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Last modified
3/26/2024 2:15:03 PM
Creation date
2/10/2021 5:07:35 PM
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Contracts
Company Name
PUBLIC LAW CENTER
Contract #
A-2020-181-05
Agency
Community Development
Council Approval Date
8/18/2020
Expiration Date
6/30/2022
Insurance Exp Date
2/1/2022
Destruction Year
2027
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Digitally signed by Francine N. <br />Francine R. Villareal Villareal <br />A� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(IMMI02l <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 pollcles 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 Brokers of CA., Inc.F.B. <br />505 N Brand Blvd, Suite 600 <br />Glendale CA 91203 <br />CONTACT <br />PHONE Danielle Donohue <br />FAX <br />818.539.8606 we No: 818.539.8705 <br />ADDRESS, Danielle Donohue@ajq.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Nonprofits' Insurance Alliance of CA <br />1.1cense#:0 26293 <br />INSURED PUBLLAW-01 <br />Public Law Center <br />INSURER B : <br />INSURER C: <br />601 Civic Center Drive <br />INSURER D: <br />Santa Ana, CA 92701 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 278476716 REVISION NUMBER- <br />------- -------- <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 />ILTR <br />TYPE OF INSURANCE <br />ABBE <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/OD/YYYY <br />POLICY EXP <br />IMMl <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE 111 OCCUR <br />Y <br />20212205ONPO <br />21/2021 <br />2/1/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMA ET RENTED <br />PREMISES 1Es ocwrrence <br />$500,000 <br />MED EXPAny one parson) <br />$20.000 <br />PERSONAL &ADV INJURY <br />$1.000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO- ❑ <br />JECT LOC <br />GENERALAGGREGATE <br />$2,000,000 <br />GENE <br />X <br />PRODUCTS - COMPADPAGG <br />$2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />20212205ONPO <br />2/1/2021 <br />2/1/2022 <br />EaaBINEDISINGLE LIMIT <br />$1,000,000 <br />BODILY INJURY (Per parson) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />AUTOS ONLY X A�TOS ONLY <br />PROPERTY DAMAGE <br />A <br />X <br />UMBRELLALIAB <br />N <br />OCCUR <br />20212050UMBNPO <br />2/1/2021 <br />2/1/2022 <br />EACH OCCURRENCE <br />$1,DOO,000 <br />AGGREGATE <br />$1,000,000 <br />EXCESS UI a <br />CLAIMS - MADE <br />DIED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANYPROPRIETOWPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED4 <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Improper Sexual Conduct <br />20212206ONPO <br />2/1/2021 <br />2/11/2022 <br />Per Claim <br />$1,000,000 <br />Aggregate <br />$1.000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Nonprofits' Insurance Alliance of CA - A.M. Best #011845 <br />Policy: Cyber Liability <br />Policy#: RPS-P-50170102M <br />Policy Dates: 4/7/2020 - 4/7/2021 <br />Carrier: BCS Insurance Companyy <br />Limit: $500,000; Retention: $2,500 <br />See Attached... <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92701-4058 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REI <br />` "Y^�a, <br />©1988-2015 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />sjw �nq� WakAlNlegnneel$Ahrislan <br />& REVIEWED &APPROVED BY: <br />il Rsk Management Mzlysl <br />
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