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4ccrRn® CERTIFICATE QF LIABILITY INSURANCE �,�,.,.-- o9/ 11/20YW o9/xl/tole 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 Bettis Insurance Services, Inc. 1725 S. Gaffey Street Second Floor San Pedro CA 90731 NAME:GT Jim Roberts FHCNfdo Exl: (310) 521-441 ntc N0: Pim 521-0111 ADDRESS: INSURERS AFFORDING COVERAGE NAIC B INSURERA:Non Profits Ins Alliance of CA INSURED Immigrant Defenders Law Center 634 South Spring St., 10th Flt Los Angeles, CA 90014 INSURER 8: INSURER C: INSURER 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. NOTIMTHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPEOFINSURANCE A DDL SUSHI POLICY NUMBER MWDDNYYY CYR MMIOD LIMITS A GENERALLIABILITY x 018 -48928 -HBO )8/31/2018 8 31/2019 EACH OCCURRENCE $ 1,000,000 PREMISES (E. ocanen $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Q OCCUR MED EXP (Any one arson) $ 20,000 PERSONAL &ADV INJURY $ 1,000,000 % Contractual Liability GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 $ POLICY 0 PRO- JECTLOC A AUTOMOBILE LIABILITY 018 -48928 -NPO 08/31/2018 08/31/2019 EOeBBINEDcdcarISINGLE LIMIT 11000 000 BODILY INJURY (Per person) $ AUTO ALL OWNED SCHEDULED IxANY AUTOS AUTOS BODILY INJURY (Per &Wdenp $ Par cccitld. DAMAGE $ HIRED AUTOS % AUUTOSWNED A % UMBRELLA LIAB OCCUR 018 -48928 -Ina NPO 8/31/2018 0/31/2019 EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEO RETENTION S $ WORKERS COMPENSATION WC STALIMTU- OTH- ANDEMPLOYERSUABILITY YIN ANY EGUTIVE El. EACH ACCIDENT $ OFFICERIMEMSEB EXCLUDED? ❑ NIA (Mandatory in NH) EJ- DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below EJ- DISEASE - POLICY LIMIT S A Improper Sexual X 018 -49928 -Neo 8/31/2018 8/31/2019 Each Ox.ma a 1,000,000 Misconduct General Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD IN, Additional Remarks Schedule, If more space is matured) The city of Santa Ana, its officials, agents, employeee and representatives are named as additional insured as per additional insured endorsement CG2026 0413 where required by written contract with the named insured subject to the terms and conditions set forth in the policy. Ei {110 W`I V CERTIFICATE HOLDER CANCELLATION 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 RESEN A Santa Ana CA 92701 ACORD 25 (2010105) e -2010 AWRID CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD