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IMMIGRANT DEFENDERS LAW CENTER (5)
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IMMIGRANT DEFENDERS LAW CENTER (5)
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Last modified
9/7/2022 9:44:26 AM
Creation date
3/26/2021 11:25:00 AM
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Contracts
Company Name
IMMIGRANT DEFENDERS LAW CENTER
Contract #
A-2021-037
Agency
City Manager's Office
Council Approval Date
3/16/2021
Expiration Date
1/31/2023
Insurance Exp Date
8/31/2022
Destruction Year
2028
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Francine R. Digitally lgnea byrazmeII <br />Villareal <br />Villareal Date: 2020.os2112:04:12-07-aq' <br />CERTIFICATE OF LIABILITY INSURANCE <br />D) <br />OS/31/20P0 <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 />PO Box 2816 <br />San Pedro CA 90731-2816 <br />CONTACT Kathleen McDermott <br />NAME: <br />PHONE (310)521-4480 (A, N .(310)521-0111 <br />11een@bettisins.com <br />SC <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A:Nonprol is Insurance Alliance of CA (A VIII Rated) <br />0 <br />INSURED <br />INSURER B: <br />INSURER C: <br />Immigrant Defenders Law Center <br />634 S. Spring Street, 10th Floor <br />Los Angeles CA 90014- <br />I INSURER D: <br />INSURER E: <br />N URER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER' <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 />AODL <br />Ill <br />SUBR <br />Won <br />POLICY NUMBER <br />POLICY EFF <br />oryYYY <br />POLICY E%P <br />8/31/2021 <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />2020-48928-NPD <br />0813112020 <br />EACH OCCURRENCE IS 1,000,600 <br />DAMAGETORENTC $ 500,000 <br />X Improper Sexual Cord <br />MED EXP An one erson S 20,000 <br />X Contractual Liab <br />PERSONAL BADV INJURY $ 1,660,600 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY j COT LOG <br />GENERALAGGREGATE S 2,000,000 <br />PRODUCTS -COMPIOP AGG <br />$ 2,000,000 <br />S <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />X <br />2020-48928-NPD <br />8/31/2020 <br />8/31/2021 <br />COMBINED pISINGLE LIMIT <br />$ 1,000,000 <br />$ <br />ANY AUTO <br />BODILY INJURY ( person) <br />Per <br />l� OS ONLY WNED F AUTOS ULED <br />BODILY INJURY (Per accident) <br />$ <br />X HIRED 1C NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />$ <br />II$ <br />A <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />X <br />2020-48928-UMB <br />8/31/2020 <br />08/31/2021 <br />EACH OCCURRENCE $ 1,000,000 <br />AGGREGATE y 1,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO RETENTION <br />$ <br />WORKERS COMPENSATION <br />PER I OTH- <br />ANDEMPLOYERS'LIABRITY Y N <br />ANY PROPRIETOR/PARTNERJEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />T, <br />EL EACH ACCIDENT 5 <br />E.L. DISEASE- EA EMPLOYE <br />$ <br />(Mandatary in NH) <br />If yes, describe untler <br />F E TI I <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, its officers, agents, employees and representatives are named as additional insured including primary & 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 (2016/03) <br />m <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 />@ 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />[REVIEWED I pAPPROVED BY. <br />I 'b WiN+4 A. V:kds Ad <br />Risk Management Analyst <br />
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