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Yancine R. Digitally signed by <br />Francine R. Villareal <br />�..-�•� Villareal Date: zLit,vlassss <br />-o8,0a, <br />A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MMrADmYY) <br />1. 08/3012021 <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 13Y 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 rlahts 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 90731-0197 <br />INSURED <br />Immigrant Defenders Law Center <br />634 S. Spring Str®et, 1 oth Floor <br />Los Angeles CA 90014- <br />rnlrLOArGc f`CR'r'ICI!'ATC rdI IrdI <br />NAME -CONTACT Kathleen McDermott <br />aHONaE Fey. (310)521-4480 � .(310)521-0111 <br />1 MS.- kathleen@bettislns.com <br />Insurance Alliance of CA (A VIII <br />ROvminhl WiIMRFR- <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 />TO <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY EFF <br />POLICY EXPI <br />LIMITS <br />A <br />X <br />COMMERWAL GENERAL LIABILITY <br />X <br />CLAIMS•MADE OCCUR <br />Improper Sexual Cond <br />X <br />2021.48928-NPO <br />08/31/2021 <br />8/31/2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />OAMA05TO RENTED <br />t$FS (E <br />$ 500 000 <br />X <br />MED EX e e sn <br />20,000 <br />X <br />ContractualLlab <br />PERSONAL & ADV INJURY <br />1,000,000 <br />GEN'LAGGRFr3ATELIMIT APPLIES PER! <br />POLICY ❑ jECOT- 7 LOG <br />OTHER: <br />GENERALAGGREgATE <br />$ 2,000,000 <br />PRODUCTS - COMPIOPAGG <br />2,000,000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />)( HIRED )( NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />I <br />X <br />2021.48928-NPO <br />08/31/2021 <br />0813112022 <br />COM <br />(En, ;=csINGLaLIMIT <br />$ 1,000,000 <br />BODILY INJURY (per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />$ <br />A <br />X <br />UfitaRELLALIAB <br />EXCESSLIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />X <br />2021-48928-UMB <br />8/31/2021 <br />8/31/2022 <br />EACHOCCURRENCE <br />$ 110001000 <br />AGGREGATE <br />1,000,()00 <br />D I I RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YYY ��'��— <br />ANYPROPRIETORIPARTNERIEXECUTIVE j---I <br />OFFICERIMEMBER EXCLUDED? u <br />(Mandatory In NH) <br />If yes, describe under <br />DES[ IP 0 ERATIONS below <br />NIA <br />PER OTH• <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE • EA EMPLOYEE <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is squired) <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 N1AC 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 Divislon <br />20 Civic Center Plaza; 4th Floor <br />Santa Ana <br />Al UVUytR5 <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- 1 AUTHORIZED REPRESENTA71VE <br />' � Non �I811 ]t�a�tWit D1y1910/l <br />%mEwrmo & APPROVED BY. <br />0 1988-2015 ACORD CORP <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD I .F <br />��_.�� Risk ManagSmentAnalyst <br />