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Francine R. Digitally signed by Francine R.Villareal Villareal Date:2021.11.1710:55:55 -08'00' 64. R' CERTIFICATE OF LIABILITY INSURANCE DAT/30/2D/YYYY) �,,,,,.-'` 08/30/2021 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(ies)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 endorsements. PRODUCER cONTACr Kathleen McDermott Bettis Insurance Services,Inc PHONE (310)521-4480 FAX ,(310)521-0111 PO Box 2816 W. San Pedro CA 90731-0197 E-MAIL kathleen@bettisins.com INSURERS AFFORDING COVERAGE NAIC# Nonprofits Insurance Alliance of CA(A VIII Rated) 0 INSURED INSURER B Immigrant Defenders Law Center INSURER C: 634 S.Spring Street,10th Floor INSURER D Los Angeles CA 90014- INSURER E INSURER 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. 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY X 2021-48928-NPO 08/31/2021 8/31/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE N OCCUR -A "- TO RENTED $ 500,000 X Improper Sexual Cond MED EXP(Any oneperson) $ 20,000 X ContractualLlab PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 X POLICY D jEO- D LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X 2021-48928-NPO 08/31/2021 8/31/2022 COMBINED SINGLE LIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED N NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR X 2021-48928-UMB 08/31/2021 8/31/2022 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana,its officers,agents,employees and representatives are named as additional insured including primary&non contributory wording per endorsement NIAC E61 0219 in respects to the listed general liability and are named as additional insured in respects to the listed auto policy per endorsement NIAC Al 0391 where required by written contract with the named insured subject to the terms and conditions set forth in the policy. CERTIFICATE HOLDER CANCELLATION AI 000988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza;4th Floor Santa Ana CA 92701- AUTHORIZED REPRESENTATIVE �F n Risk Division REVIEWED&APPROVED BY.- @ 1988-2015 ACORD COR S� a ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD me R, VAA44d —��" Risk Management Analyst