER(S)AFFORDING COVERAGE NAIC# (816)960-9000 kcasuPlockton.mm INSURER A:American Zurich Insurance Company 40142 INSURED DAVID EVANS AND ASSOCIATES,INC. INSURER B:Zurich American Insurance Company 16535 1331102 2100 S RIVER PARKWAY,SUITE 100 INSURERC:Continental Casualty C mlj=y 20443 PORTLAND OR 97201 INSURER D:American Guarantee and Liab.Ins.Co. 26247 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 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. ILLTR TYPE OF INSURANCE ADS L WVQ POLICY NUMBER MMlDDPOLICY EFF POLMMIODIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 A X Y Y GL09830389 12/1/2025 12/1/2026 DA TED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 1 000 600 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000,000 POLICY[X] PECOT- LOC PRODUCTS-COMPIOPAGG $ 2 000 0O0 OTHER: $ D AUTOMOBILE LIABILITY N y BAP9830390 12/1/2025 12/1/2026 COMBINED SINGLE LIMIT $ 1000 000 X ANY AUTO BODILY INJURY(Per person) $ xxxxxxx OWNED AUTOS ONLY AUTOSULE0 BODILY INJURY(Par accident) $ �XXxXX HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ xxxxxxx $ xxxxxxx B UMBRELLA LIAB x OCCUR N N SXS 6468058 12/1/2025 12/1/2026 EACH OCCURRENCE s 2,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE s 2,000.000 DED RETENTION$ $ xxxxxxx WORKERS COMPENSATION y X STATUTE ERH AND EMPLOYERS'LIABILITY Y!N WC9336626 12/1/2025 12/1/2026 ANY PROPRIETOWPARTNERIEXECUTIVE F.L.EACH ACCIDENT $ 1 000 O00 OFFICEWMEMBER EXCLUL ] N I A (Mandatory In NH) E.L,DISEASE-FA EMPLOYEE $ 1,000,000 If Yes,describe under DESCRIPTION OF OPERATIONS below El DISFASF-POLICY LIMIT $ 1,000,000 C PROFESSIONAL N N AEH591924704 12/1/2025 12/1/2026 PER CLAIM$2,000,000 LIABILITY ANNUAL AGGREGATE$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTEDANDTFH3 POLICY TERM(&)REFERENCED. RE:PROJECT NUMBER:22-124 PROJECT NAME:IOTH&FLOWER PARK(22-124).THE CITY,ITS OFFICERS,OFFICIALS,EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARYAND 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 STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. EIgllallyslgned Tu TranbyTuTran APPRVFD Nguyen IVgUyCn aa„e-osuo'7 By Tu Tian Nguyen at'10 41 arn,Dec 17,2025 CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 19487723 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SAN,T,A ANA ACCORDANCE WITH THE POLICY PROVISIONS. PWA-PFFR 20 CIVIC CENTER PLAZA, AUTHORIZED REPRESENTATIV SANTA ANA CA 92701 ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD