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Last modified
7/8/2020 4:19:58 PM
Creation date
7/6/2018 9:24:56 AM
Metadata
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Contracts
Company Name
PUBLIC LAW CENTER
Contract #
A-2018-135-22
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/15/2018
Expiration Date
6/30/2019
Insurance Exp Date
11/1/2018
Destruction Year
2024
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.4CORID®CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />GATE 31120/YYYY) <br />1/31/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Broker of CA, Inc. LIC #0726293 <br />505 N Brand Blvd, Suite 600 <br />Glendale CA 91203 <br />CONTACT Danielle Donohue <br />PHONEE _ 818.539.8820 AIC Nei: 818.539.8720 <br />E-MAIL <br />ADDRESS: Danielle Donohue a' .wm <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURER A: Non roots' Insu ra nce Alliance of CA <br />2019220SONPO <br />INSURED <br />Public Law Center <br />INSURER B: <br />INSURER C: <br />601 Civic Center Drive <br />Santa Ana, CA 92701 <br />ER: <br />INSUR: <br />INSURER E: <br />INSURER F: <br />C04ERAGES GtRIIHCAIF NIIMRFR•1d1n7d9D10 REkIM!0M ADllaCeo. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADOLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMID�m <br />LIMITS <br />A <br />X I COMMERCIAL GENERAL LIABILITY <br />Y <br />2019220SONPO <br />2/1/2019 <br />2/1/2020 11 <br />EACH OCCURRENCE $1,000,000 <br />PREMISES Eaamurexe $500,000 <br />CLAIMS MADE l OCCUR <br />MED EXP (Any one person) $ 20,000 <br />PERSONAL &ADV INJURY S1,D00,000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />POLICY El JECT PRC- ❑ <br />XLOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMP/OP AGO $2,000,N000 <br />S <br />OTHER: <br />A <br />AUTOMOBILELIABILITY <br />2019220SONPO <br />2/112019 <br />2/1/2020 t, <br />Ea aBIEprD,ISINGLE LIMIT $1,000,000 <br />ANY AUTO <br />BODILY INJURY(Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY P <br />(Per accident) $ <br />X <br />HIRED y, NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />A <br />X <br />UMBRELLA UABX <br />OCCUR <br />2019-22050-UMB-NPO <br />2/1/2019 <br />2/111020 <br />,EACH OCCURRENCE $1.000,000 <br />AGGREGATE $1,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I %t I RETENTIONS in nnn <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIErORIPARTNEWEXECUTWE <br />OFFICERIMEMSEREXCLUDED4 ❑ <br />NIA <br />PER I OTH- <br />STATUTE I IER <br />E.L. EACH ACCIDENT S <br />EL DISEASE -EA EMPLOYEE $ <br />(Mandatory in NH) <br />Ifyes,describeunder <br />E.L. DISEASE -POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS below <br />A <br />Improper Sexual Conduct <br />20192205ONPO <br />2/1/2019 <br />2/1/2020 <br />Each Claim $1.000,000 <br />Aggregate $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES IACORD 101, Additional Remarks Schedule, maybe attached Umore, space Is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the named <br />insured. <br />Such insurance is primary and non-contributory. Written notice shall be provided at least ten (10) days in advance of cancellation for non-payment of premium <br />and thirty (30) days in advance for any other cancellation or policy change. a r 6�r <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />©1988.2015 ACORD CORPORATION_ All rinhtc rasarved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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