Loading...
HomeMy WebLinkAboutIMMIGRANT DEFENDERS LAW CENTER (3)INSURANCE ON FILE UNTILK SURANCFMAY ED ES 08/31 /ZO t7: C^Otrl�WIARW UNCIL c_ AGREEMENT BETWEEN ]> zA A-2020-010 CITI' OF SANTA ANA AND IMMIGRANT DEFENDERS LAW CENTER FOR FUNDING N co This Agreement is made and entered into by and boween the City of Santa Ana, a charter r, city and municipal corporation organized and existing under the Constitution and laws ofthe state cm 0 of California ("City") and Immigrant Defenders Law Center, a California non-profit corporation ("Immigrant Defenders"). RECITALS A. In 2017, the City entered into a Memorandum of Understanding ("MOU") with the Vera Institute of Justice ("Vera") regarding the City's participation in Vera project's the SAFE Cities Network ("Safe Cities"). This MOU was extended twice and remains in effect until October 31, 2020. Safe Cities is a diverse group of local jurisdictions from around the country, convened by Vera, committed to due process and providing legal representation to immigrants facing deportation and keeping communities strong and safe. B. The MOU between City and Vera specified that, Vera would support City in establishing its publically funded removal defense program. Initially, this program was funded through a catalyst grant of $100,000 from Vera and a $65,000 contribution from City. C. The City desires to provide additional funding to Immigrant Defenders for the provision of removal (deportation) defense services that contribute to the protection of families and the education and support of Santa Ana immigrant populations and that will contribute to the safety and quality of life in Santa Ana and surrounding areas. D. Immigrant Defenders represents to the City that it is qualified and capable to carry out these services as further described by Immigrant Defenders' proposal, which is attached as Exhibit A. In consideration of the foregoing recitals, the parties agree as follows: PROGRAM OF LEGAL SERVICES Immigrant Defenders shall conduct the program described in Exhibit A ("Program" or "Scope of Services"). 2. TERM OF AGREEMENT The Term of this Agreement shall commence on February I, 2020 and shall expire on October 31, 2020. unless extended by the City or unless sooner terminated in accordance with the terms of this Agreement. 3. USE OF FUNDING; PAYMENT a. City agrees to provide Immigrant Defenders funding for those expenses associated with performing, overseeing and implementing the Program described in Immigrant Defenders' Proposal at Exhibit A. attached hereto and incorporated herein by this reference, in accordance with the project budget contained therein p22417vl ("Budget"). The total amount of funding from City to Immigrant Defenders shall be S 180,000 ("Funding"). b. Payment of the Funding shall be released to Immigrant Defenders within forty- five (45) days of City's approval of this Agreement and shall be provided to Immigrant Defenders on a monthly basis as follows: Date Amount February 1" $20,000 March 1" $20,000 April 1` � $20,000 May 1" $20,000 June 1" $20,000 _ July ts' $20,000 Au i st 1 $20,000 September 1" $20,000 October 1" $20,000 c. Immigrant Defenders Shall undertake and complete the Program as described and set forth in Exhibit A. d. hmmigrant Defenders shall spend the Funding in accordance with the Budget in the attached Exhibit A. 4. MONITORING AND EVALUATION a. Immigrant Defenders shall 'furnish, except where limited by attorney -client confidentiality, all data, statements, records, information, and reports necessary for the City to monitor, review and evaluate the performance of the Scope of Services and its components. Immigrant Defenders shall cooperate with the City in the conduct of any evaluation of Immigrant Defenders' Services. Immigrant Defenders shall further cooperate to incorporate minor modifications that may be discovered as necessary and appropriate as a result of feedback from the monitoring and evaluation process. b. Immigrant Defenders shall share case -level data with the Vera through the Vera SAFE Cities Database and participate in interviews with Vera staff to support the evaluation of the Project. The information gathered wilt be key for developing evidence regarding the impact of representation across the United States on a variety of measures and could be used to inform future efforts to secure funding for new and existing representation programs. #22417vt B. PROGRAM COORDINATION a. The City Manager or his or her designee shall monitor the Immigrant Defenders' progress and performance of this Agreement. b. Cmmigrant Defenders shall assign a Program coordinator ("Immigrant Defenders Coordinator") who shall have overall responsibility for the performance of this Agreement by Immigrant Defenders. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute Immigrant Defenders Coordinator, Immigrant Defenders shall notifyCity humediately ofsuch occurrence, Immigrant Defenders' staff shall cooperate fully with the City with respect to all matters related to this Agreement. C. immigrant Defenders' staff shall attend meetings as required or requested by City. 6. IMMIGRANT DEFENDERS' FISCAL REPONSIBILTIES; RETENTION OF MATERIALS a. General Fiscal Responsibilities of Immigrant Defenders. Immigrant Defenders shall: If applicable, appoint and submit to the City, the name of a fiscal agent, who shall be responsible for the financial and accounting activities of Immigrant Defenders, including the receipt and disbursement of the Funding installments. ii. Establish and maintain a system of accounts for the Funding that shall be in conformance with generally accepted accounting principles. Such system of accounts shall be subject to review and approval of the City. iii. Document all costs by maintaining complete and accurate records of all financial transactions, including but not limited to contracts, invoices, time cards, cash receipts, vouchers, canceled checks, bank statements and/or other official documentation evidencing in proper detail the nature and propriety of all charges. iv. Submit to the City at such times and in such forms as the City may require, such statements, records, reports, data, and information pertaining to matters covered by this Agreement. b. Records of Immigrant Defenders Immigrant Defenders shall maintain records of all matters related to this Agreement including, but not limited to, books, financial 3 #22417vl records. supporting d0eunne1113, statistical records, personnel records, property records, and all other pertinent records sufficient to reflect properly: (A) All direct and indirect costs of whatever nature claimed to have been incurred and anticipated to be incurred in performance ofthis Agreement. (B) A]I other matters covered by this Agreement - Immigrant Defenders shall preserve and make available its records: (A) For the period of three (3) years from the date of expiration or sooner termination of Agreement; or (B) For such longer period, if any, as may be required by applicable law. C. Examination of Records. At any time during normal business hours, and Lis often as may be deemed necessary, Immigrant Defenders agrees that the City, and/or any of its authorized representatives shall have access to and the right to examine its plants, offices, and facilities engaged in performance of this Agreement and all its records with respect to all matters covered by this Agreement. d. Audits. In the event that the City determines, from inspection of records, or any other source, that there is a problem or discrepancy regarding immigrant Defenders' compliance with the terms and conditions of this Agreement, including but not limited to the Project Budget, then the City shall, in its sole discretion, have the right to require an audit by am independent auditor at City's sole expense relating to the Scope of Services and Immigrant Defenders' compliance hereunder. Notwithstanding the foregoing, the City shall have the right for any reason whatsoever to perform, or cause to be performed an independent audit. Such audits may cover programmatic as well as fiscal matters. ASSIGNMENT Immigrant Defenders shall not assign any rights or duties under this Agreement to a third party without the express prior written consent of City, Immigrant Defenders agrees that the City shall have the right to approve any and all subcontractors and subcontractors to be used by immigrant Defenders in the performance ofthis Agreement before Immigrant Defenders contracts with or otherwise engages any such subcontractors or subcontractors. RtELATIONSUIP OF PARTIES It is understood and agreed by and between tine parties that Immigrant Defenders in the performance of this Agreement, shall not act not, is it at any time authorized to act, as #22417vl the agent or representative of the City in any matter. Immigrant Defencers further agrees that it will not in any manner hold itself out as the agent or representative of the City or act in such a fashion as would give the impression to a reasonable person that Immigrant Defenders is acting in such a capacity. 9. INDEMNITY Immigrant Defenders shall, to the fullest extent permitted by law, indemnify, protect, defend and hold harmless City, and its employees, officials and agents ("Indemnified Parties") from all claims, demands, costs, or liability (including liability for claims, suits, actions, arbitration proceedings, administrative proceedings, regulatory proceedings, losses, expenses or costs of any kind, interest, defense costs, and expert witness fees), but only in proportion and to the extent that such claims, demands, costs, or liabilities are caused by or result from the negligence, recklessness, or willful misconduct of Immigrant Defenders, its officers, employees, agents or volunteers, in the performance of services under this Agreement, excepting only liability arising from the sole negligence, active negligence, or intentional misconduct of City, if there is it possible obligation to indemnify, Immigrant Defenders' duty to defend exists regardless of whether it is ultimately determined that there is no obligation to indemnify. The existence or acceptance by City of the insurance policies or coverages described in this Agreement shall not affect: or limit any of City's rights under this Section. This Section shall survive expiration or sooner termination of this Agreement. 10. INSURANCE REQUIREMENTS During the entire term of this Agreement, Immigrant Defenders shall maintain the insurance coverage described in this Section. It is understood and agreed by the Immigrant Defenders that its liability to the City shall not in any way be limited to or affected by the amount of insurance coverage required or carried by the Immigrant Defenders in connection with this Agreement. a. Commercial General Liability fnsurance providing coverage oil an occurrence basis for bodily injury, including death, ofone or more persons, property damage, and personal injury, arising out of activities performed by or on behalf of the Immigrant Defenders, its sub -consultants, and subcontractors, products and completed operations of Immigrant Defenders, its sub -consultants, and subcontractors, and premises owned, leased, or used by Immigrant Defenders, its sub -consultants, and subcontractors, with limits of not less than one million dollars $1,000,000 per occurrence, $2.000,000 in the aggregate. The policy shall provide contractual liability and products and completed operations coverage for the term of the policy. b. Automobile Liability Insurance providing coverage for bodily injury, including death, of one or more persons, property damage, and personal injury, with limits of not less than one million dollars ($1,000,000) per 5 #22417vl accident. The policy shall provide coeeragc for owned, non -owned, and'or hired autos as appropriate to the operations of the Immigrant Defenders. Workers' Compensation Insurance with statutory limits, and Employers' Liability lnsurarrce with limits of not less than one million dollars (st,000,000). The Workers' Compensation policy shall include a waiver Of subrogation in favor of the City. d. Professional Liability Insurance providing coverage on a claims made basis for errors, omissions, or malpractice with limits of not less than one million ($ 1,000,000) dollars. e. Additional Insured Coverage Commercial General Liability Insurance: The City, its officials, employees, and volunteers shall be covered by policy terms or endorsement as additional insureds as respects general liability arising out of: activities performed by or on behalf of Immigrant Defenders, its sub- consultants, and subcontractors, products and completed operations of Immigrant Defenders, its sub-consutants, and subcontractors; and premises owned, leased, or used by Immigrant Defenders, its sub -consultants, and subcontractors. Automobile Liability Insurance: The City, its officials, employees, and volunteers shall be covered by policy terms or endorsement as additional insureds as respects auto liability. f. Immigrant Defenders shall requite and verify that all sub -consultants and subcontractors maintain insurance coverage that meets the minimum scope and limits of insurance coverage specified in this Section above. 1'I. INDEPENDENT CONTRACTOR It is understood and agreed that Immigrant Defenders (including Immigrant Defenders' employees) is an independent contractor and that no relationship of employer - employee exists between the parties hereto for any purpose whatsoever. Neither Immigrant Defenders nor Immigrant Defenders' assigned personnel shall be entitled to any benefits payable to employees of City. City is not required to make any deductions or withholdings from the Grant Award, As ,in independent contractor, Immigrant Defenders hereby agrees to indemnify and hold City harmless from any and all claims that may be rnade against City based upon any contention by any of Immigrant Defenders' employees or by any third party, including but not limited to any state or federal agency, that an employer -employee relationship or asubstitute therefor exists for any purpose whatsoever by reason o f this Agreement or by reason of the nature and/or performance o Fany services under this Agreement. #22417vl 12, SUSPENSION ORTERMINA` ION City shall have the right at any time to temporarily suspend Immigrant Defenders' performance hereunder and/or any funding, in whole or in part, by giving a written thirty - day noticc ofsuspension to Immigrant Defenders. If'City gives such notice ofsuspension, Immigrant Defenders shall immediately suspend its activities under this Agreement, as specified in such notice. Nothing in this Agreement shall be deemed to be a waiver of the City's right to recover from hnmigrant Defenders any portion of the Funding that has not been spent in accordance with this Agreement or that has not been spent as of the date of notice under this subsection. 13. FUNDING AVAILABILITY It is understood and agreed that funding is contingent on there being sufficient funds within the City's budget. If the City lacks finding within its budget, the Agreement shall have no further force and effect. If there is a lack or funding or should funds became unavailable after the effective date of the Agreement, the City shall have uo liability to pay any funds to the Immigrant Defenders or to furnish other consideration Linder this Agreement and the Immigrant Defenders shall not be obligated to continue to perform tiny services under the provisions of this Agreement. It is also understood that funds for the program must be appropriated and approved by City Council, City Council has the authority to reduce or eliminate funding of this program, without cause or justification, with no liability occurring to the City. 14, STANDARD OF PERFORMANCE Immigrant Defenders shall perform all services performed under this Agreement in the manner and according to the standards currently observed by a competent practitioner of Immigrant Defenders' profession. Immigrant Defenders shall assign only competent personnel to perform services, including licensed attorneys, under this Agreement. Immigrant Defenders shall notify City in writing of any changes in Immigrant Defenders' staff assigned to perform the services under this Agreement prior to any such performance. 15. CONFLICTS OF INTEREST Immigrant Defenders covenants that neither it, not any officer or principal of its corporation, has or shall acquire any interest, directly nor indirectly, that would hinder Immigrant Defenders' performance of services under this Agreement, Immigrant Defenders further covenants that in the performance of this Agreement, no person having any such interest shall be employed by it as an officer, employee, agent or subcontractor, without the written consent of City. immigrant Defenders agrees to avoid conflicts of interest or the appearance of any conflicts of interest with the interests of City at all times during the performance of this Agreement. 16. MISCELLANEOUS a. Entire Agreement. This Agreement, including all Exhibits, contains the entire aly greement between the parties and supersedes whatever oral or #22417vI written understanding the parties may have had prior to the execution of this Agreement. b. Modification. No modification or change to the terns of this Agreement will be binding on a party unless in writing and signed by authorized representatives of the parties. Compliance with Laws. Immigrant Defenders shall perform all services described herein in compliance with all applicable federal, state and local laws, rules, regulations, and ordinances, including but not limited to, (i) the Americans with Disabilities Act of 1990 (42 U.S.C. 12101, ct seq.) ("ADA"), and ally regulations and guidelines issued pursuant to the ADA; and (ii) Labor Code sections 1720, et seq., which require prevailing wages (in accordance with DIR determinations at www.dir.ca.govl be paid to any employee performing work covered by Labor Code sections 1720 et seq. d. Non-discrimination, Immigrant Defenders shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Immigrant Defenders affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations e. Governing Law: Venue. This Agreement shall be governed, construed, and enforced in accordance with the laws of the State of California. Venue of any litigation arising out of or connected with this Agreement shall lie exchrsively in the superior court in Orange County in the State ofCalifornia, and the parties consent to jurisdiction over their persons and over the subject matter of any such litigation in such court, and consent to service of process issued by such court. £ Waiver of Rights. Any grant award or acceptance by City of any service performed by Immigrant Defenders Linder this Agreement, any waiver by City of any default, Breach or condition precedent, shall not be construed as a waiver of any provision of this Agreement by City, nor as a waiver of any other default, breach or condition precedent or any other right hereunder. g. Successor and Assigns. Immigrant Defenders binds itself, its partners, successors, legal representatives and assigns to City with respect to all promises and agreements contained herein. h. Authority to Sign. The signers of this Agreement have the capacity and are authorized to execute this Agreement as the representatives of their respective parties, and to bind said parties to the terms hereof. This #22417vl Agrccment iS subject to the aPProcaI by each Party's g0cc1711ng holy. IN WITNESS \�,HFRFOF, the Parties have executed this Acrecmcnt as ofthe day and year first herein ahace sct forth. `- ItL�' NUSY G1aEZ Clerk oft e Council . A,Y• APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: latL A .Rai YLI LAURA A. ROSSINI Senior Assistant City Attorney #22417vI CITY OF SANTA ANA I�RIDG City Manager IMMIGRANT DEFENDERS ui CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDnYYY) 08/28/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIPICATB DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFPORDED BY THE POLICIE8 BELOW. THIS CERTIFICATE OF INSURANCE 00E8 NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. a certificate holder Is an ADDITIONAL INSURED, the pollBy(les) must have ADDITIONAL INSURED provlslons or be be endorse, IS WAIVED, sub)oct to the terms and conditions of the policy, certain policies may require an endorsement. A statement on PRODUCER Bettis Insurance Services 1726 8, Gaffey Street Sidle C San Pedro CA 90731-4668 INSURED Immigrant Defenders Law Center 634 S. Spring Street, 10th Floor Las Angeles CA 9064- 4`C'0r1d1rATC \e THIS ISM CERTIPY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PENIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, SR TYPEOP NSURn CIE JADOL SUERMetpMCI tlkICY EFP P LICY BXP LILIES A X COMMERCIAL ORNaRALLIABILITY CLAIMS-NADE El 0000H Improper Sexual Cond X 2019.48928•NPO 5813112019 0/3112020 eAc occu cE t 11000,000 D tle 70 RBJTEO 500,000 20,000 X X G X E EX n m nIa Contractual Llab PERSONAL o ADV INJU v a 1,000,00D 'LAGOft UMITAPIp�L�gg PER: POLIOY jE LOD OTHER, GENE e E TE 2,000,000 OVOT9•COMP P S 2,000,000 $ A AUTOMOBILELIASILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AVTOa HIREN-OWNJx AUTOS ONLY X AUT ONLLY X 2019-48928-NPO 8/31/2018 M13112020 coMel EosInGLEUMIT BODILY INJURY(Perremn) $ 11000,000 $ EMILY INJURY tiler aoedenl) S PROP�TE YbLAMAGE $ a A X UMSRELLALIAB EXCESS LIAB OCGJR CLAIMS -MADE X 2019-48925•UM13 813112018 813112020 VAOH0 RRE CE 1,000,000 AGGREGATE 1,000,000 WORNBROCOMPWRAVDIN AND EANYPMPpLLRROYERS' LIABILITY OFFICER/MEMBEREZ DxhOUnVE (MandatorybNH) H 9e deealbeuidpr NIA PER OTH E.L. ErOH AaciDEmr E,.DSEB•EA OYEE E.L.II DISEASE - POLICY LIMIT DESORIPTIONOF OPERATIONS I LOD TIONBNEHIOLE; 11ACORDim, ddlllonnl gnmprka $chedul0, may k0 albeh ddlf meta epnOe is mqulred) The dty of Bents Ana, Its officials, sgents, empitlyees Wrepresentatives are named as advi onal Insured so per additional Insured andomement 002020 0413 whore required by written contraot with the named Inat)red subject to the terms and Conditions set forth In the policy. City of Santa Ana REVtE9VED & APPROVE SHOULD ANY OF THE ASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN t3 MfskM A EINENT t)IVISI 20 Civic canter Plaza Y Q ACCORDANCE WITH THE POLICY PROVISIONS. Santo Ana CA 92701• �1 a01� rHoalz D R IHNr Iv gAMA ( �� ART W INUU-2U10 AUDED CORPORATION. All rights reserved. ACORD 25 (2018103) The RD name an logo are reglstored marks of ACORD POLICY NUMBER: 2019-48028 Named Insured: Immigrant Defenders Law Center COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modlfles Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization that you are required to add as an additional Insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization, Information required to complete this Schedule, if not shown above, will be shown In the Declarations. A. Section II M Who Is An insured is amended to Include as an additional Insured the person($) or organization(s) shown in the Schedule, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising Injury" caused, in whole or In part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or. 2. in connection with your premises owned by or rented to you. However; 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. CG 20 26 0413 4- B. With respect to the Insurance afforded to these additional Insureds, the following Is added to Section III — Limits Of Insurance: If coverage provided to the'additional insured Is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1 A 4a, Specialty Policy No.: LlAA687884 04 Insurance Company Issue Date: 8/07/2019 AIX Specialty insurance Company 2 Waterside Crossing, Suite 400, Windsor, CT 06095 Lawyers Professional Liability Policy (NLADA Insurance Program) NOTICE; THIS IS A CLAIMS -MADE AND REPORTED POLICY, PLEASE READ THE POLICY CAREFULLY. THE LIMIT OF LIABILITY AVAILABLE TO PAY DAMAGES WILL BE REDUCED BY AMOUNTS WE PAY FOR CLAIM EXPENSES AS DEFINED IN THE POLICY. FURTHER NOTE THAT AMOUNTS INCURRED FOR DAMAGES ARE SUBJECT TO THE DEDUCTIBLE. FOR SURPLUS LINES POLICYHOLDER NOTICE - PLEASE SEE DECLARATIONS ADDENDUM DECLARATIONS Item 1. Named Insured; Immigrant Defenders Law Center Item 2. Mailing Address: 634 S. Spring St. 10th Floor, Los Angeles, CA 90014 Item 3. Policy Period 7/20/2019 12:01 AM to 7/20/2020 12:01 AM Coverage Summary_ This policy includes only those Coverages designated with a "Yes" as "Included" in the Coverage Summary set forth below. if neither "Yes" nor "No" is designated for a listed Coverage, such Coverage is "Not Included." Item 4. Item 5. Included Item 6, Coverage/Limit of Liability Deductible (Yes/No) Premium Lawyers Professional Liability $1,000,000 Each Claim and $5,000 Annual Aggregate Yes $15,898,00 $2,000,000 in the aggregate Retroactive Date: 7/20/2015 Management Liability Errors and Omissions Endorsement No Employment Practices Liability Criminal Defense Endorsement No Punitive Damages Endorsement 0 914-0002-CA 11 11 Paqe 1 of 4 Specialty Policy No.: L1AA687864 04 Issue Date: 8107/2019 Insurance Company AIX Specialty Insurance Company 2 Waterside Crossing, Suite 400, Windsor, CT 06095 Lawyers Professional Liability Policy (NLADA Insurance Program) Coverage Summary (con%) This policy Includes only those Coverages designated with a "Yes" as 'Included" in the Coverage Summary set forth below. If neither "Yes" nor "No" is designated for a listed Coverage, such Coverage Is "Not Included." Item 4. Goverage/Limit of Liability Outside Practice of Law Endorsement Primary Pro Bono Endorsement Retroactive Date: 7/2012015 Additionallnsured(s) Retroactive Date: Item 6. Included Item 6. Deductible (Yes/No) Premium Additional Insured(s) Endorsement (see Schedule) Cancellation Notification Endorsement Policy Premium: Surcharges/Taxes: Surplus Lines Tax Stamping Fee Total Amount Due: Itom7. Forms Attached at Issue: D-1 914-0002-CA 11 11 SIG-0001 0910SL XIL0002 06 07 914-0002-CA 11 11 No Yes Yes No $16,898.00 $476.94 $31.80 $16,406.74 AIX QFAC0812 914.0001CV-CA0910 914-00010910 AIX CLRG 06 16 914-0027 0112 914-0021 01 12 Paqe 2 of 4 iA Specialty Insurance Company Policy No.: L1AA687864 04 Issue Date: 8107/2019 AIX Specialty Insurance Company 2 Waterside Crossing, Suite 400, Windsor, CT 06095 Lawyers Professional Liability Policy (NLADA Insurance Program) Item8. Forms Attached by Endorsement: Item 9. NOTICE OF A CLAIM: Report any claim or potential claim to the Company as required by Section G. DUTIES IN THE EVENT OF CLAIM(S) OR POTENTIAL CLAIM(S): AIX Specialty Insurance Company , Lawyers Professional Liability Claims Telephone No.: 8OM58-6688 P.O. Box 15145 Facsimile: 616.843.1079 Worcester, MA 01615 Report a claim online: hanoverprofessionals@hanover.com The Declarations, the Professional Liability Coverage(s), and any endorsement attached thereto, constitute the entire agreement between the Company and the Insured. 914-0002-CA 11 11 Page 3 of 4 s S eCiallh,,, Policy No.: LlAA687864 04 p `y Issue Date: 8/07/2019 Insurance Company AIX Specialty Insurance Company 2 Waterside Crossing, Suite 400, Windsor, CT 06095 Lawyers Professional Liability Policy (NLADA Insurance Program) SURPLUS LINES DISCLOSURE CALIFORNIA SURPLUS LINES POLICYHOLDER NOTICE: 1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED NONADMITTED OR SURPLUS LINE INSURERS. 2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT WHICH APPLIES TO CALIFORNIA LICENSED INSURERS. 3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UANBLE TO MAKE PAYMENTS AS PROMISED. 4. CALIFORNIA MAINTAINS A LIST OF ELIGIBLE SURPLUS LINES INSURERS APPROVED BY THE INSURANCE COMMISSIONER, ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST. 914-0002-CA 11 11 Pme4of4