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A�C_O�RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYfVYY) 03/29/2018 THIS CERTIFICATE IS ISSUED ASA 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 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 endomement(s). PRODUCER CONTACT Donna Dicarlo NAME: Riverlantls Insurance Services Inc. A/c No Ext: (965) 652-5505 FA,C, No): (985) 652-4039 EMAIL ddlcarlo@rivins.ccm ADDRESS: 492 West 5th Street INSURER(S) AFFORDING COVERAGE NAICN MM/DDIYYYY Laplace LA 70068 INSURERA: Wesco Insurance Company 25011 INSURED /t '`�� 00q-01 Shift Design Inc (•�,F -f ) V INSURER B: INSURER C: 3121 Dauphine St , aO ky--Oo Lf INSURER D: INSURER E: CI -AIMS -MADE OCCUR New Orleans LA 70117 INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMIDD/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CI -AIMS -MADE OCCUR PREMISES Ea occunence $ 100,000 MED EXP (Any One person) $ 10,000 Y WPPIS9743900 01/12/2018 01/12/2019 A PERSONAL&AOV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 3,000,000 POLICY ❑ JECT E LOC PRODUCTS-COMPIOPAGG $ 3,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ IT. accident BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED BODILY INJURY (Peraaident) $ AUTOS ON LY AUTOS PROPERTY DAMAGE $ Per awdent HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB iOCCUR _ `\ EACHOCCURRENCE E%CESS UAB CLAIMS -MADE AGGREGATE $ DEO I RETENTION $ VY $ WORKERS COMPENSATION A PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY YIN (�Qj� nw' OFFICERIMEM ER EXCLUDED ANY ECUTIVE ❑ NIA �c/ J.,(�\ E.L. EACH ACCIDENT $ (Mantlatory in NH) E.L. DISEASE - EA EMPLOYEE $ If es, describe under Pa DESCRIPTION OF OPERATIONS below \ E.L. DISEASE - POLICY LIMIT $ Q� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, and representative are named as additional insured with respects to the General Liability policy. The policy is primary and is not additional to or contributing. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana LA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD