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PUBLIC LAW CENTER - 2016
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PUBLIC LAW CENTER - 2016
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Last modified
11/9/2017 9:55:18 AM
Creation date
9/14/2016 11:12:38 AM
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Contracts
Company Name
PUBLIC LAW CENTER
Contract #
A-2016-067
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/19/2016
Expiration Date
6/30/2017
Insurance Exp Date
2/1/2018
Destruction Year
2022
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�® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />5/16/2017 DIYYYY) <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 ri hts to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA. Inc. LIC j# 0726293 <br />505 N Brand Blvd, Suite 600 <br />CONTANAME: Danielle Donohue <br />PHONE $18.539.8605 FAX 818.539.8705 <br />Wr <br />E"MAIL •Danielle _Donohue @a j9com <br />INSURERS AFFORDING COVERAGE NAIC 0 <br />Glendale CA 91203 <br />114SURERA:Nonprofits' Insurance Alliance of <br />20172205ONRO <br />INSURED <br />INSURER B: <br />Public Law Center <br />601 Civic Center Drive <br />INSURER C <br />CLAIMS -MADE X OCCUR <br />Santa Ana, CA 92701 <br />INSURER D ; <br />INSURER E <br />INSURER F : <br />MED EXP (Any one person) $20,000 <br />nnVPRAf,FS r I=PTIFIC:ATF IUI IMRP111I 18A 12288 RF►/IClnkf MI IRARFI7- <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 />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDlYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />20172205ONRO <br />2/9/2017 <br />2/1/2018 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE X OCCUR <br />DAMAGE T RENTED <br />PREMISES Ea occurrence $501 <br />MED EXP (Any one person) $20,000 <br />X ABUSE <br />X 1MML$1MM__ <br />PERSONAL &ADV INJURY $1,000,000 <br />GEMLAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />X POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY201722050NP0 <br />211/2017 <br />21112018 <br />BwED SINGLE LIMIT$ <br />Ea accident 1,000,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNEDSCHEDULED <br />AUTOS ONLY AUTOS <br />RY Peraccidenl <br />) BODILY INJU$ <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident $ <br />A <br />X <br />UMBRELLA I <br />X <br />OCCUR <br />2017-22050-UMB-NPO <br />2/1/2017 <br />21112018 <br />EACH OCCURRENCE $1,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $1,000,000 <br />DED X RETENTION 10,000 <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y 1 N <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOPJPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />NIA <br />E.L. DISEASE -EA EMPLOYE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space [a required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the <br />operations of the named insured. Such insurance is primary and non-contributory. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />GANGCLLA 1 IUN <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 RE <br />R JrViel. <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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