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DATE (MMMDtYYYY} 12V712015 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 INSUREli AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 PRODUCER 4rthur J. Gallagher & Co. insurance Brokers of CA, Inc. LIC #0726293 18201 Von Karman, Suite 200 rvine CA 92612 INSURED Architectural Design & Signs, Inc. 1160 Railroad Street Corona, CA 92882 •. a t- COVERAGES CERTIFICATE NUMBER: 1833427071 RFVIRION 111IIMleti 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. Ivry TYPE OF INSURANCE —_ POLICY EFF POLICY EXP _ INS POLICY NUMBER M DU/YYYY M700lKYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY Y VCGPD21725 5/52015 51512616 EACH OCCURRENCE $1,000,000 CLAIMS-MADF_ X❑OCCUR DAMA ETO RENTED PREMISES Ea occturence $50,000 X QFS_QC_C,DED MED EYE (Any one person $5,00_0 X S5,OQ( —"_ PERSONAL ti INJURY 11iOK 0 GENTAGGREGATELIMIT APPLIES PER GENERAL AGGREGATE $2,00D 000 POLICY u PRO E LOG PRODUCTS - COMPIOP AGO $2,y000,604 OTHER $ B AUTOMOBILE LIABILITY MZX80962943 5/512015 5/512016 COMBINED SINGLE MI $ Ea accident 1006,000 Ix ANY AUTO BODILY I NJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Par accident) _ COMPICOLL DED $1,000 C UMBRELLA LIAO X OCCUR NHA237881 5152015 SIMM6 EACH OCCURRENCE _$10,000,000 X EXCESS LIAR CLAIMS -MADE AGGREGATE S "_+_0,000,000 DED X RETENTION $Anil $ D WORKERS COMPENSATION VVSD502366702 515 /2615 5151241fi X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR /PARTNERIEXECUTIVE E.L. EACH ACCIDENT $1,600,OOD OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE. _0,000 If yes, describe under $1D0- DESCRIPTIONOrOPERATIONSbelow EL .DISEASE - POLICY LIMIT $1000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requimd) The certificate holder(s) is /are named additional insured /primary non - contributory /general aggregate applies as respects to the general liability policy, per the attached forms CG20100413, CG20370413, CG20010413 and VEO1841213, as required per written contract. RE: Work performed by the named insured as required per written contract with respects to City of Santa Ana. t Certificate Holders} Continued: City of Santa Ana, its officers, agents, and employees kr, er-" City of Santa Ana Attn: Purchasing Department 20 Civic Center Plaza Santa Ana CA 92701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD CORPORATION. AN rinhle mcnn,arl ACORD 26 (2014/41) The ACORD name and logo are registered marks of ACCIRD