Laserfiche WebLink
Francine R. Digitally signed by Francine R. <br />Villareal <br />Villareal Date: 2022.02.0716:4531-08'00' <br />ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMI°DIYYYY) <br />1 /25/2022 <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & CO. <br />Insurance Brokers of CA., Inc. <br />505 N Brand Blvd, Suite 600 <br />CONTACT <br />NAME: Danielle Donohue <br />PHONE FAX <br />o Ext : 818.539.8605(A/c, No): 818.539.8705 <br />AIC No, <br />AIL <br />ADDRESS: Danielle_Donohue@ajg.com <br />Glendale CA 91203 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Nonprofits' Insurance Alliance of CA <br />License#: 0726293 <br />INSURED PUBLLAW-01 <br />Public Law Center <br />INSURER B : <br />601 Civic Center Drive <br />INSURER C : <br />INSURER D <br />Santa Ana, CA 92701 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1597205199 REVISION NUMBER: <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 />OF INSURANCE <br />ADDLSUBRTYPE <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM DDIIYYYY <br />POLICY EXP <br />MM DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />20222205ONPO <br />2/1/2022 <br />2/1/2023 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY ❑ JECT PRO ❑ LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />20222205ONPO <br />2/1/2022 <br />2/1/2023 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X HIRED LNON-OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />202222050UMBNPO <br />2/1/2022 <br />2/1/2023 <br />EACH OCCURRENCE <br />$1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Improper Sexual Conduct <br />20222205ONPO <br />2/1/2022 <br />2/1/2023 <br />Per Claim <br />$1,000,000 <br />Aggregate <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Nonprofits' Insurance Alliance of CA - A.M. Best #011845 <br />Policy: Cyber Liability <br />Policy#: RPS-P-50200067M <br />Policy Term: 4/7/2021 - 4/7/2022 <br />Carrier: BCS Insurance Company <br />Limit: $500,000; Retention: $2,500 <br />See Attached... <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92701-4058 <br />AUTHORIZED REP ESENTATIVE <br />©15 ACORD C1988-20 <br />LL3R M&Agh21dDRBIOR <br />REVEWED&APPRCYVEDBY: <br />"° <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />_ _ <br />Wsk MPanagement Analyst <br />