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HomeMy WebLinkAboutIMMIGRANT DEFENDERS LAW CENTER (10) INSURANCL UN FILE A-2025-136-01 MAY Va�ValerieAmezcua `- -�_�`"�� ,� CITY MANAGER �' Alvaro Nunez MAYOR PRO TEM i '�, CITY ATTORNEY David Penaloza - I Sonia R.Carvalho COUNCILMEMBERS JUL 0 62026 I CITY CLERK Phil Bacerra Jennifer L.Ball Johnathan Ryan Hernandez Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF S A NTA A NA wo cm) Ct MQ,tCG►do(py> CITY MANAGER'S OFFICE 20 Civic Center Plaza a P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.or4 June 9, 2026 Immigrant Defenders Law Center Attn: Jonathan Barrales 634 South Spring Street, 10'h Floor Los Angeles, CA 90014 Re: Extension of Agreement A-2025-136 for Immigration Legal Defense Services Pursuant to Section 2(b) ("Term of Agreement") of the above-referenced Agreement, entered into by Immigrant Defenders Law Center, ("ImmDef") and the City of Santa Ana, dated August 19, 2025, the time period of the Agreement is herby extended for an additional one-year period until August 18, 2027. 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, Alvaro Nunez City Manager City of Santa Ana ATTEST CIT OF S A ANA t er :; Alvaro Nunez City Cler City Manager APPROVED AS TO FORM ImmDef Jonathan Martinez By: Lindsay Toczylowski Assistant City Attorney Title: President&CEO SANTA ANA CITY COUNCIL Va=:ere Am D"d Penakrza Thai Viet Phan 3eniamw Vazquez Jessie Lopez Phil Bacerra John=an Ryan Hemandu Mayan Mayor Pro Tom-WaM 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 yamezpaa a ar_g ra w6santa-ana.om 5vamuez$santa-tea ora ressx!aoezt7�sanraana-om om iNanhemandez, Santa-ana.ai IMMIDEF-01 DOLDENBERG CERTIFICATE OF LIABILITY INSURANCE DATE l 11/1412412025 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 polley(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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 License#L100460 CONTACT ME: Knauf Maxwell Insurance Services PHONE PAX 2900 W.Broadway (Arc,Nc,Ext;(323)550-7904 Arc,No):(323)256-080q Los Angeles,CA 90041 EDOAfiss:knaufreception@kmins.com INSURERS AFFORDING COVERAGE NAIC 9 INSURER A:Alliance of Nonprofits for Insurance,Risk Retention Group,Inc. 10023 INSURED INSURERB:Chubb National Insurance Company 10052 Immigrant Defenders Law Center INSURER C:NLADA Mutual Insurance Co.,a Rlsk Retention Group 17336 634 S Spring St.,10th Floor INSURER D: Los Angeles,CA 90014 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 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 AD➢L SUBR POLICY NUMBER POLICY EFP POLICY EXPLTIR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000' CLAIMS-MADE [X] OCCUR X X 02-CP-0048928-01-09 8/3112025 813112026 DAEMGETORENcE❑ $ 500,000 MED EXP(Any one erson $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000. POLICY El y9a El LOG PRODUCTS-COMPIOPAGG $ 3,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ( a accident ANYAUTD X X 02-CP-0048928.01-09 813112025 813112026 BODILY INJURY Per person) AIURTOS ONLY SCHEDULED BODILY INJURY Per accident X AUTOS ONLY X AUTOS ONLY Pe�accidant AMAGF A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE X 02-UB-0048928-01-08 813112025 8/31/2026 AGGREGATE $ 2,000,000 DE❑ X RETENTION$ 0 B WORKERS COM PEN SATION X PER OTH- AND EMPLOYERS'LIABILITY UTE ANY PROPRIETORIPARTNERIEXECUTIVE Y!N }( 71840312 81112025 81112026 1,000,000 FICERRIMEMBE EXCLUDED? N 7 A E.L., .EACH ACCIDENT andatary In NH) E.L.DISEASE;-EA EMPLOYE $ 11000,000 If yes,d uscrlao under F.L.DISEASE-POLICY LIMIT DESCRIPTION IPTION OF OPERATIONS below 1,000,000 C Professional Liah LPL100816-02 712012025 712012026 Each Claim 1,000,000 C Professional Liab LPLI00816-02 7/2012025 712012026 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Includes Social Services Professional Liability overage Carrier-Alliance of Nonprofits for Insurance,Risk Retention Group,Inc. Policy#2025-48928 Effective 8/3112026 to 8/31/2026 $1,000,000 coverage limit(Each Claim) SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:City Manager's Office 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:IMMIDEF-01 DOLDENBERG ' r+� LOC#: 1 ACCOR 7®' ADDITIONAL REMARKS SCHEDULE Page 1 of 2 AGENCY License#L100460 NAMEDINSURED Imm nauf Maxwell Insurance Services 634 rant Defenders Law Center 34 S�Spring St.,10th Floor POLICY NUMBER Los Angeles,CA 90014 EE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FARM NUMBER: ACORN 25 FORM TITLE: Certificate of Liability Insurance Description of Operation slLocationsNehicles: $3,000,000 coverage limit(General Aggregate Limit) *$1MM Umbrella coverage sublimit over Social Services Professional Liability Coverage* ..........-................................................--.....................--..................... Includes Improper Sexual Conduct and Physical Abuse Liability Coverage Carrier-Alliance of Nonprofits for Insurance, Risk Retention Group, Inc. Policy#2025-48928 Effective 813112026 to 8/31/2026 $1,000,000 coverage limit(Each Claim) $3,000,000 coverage limit(General Aggregate Limit) *$1 MM Umbrella coverage sublimit over Improper Sexual Conduct and Physical Abuse Liability Coverage* --------...............................................-....................-............................ Includes Directors&Officers Liability Coverage Carrier-Alliance of Nonprofits for Insurance, Risk Retention Group, Inc. Policy#2025-48928 Effective 8131/2025 to 8/31/2026 $1,000,000 coverage limit(Each Wrongful Act) $2,000,000 coverage limit(General Aggregate Limit) $10,000 Deductible *$1 MM Umbrella coverage sublimit over Directors&Officers Liability Coverage* --------------------------------------------------------------------------------------------------------- Includes General Liability Coverage Carrier-Alliance of Nonprofits for Insurance,Risk Retention Group, Inc. Policy#2025-48928 Effective 8/31/2025 to 8/3112026 *$2MM Umbrella coverage limit over General Liability Coverage* ........................-.......................................................................................................... $2MM Umbrella coverage policy includes the underlying Employers Liability Coverage under it- Carrier-CHUBB National Insurance Company Policy#71840312 Effective 8/01/2025 to 8/01/2026 $1,000,000 coverage limit(Each Accident) $1,000,000 coverage limit(Disease-Policy Limit) $1,000,000 coverage limit(Disease-Each Employee) *$2MM Umbrella coverage limit over Workers Compensation Coverage* ...........................................-............................................................... The City of Santa Ana,its officers,agents,employees and representatives are also included as an Additional Insured, includes ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:IMMIDEF-01 DOLDENBERG LOC A�®® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY License#L100460 NAMED INSURED Knauf Maxwell Insurance Services Immigrant Defenders Law Center 634 S Spring St. 10th Floor POLICY NUMBER Los Angeles,CA 90014 SEE PAGE 1 CARRIER NA IC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE;SEEPAGE1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of 1-Tability Insurance Primary&Non-Contributory wording,and Waiver of Subrogation applies as respects General Liability coverage; only as per the attached endorsement(s),where required by written contract with the Named Insured subject to the terms and conditions set forth in the policy. 30 Days Cancellation applies per the attached endorsement. The City of Santa Ana,its officers,agents,employees and representatives are also included as an Additional Insured and Waiver of Subrogation applies as respects Automobile Liability coverage; only as per the attached endorsement(s),where required by written contract with the Named Insured subject to the terms and conditions set forth in the policy. Waiver of Subrogation applies as respects Workers Compensation coverage; only as per the attached endorsement(s). Carrier-Alliance of Nonprofits for Insurance, Risk Retention Group, Inc. Policy#2025.48928 Effective 8/3112025 to 8/31/2026 $1,000,000 coverage limit(Each Claim) $3,000,000 coverage limit(General Aggregate Limit) *$11VIM Umbrella coverage sublimit over Social Services Professional Liability Coverage* THEREFORE,$1MM 1$3MM underlying PL+$1MM1$1MM PL Sublimit=$2MM per occurrence 1$4MM aggregate Professional Liability Total ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ® NONPROFITS INSURANCE ALLLANCE OF CALIFORNIA A Read for Insurance.A Heart for Non profits. POLICY NUMBER:2925-48$28 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section II—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 maybe 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 A.4. 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. Other Insurance 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 NIAC-E61 02 19 Page 1 of 2 NMINONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance.A Heart far Nonprofits. POLICY NUMBER:2025-48928 (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 Excluslon g. of SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE. (e) 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. NIAC-E.61 02 19 Page 2 of 2 ® NONPROFITS POLICY NUMBER: 2025-48928 FORM: NIAC-E26 11 INSURANCE 17NAMED INSURED: Immigrant Defenders Law Center ALLIANCE 4F CALIEORNIA A Head far Insurance.A Heart far Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy,we waive any right of recovery we may have against that person or organization,who may be named in the schedule above, because of payments we make for injury or damage. NIAC-E26 11 17 Page 1 of 1 CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. (I]) Specific Waiver Name of person or organization (N) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be 1% percent of the California premium developed on payroll in connection with work performed for the above person(s)or organization(s) arising out of the operations described. 4. Minimum Premium: Authorized Representative This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 08-01-25 Policy No. 71840312 Endorsement No. Insured IMMIGRANT DEFENDERS LAW CENTER Premium$ Incl. Insurance Company Chubb National Insurance Company Countersigned By WC 90 03 75(05/18) Insured Copy InIALLIANCE OF NONPROFITS FOR NONPROFITS OWN'p' INSURANCE Part of Nonprofits Insurance Alliance(MIA) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Al - PRIMARY AND NON-CONTRIBUTARY— DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM In consideration of the premium charged, it is understood and agreed that the following is added as an additional insured: Any person or organization that you are required to include on this policy, underwritten contract or agreement currently in effect or becoming effective during the term of this policy, applicable under the terms and conditions of this endorsement, and consistent with the description below that the parties intend. 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 (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. Such insurance as is afforded by this endorsement for the additional insured shall apply as primary insurance. Any other insurance maintained by the additional insured or its officers and employees shall be excess and non- contributing with the insurance afforded by this endorsement. NlA-102 BA 01 25 Nonprofits Insurance AllianceT"" and NONPROFITS OWNQ are brands of Page 1 of 1 Alliance Member ServicesT'" (AMS).©AMS.All rights reserved. POLICY NUMBER: 02-CP-004892E-01-09 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Immigrant Defenders Law Center Endorsement Effective Date: 08/31/2025 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization as required under a written contract or agreement currently in affect, or becoming effective during the term of this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 4410 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1