SHIFT DESIGN FORMERLY (WE ARE WHAT WE DO) (2)

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CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDONM) 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 BELCIIIIii 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 confor rights to the certificate holder in lieu of such endorsement(s). EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS PRODUCER __POLrdvei LTR TYPEOFINSURANCE WyD POLICY NUMBER vSwoigf=L ini" I CONTACT NAME, Della Januar Barbary insurance Brokerage EACH OCCURRENCE $1,000,000 ........ .. .... . .. .. .. .... PHONE 415-788-4700 FAX -4701 UAE0ke,tea._. 230 California Street, Suite 700 San Francisco CA 94111 CLAIMS -i X OCCUR . .. . .................................. ................................ .... _(1B1CN,t;415-789 _.... .. ..... E40AL Della @bart)aryinsurance.com ADRESS: -I— -1_111 11 11 " I I'll i Ir I MED EXP (Any con, person) $20,000 INSUFERi AFFORDING COVERAGE Nmc A PERSONAL & AOV INJURY $1,000,000 qEN'L AGGi LIMIT APPLIES PER: e;BvRERA:NonprorS Ins Alliance of CA 524126 INSURED VVEARE-1 _.q100 PRODUCTS - COMPIOP AGO $?000000 INISURER.B.North Amencan"Elfte Shift Design, Inc, AUTOMOBILE LIABILITY ANY AUTO INSURERC: 2655 Harrison Street ocicy INJURY (Pe- r accident) 5 . ..... . San Francisco CA 94110-'YINSURERD: .......... . . ...... ...... .. ..... ..... ............... INSURER E: COVERAGES CERTIFICATE NUMBER: 201000064 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEEtlob 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 __POLrdvei LTR TYPEOFINSURANCE WyD POLICY NUMBER vSwoigf=L ini" I LIMITS _ASa A X COMMERCIALGENERALLIAGOLTY Y 201642084-i 1213.120I8 12/3/2017 EACH OCCURRENCE $1,000,000 CLAIMS -i X OCCUR MED EXP (Any con, person) $20,000 PERSONAL & AOV INJURY $1,000,000 qEN'L AGGi LIMIT APPLIES PER: GCNERALAGGREGATE$ 0 000 X POLICY PRO� JECT LOC _.q100 PRODUCTS - COMPIOP AGO $?000000 OTHER, Liquor Liability $1,000.000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIM17—S _SEalmudent) _ _ ...... .. . . . ...... .. ....... ... ........ BODILY INJURY (Per person) $ AbiIXi SCHEDULED A85 AUTOS ED ocicy INJURY (Pe- r accident) 5 HIRED AUTOSAUTOS PROPERTYDAMAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS i CILAiMS-MADE AGGREGATE S ---- . . . . . ............. . ... ... DICO WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER 0 ANY PROPRIETOR,rPARTNEREXEGU71VE ELEkCH ACCIDENT S OFOCER/MEMi EXCLUDED? NIA (Mandatory In i E DISEASE -EA EMPLOYEE a deswilartutod.r 2rEM6 gjal1oT[ON OF OPERATIONS below„__,_,_____ EL DISEASE -POLICY LIMIT S Commercial Property 201$,42084 -PROP 1213!2016 12/312017 BPP Limit $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may he encased i upset Is required) The City of Santa Ana, its officers, employees, agents, and representative are named as additional insured per endorsement CG20370704r With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insured. City of Santa Ana 20 Givic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 29 (2014/01) The ACORD name and logo are registered marks of ACORD