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WEARE-1 OP ID: WB `'f%. C '" CERTIFICATE OF LIABILITY INSURANCE �...---' DATE 8/2 01 4Y, 11(2812014 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(les) must 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 Barbary Insurance Brokerage 230 California Street, #700 San Francisco, CA 94111 CONTACT House Account PHONE FAX we No E,n.415-788.4700 Alp NpL415-_788.4701 — _ E-MAIL ADDRESS: -...._- __ INSURERISI AFFORDING CgVERAGE _NAIC!V INSURERA:Nonprofits Ins Alliance o_f_ CA____' ____`_ _ INSURED Shift Design (fmr We Are What 2655 Harrison Street San Francisco, CA 94110 INSURER a: North American Elite _ INSURER C: Scottsdale Insurance Company -_ 41297 — NSURER D : INSURER E: _ _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (NSR LTR TYPE OP INSURANCE City of Santa Ana 5 R - POLICY NUMBER POLICYEFF MMIDDIYYYY PSL CY EXP MM/DDIWYV - LIMITS IA X COMMERCIAL GENERAL LI ABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR X 2014.42084 -NPO 1210312014 1210312014 AM1�E TOTtERicD — pREM1�Ea occurrence r$ 500,000 _ MED EXP (Any an¢ person) $ 20,800 __._.._ PERSONAL&ADV INJURY _._......,_._..... $ 100,0_0_8 AGGREGATE LIMIT APPLIES PER', GENERAL AGGREGATE 2,888,888 GE,rL POLICY PELT LOC PRODUCTS - WMPIOP AGG _$ $ 2,000,080 $ OTHER, AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea acrvden0 $ _ BODILY INJURY (Per $ ALL UT08 O SCHEDULED _ AUTOS _ AUTOS r i NON -OWNED HIRED AUTOS 1AUTOS I _ - BODILY roulde t (Per accitlengI T?DA PROPERTY -DAMAGE Per acc dent $ ___ r_ UMBRELLA LIAB (OCCUR 1, EACH OCCURRENCE �$ AGGREGATE $ EXCESS LIAB DED LAIMS-MADE RETENTIONS I C -.._ III COMPENSATION AND EMPLOYERS' LIABILITY VIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A STAID L PER TE ERH- E.L. EACH ACCIDENT_ S IE.L. DISEASE -EA EMPLOYEE ($ E.L. DISEASE -POLICY LIMIT _ $ It yes, deecf,bo Uodsr I DE SC RIPTION OF OPERATIONS below CScottsdale Ins. Co EKI3124465 04/04/2014 04/04/2015 D&O( EPL 1,000,000 B No. American Elite 'CW000135900042 12/03/2014 12/03/2015 BPP 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addrional Remarks Schedule, may ke anachod It more space is required) The City of Santa Ana, its officers, employees, agents, and representative are named as additional insured per endorsment CG20370704 CERTIFICATE HOLDER CANCELLATION ,/U' -(5 1988-2pf4 AdORD CORPORATION. All rights reserved, ACORD 26 (2014109) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza AUTHORIZED R s Anv Santa Ana, CA 92701 I ,/U' -(5 1988-2pf4 AdORD CORPORATION. All rights reserved, ACORD 26 (2014109) The ACORD name and logo are registered marks of ACORD