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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
Metadata
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Template:
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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R� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br />nATE(MMn <br />IPbllalytl IEMFIN IVl4VA <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A C( <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polic7 <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the pol <br />this certificate does not confer rights to the certificate holder in lieu of such <br />PRODUCER CONTA <br />PAYCHEX INSURANCE AGENCY, INC. PHONE <br />150 SAWGRASS DRIVE <br />ROCHESTER, NY 14620 E-MAIL <br />INSURED <br />IMMIGRANT DEFENDERS LAW CENTER (A <br />CORP) <br />634 S SPRING ST. 1 OTH FLOOR <br />LOS ANGELES, CA 90014 <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />TER THE COVERAGE AFFORDED BY <br />BETWEEN THE ISSUING INSURER(S), <br />It have ADDITIONAL INSURED provisions or be endorsed <br />in policies may require an endorsement. A statement on <br />nent(s). <br />Paychex Insurance Agency Inc <br />877-266-6850 (FArCNMI. 585-389-7426 <br />Certs@paychex.com <br />RER(S) AFFORDING COVERAGE NAIC# <br />Wesco Insurance Company 25011 <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 />NSR TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />LTR NSR D (MMIDOIYYYV) (MMIDOIYYY <br />GENERAL LIABILITY EACH OCCURRENCE g <br />COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ <br />CLAIMS -MADE ]OCCUR MEO EXP(Any one person) $ <br />WGREGATE LIMIT APPLIES PER: <br />POLICY O PROJECT LOD <br />OMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED O SCHEDULED <br />AUTOS AUTOS <br />IR'I <br />HIREDAOS AUTTOOSSWNEO <br />0 <br />I UMBRELLAUM LJ OCCUR <br />IE CEBB LIAR = CLAIMSMADE <br />DED RETENTION $ <br />WORNERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />OFFICEWMEMBER EXCLUDED? YIN <br />(Mandatory, In NH) Y NIA <br />If yea, describe under <br />W WC3483533 108/01 /2020 108101 /2021 <br />OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />:RTIFICATE HOLDER <br />City of Santa Ana <br />Risk Management Division, 4th Floor <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />PERSONAL &ADV INJURY $ <br />GENERAL -AGGREGATE $ <br />PRODUCTS-COMPIOP AGG $ <br />(Eaaocidentj '_---...... <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Peraccidentl <br />$ <br />EACH OCCURRENCE <br />AGGREGATE <br />u <br />E.L. EACH ACCIDENT s 1,000,000.00 <br />E.L. DISEASE -EA EMPLOYEE $ 1,OOD,D00.00 <br />E.L. DISEASE -POLICY LIMIT is 1,000,000.00 <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 REPRESENTATIVE <br />nle" <br />ACORD 25 (2016/03) ©1988-2016 ACORD COF <br />The ACORD name and logo are registered marks of ACORD <br />P.iak Mrnugernmt Divivi an <br />•''-'� REVIEWED& .APPROV/'ED BYE': <br />tI` Fud,, hC Z �aum'AC <br />®' <br />Risk MBnagemeD[ Malys[ <br />
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