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HomeMy WebLinkAboutIMMIGRANT DEFENDERS LAW CENTER (4)DocuSign Envelope ID: 1F16AC884775-44AD-84D2-6E95AEB383A9 A-2020-010-01 MAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Nelida Mendoza David Penaloza Vicente Sanniento Jose S010rio :URANCE N0T REOUIRED WORK k4AY PROCEE0 CLERK OF COUNCIL rr. CITY OF SANTA ANA CITY MANAGER'S OFFICE 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.or0 CoCO 0) Dim it\ sl� L1` Immigrant Defenders Law Center Attn: Ms. Lindsay Toczylowski Executive Director 634 South Spring Street Los Angeles, CA 90014 September 24, 2020 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Agreement #A-2020-010 for Removal Defense Services Funding Dear Ms. Toczylowski: Pursuant to Section 2 ("Term") of Agreement No. A-2020-010 ("Agreement"), entered into by Immigrant Defenders Law Center and the City of Santa Ana effective February 1, 2020, the term of the Agreement is hereby extended for a three (3) month period from November 1, 2020 through January 31, 2021. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Kristine Ridge City Manager CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM ATTEST Gomez, MMC of the Council IMMIGRANT DEFENDERS LAW gENTFR uViuko � 1ar C w Li Laura A. Rossini Lm say oczylowski Acting Chief Assistant City Attorney Executive Director SANTA ANA CITY COUNCIL Miguel A. Pulido Juan Villages Vicente Seumento David Penaloza Jose Solorio Phil Bacana Nelida Mendoza Mayor Mayor Pro Tom, Ward 5 Ward 1 Ward 2 Ward 3 Ward 4 Ward 6 moululoasanta-ana.om rvilleuasasanle-ana.aa vsamieme0santa-ana.ora doenalozanaeanta-anaao solonoralsanta-ana.ora nEacer.Auu rla-ana.om rohndozafsanta-ana.ora Francine R. Digitally signed by Francine It. vlllereel Villareal date: 2020.092112:04:1207.OV ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 08/31/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bettis Insurance Services, Inc Box San Pedro SaCA 90731-2816 cOME:MVCT Kathleen McDermott PHONE (310)521-4480 FAC No:(310)521-0111 ) E-MAIEkathleen@bettisins.com SS, INSURERS AFFORDING COVERAGE NAIC9 INSURER A:Nonprofits Insurance Alliance of CA (A VIII Rated) 0 INSURED INSURER B INSURER C : Immigrant Defenders Law Center INSURER 0: 634 S. Spring Street, 10th Floor Los Angeles CA 90014- INSURER E: INSURER COVERAGES CERTIFICATE NUMBER' RFVIRInN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR TYPE OF INSURANCE ADEL Il SUER Man I POLICY NUMBER POLICY EFF POLICY EXP YYII LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X 2020-48928-NPO 8/31/2020 08/31/2021 EACHOCCURRENCE $ 1,000,000 DAMAGE TO RENTEDPREMISES (Ea accalaggince) $ 500,000 X MED EXP lAny oneperson) $ 20,000 Improper Sexual Cond Contractual Liab PERSONAL B ADV INJURY $ 1,000,000 X AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC GENERAL AGGREGATE $ 2,000,000 GEN'L X PRODUCTS COMPIOPAGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY X 2020-48928-NPO 8/31/2020 08/31/2021 COMBINED SINGLE LIMIT $ 11000,000 BODILY INJURY person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peraceldent ( ) $ PROPERTYdeed) AGE $ X HIRED X AUTOSNON-OONLY AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAR X OCCUR X 2020-48928-UMB 8/3112020 O8l31/2021 EACH OCCURRENCE_ $ 1,000,000 AGGREGATE 1,000,000 EXCESSUAB CLAIMS -MADE DED RETENTION _$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE ❑ OFFICEPIMEMBER EXCLUDED? NIA I PER OTH. STAUur E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONSE.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mare space is required) The City of Santa Ana, its officers, agents, employees and representatives are named as additional insured including primaryfit non contributory wording per 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 NIAC Al 0391 where required by written contract with the named insured subject to the terms and conditions set forth in the policy. City of Santa Ana Risk Management Division 20 Civic Center Plaza; 4th Floor Santa Ana ACORD 25 (2016103) A1000988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CA 92701- I AUTHORIZED REPRESENTATIVE N REVIEWED&APPROVEDBY: ©1988-2015 ACORD CO .r. Ella-w,�rra' (/4.inat� L'----�'' Risk Management Analyst The ACORD name and logo are registered marks of ACORD NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head jar Insurance, A Heart for Nonprofits. POLICY NUMBER: 2020-48928 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section 11— WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. 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. B. Section III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A4. above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Otherinsurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or . �.� N . 1iWxManagmnentB[Wafon. REMevm & APPRovyW Br 8 ee (4,"4-4 N. Vyy Risk hA an:�gen rent Matprt NONPROFITS INSURANCE ALLIANCE Of CALIFORNIA A Head for Insurance. A Heart for Nonprofits. POLICY NUMBER: 2020-48928 (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (a) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. MAC-E81 02 19 RleleMana�+etnentDivislan t N t RwiEwm & APPRovm By. Rt I=aois.E k, vdP," Rakkianagel e tAnihrsk .g Yf, .IN ONPROFITS INSURANCE ®M ALLIANCE OF CALIFORNIA A Head for insurance. A Haort for Nonpraf ft9. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE ONLY In consideration of the premium charged, it is understood and agreed that the following is added as an additional insured: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) But only as respects a legally enforceable contractual agreement with the Named Insured and only for liability arising out of the Named Insured's negligence and only for occurrences of coverages not otherwise excluded in the policy to which this endorsement applies. It is further understood and agreed that irrespective of the number of entities named as insureds under this policy, in no event shall the company's limits of liability exceed the occurrence or aggregate limits as applicable by policy definition or endorsement. NIAC Al 03 91 Rie.4ManegmmMtU1Vis1on 83 REVIEWED&APPROVm8Y. - �AF+?Y�+e �V•sU4vf� Risk Management Analyst NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED NOTICE OF CANCELLATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART BUSINESS AUTO COVERAGE FORM Cancellation: 30 Days Notice of Cancellation Person or Organization The City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor, Santa Ana, CA 92701 If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, we will mail notice of cancellation to the person or organization shown above. We will mail such notice to the address shown at least the number of days shown for cancellation. NIAC-E64 10 12 ,,� agcraerct.DlWalon REVIEwED EWED&APPROVED BY .a.' Risk Management Analyst k3 CERTIFICATE OF LIABILITY INSURANCE 08/06/2020 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on PRODUCER CONCT TAPaychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. PHONE FAX 150 SAWGRASS DRIVE • 877-266-6850 , 585-389-7426 ROCHESTER, NY 14620 E-MAILSS. Certs@paychex.com INSURER(S) AFFORDING COVERAGE NAIC q INSURED INSURERA: Wesco Insurance Company 25011 IMMIGRANT DEFENDERS LAW CENTER (A INSURER B: CORP) 634 S SPRING ST. 10TH FLOOR INSURER C: LOS ANGELES, CA 90014 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH 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. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF , POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE[OCCUR \GGREGATE LIMIT APPLIES PER: POLICY F-1 PROJECT= LOC ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS �AUTOSWNED UMBRELLALIAB " OCCUR EXCESS LIAR F-1CtAIMS'MADE MED EXP(Anyone person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS-COMP(OPAGG AGGREGATE $ WORKERS COMPENSATION AND WWC3483533 08/01/2020 08101121121 A E.L. EACH ACCIDENT $ 1,000,000.0c EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ 1,000,000.00 ANY PROPRIETORIPARTNERAHXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE -POLICY LIMIT $ 1,000,000,00 IManaatory In NH) Y NIA Xyee, d—rlbo under DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division, 41h Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) @1988.2016 ACORD COF The ACORD name and logo are registered marks of ACORD yes. RIBkManegementDMalDn £ REVIEWED &APPROVED BV: Risk Management Analyst CERTIFICATE OF LIABILITY INSURANCE OAT@ adWODIYYYY) 020 THIS CERTIFICATE IS ISSUED AS q MATTER OF INFORMATION ONlY AND CONFERS Np RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE E INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, - IMPORTANT: If the cortl0cate holder Is an ADDITIONAL INSURED, the polley(!es) moat be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain oma poll may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such andoreemenl(s), PRODUCER - _ - The Leavitt Group of Atlanta, Inc, AA- ? DaviU.K%Slel_._.r._ PHONE EV.Nd.EYUL2024S2B87.0.—_ (, _94202452.007R....-...-. Sulte 410.eo_oR�sa;.,d,k@sslerf�nlada.org.._ ..T.�.� r -- Atlanta GA 30345 --- Ir15UAER1S1_ FFYR01N000VERAGE NAIDd __.,�._._.. _ _ _.__.�_.__._� ._� I,N, sURBR py AIX SgeDlalty lne franca Compen INSURED -.-_.._. _.. _. ImmlpraI Defenders Lew Cehier !N@�RER a t_ , _ - -- INSURER C, 8343. Spring St. 10th Floor IN¢UROR D, -..----- ___ Los Angeles, An0 CA 00014 xs�InEn E BE HEREIN IS M1CLAIMS•MADECJ OCCUR jI 3REOATE UMIT APPLIES PER. _ ...11 PRO. r— ANY AUTO AUTOB SO AUTOSULU0 BODILY INJURY 1PIN proon) a - HIREDAUTOS NONANNED BODILY IN JURY (PoracclUnlp S _ AUTOS 1PgtrfAElCTY oii1FA6� S - -_ r— LiP.Ara_ g UMBRELLA We OCCUR CANY ENPLOYERSLIABIIJTY �� —� ���� p7pL`� Ip ANY PROPRIETOR PAq NER E%ECVTIVE Y f N BYJ IMITs r OFFICEIMEMBBR EXCLUDED? ❑ NIA E.L. EACN ACCIOEN_, T_` (Mnndatwy lA NH) IIYAr,ae 14 undm E.L. DISEASE,EA EMPLOY RIeT1eu nF pPFon �- E L. bISEASE . POLICY A Professional Liability LIMI I X �� LIAA687864 D5 67nol2ozo onzorzort $1,000.000 each dalm i $2,00D.000 in the align )ESCnIPnONOFOPERATWNSILOCAnONSIVENICL@B(AH1911ACORD1ai,AddhIll lo"IIl 591hodub,NAIOMtPreelsrpulrodl $6,000annual e r@ 8 City of Santa Ana Risk Management Division, 41h Floor 20 Civic Canter Plaza Santa Ana, CA D2701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 2010106 Ru T ese-zU1U ACI ( ) The ACORD name and logo are registered marks of ACORD n R1ekManegetnetdDiviafon a REVIEWED & APPROVED SY: g# f Mkk.Glf.4 R., Y+.QiR.LFh4 Rlsk Management Analyst