David Evans and Associates Inc 1/10/2019

Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) ‘2...� 12/1/2019 )1/29/2018 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 CONTNAME: 444 W.47th Street.Suite 900 PHONENo PeR FAX IA/C.Not: Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC U INSURER A:Zurich American Insurance Company 16535 INSURED DAVID EVANS AND ASSOCIATES,INC. INSURER B:Continental Casualty Company 20443 1332581 2 100 SW RIVER PARKWAY INSURER C: _ PORTLAND OR 97201 INSURER D: INSURER E: INSURER F: COVERAGES DEAINOI CERTIFICATE NUMBER: 15754263 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 I ADDL SUBRI I POLICY EFF POLICY EXP LTR i TYPE OF INSURANCE INSD I WVDPOLICY NUMBER I(MM/DD/YYYY) (MM/DD/YYYY); LIMITS A i X M COMERCIALGENERALLIABILITY Y 1 N GL09830389 12/1/2018 12/1/2019 EACHOCCURRENCE I$ $1,000,000 DAMAGE TO RENTED CLAIMS-MADE I X OCCUR I PREMISES(Ea occurrence) $ $300,000 MED EXP(Any one person) $ $10,000 PERSONAL&ADV INJURY $ $1,00,000 GEN'L AGGREGATE LIMIT APPLIES PER: !GENERAL AGGREGATE $ $2,000,000 1 1 PRO X POLICY LOC E T PRODUCTS-COMP/OP AGG J C $ $2,000,000 I OTHER: I$ AAUTOMOBILELIABILfTYY N BAP98303I0 1_/1/2018 12/1/2019 COMBINED SINGLE LIMIT (Ea accident) $ $1,000,000 ._ ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED - BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX X HIRED AUTOS ONLY X AUTOS ONLYY (Peri accidenROPERTY t) $ XXXXXXX $ XXXXXXX UMBRELLA LIAB OCCUR I :' NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB _ CLAIMS-MADE I.AGGREGATE $ XXXXXXX DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION A AND EMPLOYERS'LIABILITY Y/N N H WC 9336626 j 12/1/2018 12/1/2019 i STATUTE I EER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) j i E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B PROFESSIONAL I N j N AEH591924704 12/1/2018 12/1/2019 I PER CLAIM$1.000.000 LIABILITY I I ANNUAL AGGREGATE S1.000,000 I DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) RE:CITY OF EVERETT 2019-2020 ON CALL SURVEY SERVICES.THE CITY OF EVERETT,ITS OFFICERS,EMPLOYEES,AND AGENTS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES ARE PRIMARY.AS REQUIRED BY WRITTEN CONTRACT.THE ADDITIONAL INSUREDS'OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY,WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION See Attachments 15754263 CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PUBLIC WORKS DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3200 CEDAR STREET ACCORDANCE WITH THE POLICY PROVISIONS. EVERETT WA 98201 AUTHORIZED REPRESENTATIV /174 ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD