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IMMIGRANT DEFENDERS LAW CENTER (4)
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IMMIGRANT DEFENDERS LAW CENTER (4)
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Last modified
10/22/2020 4:18:17 PM
Creation date
10/21/2020 4:03:26 PM
Metadata
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Template:
Contracts
Company Name
IMMIGRANT DEFENDERS LAW CENTER
Contract #
A-2020-010-01
Agency
CITY MANAGER'S OFFICE
Council Approval Date
1/21/2020
Expiration Date
1/31/2021
Insurance Exp Date
8/31/2021
Destruction Year
2026
Notes
A-2020-010
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Francine R. Digitally signed by Francine It. <br />vlllereel <br />Villareal date: 2020.092112:04:1207.OV <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDNYYY) <br />08/31/2020 <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(ies) 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 />Bettis Insurance Services, Inc <br />Box <br />San Pedro <br />SaCA 90731-2816 <br />cOME:MVCT Kathleen McDermott <br />PHONE (310)521-4480 FAC No:(310)521-0111 <br />) <br />E-MAIEkathleen@bettisins.com <br />SS, <br />INSURERS AFFORDING COVERAGE <br />NAIC9 <br />INSURER A:Nonprofits Insurance Alliance of CA (A VIII Rated) <br />0 <br />INSURED <br />INSURER B <br />INSURER C : <br />Immigrant Defenders Law Center <br />INSURER 0: <br />634 S. Spring Street, 10th Floor <br />Los Angeles CA 90014- <br />INSURER E: <br />INSURER <br />COVERAGES CERTIFICATE NUMBER' RFVIRInN NIIMRFR- <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 />TYPE OF INSURANCE <br />ADEL <br />Il <br />SUER <br />Man <br />I POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />YYII <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 1XI OCCUR <br />X <br />2020-48928-NPO <br />8/31/2020 <br />08/31/2021 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTEDPREMISES (Ea accalaggince) <br />$ 500,000 <br />X <br />MED EXP lAny oneperson) <br />$ 20,000 <br />Improper Sexual Cond <br />Contractual Liab <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />X <br />PRODUCTS COMPIOPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />X <br />2020-48928-NPO <br />8/31/2020 <br />08/31/2021 <br />COMBINED SINGLE LIMIT <br />$ 11000,000 <br />BODILY INJURY person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Peraceldent <br />( ) <br />$ <br />PROPERTYdeed) AGE <br />$ <br />X <br />HIRED X AUTOSNON-OONLY <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />X <br />2020-48928-UMB <br />8/3112020 <br />O8l31/2021 <br />EACH OCCURRENCE_ <br />$ 1,000,000 <br />AGGREGATE <br />1,000,000 <br />EXCESSUAB <br />CLAIMS -MADE <br />DED RETENTION <br />_$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNEWEXECUTIVE ❑ <br />OFFICEPIMEMBER EXCLUDED? <br />NIA <br />I PER OTH. <br />STAUur <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONSE.L. <br />DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mare space is required) <br />The City of Santa Ana, its officers, agents, employees and representatives are named as additional insured including primaryfit non contributory wording per <br />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 <br />NIAC Al 0391 where required by written contract with the named insured subject to the terms and conditions set forth in the policy. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza; 4th Floor <br />Santa Ana <br />ACORD 25 (2016103) <br />A1000988 <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 />CA 92701- I AUTHORIZED REPRESENTATIVE <br />N REVIEWED&APPROVEDBY: <br />©1988-2015 ACORD CO .r. Ella-w,�rra' (/4.inat� <br />L'----�'' Risk Management Analyst <br />The ACORD name and logo are registered marks of ACORD <br />
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