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HomeMy WebLinkAboutIMMIGRANT DEFENDERS LAW CENTERINSURANCE NOT ON FILE WORK MAY Q1 PROCEED I 0 A-2018-250 THIS FIRST AMENDMENT to the above -referenced agreement is entered into on October 16, 2018, by and between Immigrant Defenders Law Center ("Grantee"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Grant Funding Agreement for Legal Services No. A-2017-287, effective November 1, 2017, by which the City provided funding to Grantee for the provision of removal (deportation) defense services that contribute to the protection of families of Santa Ana immigrant populations ("Agreement"). B. The Agreement remains in effect through October 31, 2018, and the City wishes to provide additional funding to Grantee for the continuation of such services through October 31, 2019, C. The parties now wish to amend the Agreement accordingly. The Parties therefore agree: Section 1, Program of Legal Services, is amended to include t11e scope of services to be provided by Grantee as described on Exhibit A. 2. Section 2, Term of Agreement, is amended to extend the term of the Agreement through October 31, 2019. 3. Section 3, Use of Grant Award; Payment, is amended to include additional funding in the amount of*8-5;b60; as payable by City to Grantee within forty-five (45) days of approval of this First Amendm4t. •� �' $� t 000 T�" 4. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST 4 x xall 4 Y4 t + Y x' x • , • � ax. LM 17-1 i t CI'T'Y OF SANTA ANA PAUL GODINE n,.. I� City Manager - signatures continue on next page - Page 1 of 2 APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By:'vfffjo. IA/, J N M. FUNK Assistant City Attorney RECOMMENDED FOR Deputy City IMMIGRANT DEFENDERS LAW CENTER Name: t&S4 Title: V\. Page 2 of 2 APPROVED AS TO FORM IMMIGRANT DEFENDERS LAW SONIA R. CARVALHO CENTER City Attorney By: /M✓. XMN M. FUNK Assistant City Attorney FOR APPROVAL ROBERT CORTEZ Deputy City Manager Name: Title: Page 2 of 2 EXHIBIT A Santa Ana Universal Representation Project Y2 — Scope of Work 2018-201 Proposed Budget:405-,o w— *Wow Describe the type of immigration legal services that you will be providing through the City of Santa Ana's Universal Representation Fund. ImmDef will continue to provide removal defense legal services exclusively to Santa Ana residents. We will prioritize this funding on cases that originate in detention, either at the Musick or Theo Lacy facilities. Depending on staff capacity, ImmDef may also represent Santa Ana residents who are detained in Adelanto. We will also provide removal defense legal services to non -detained Santa Ana residents in removal proceedings, with the caveat that priority be given to detained Santa Ana residents. We will provide full-scale deportation defense in these cases including bond, initial masters, and subsequent masters, merits (both detained and released). Proposed Program Model: ImmDefs representation model is, based on a universal model of representation. ImmDef has never denied representation to anyone based on their lack of eligibility for relief, complexity of issues, or for any other reason. The only criteria ImmDef will use to screen clients for this project is an income eligibility requirement of 200% or below of the federal poverty guidelines, and a Santa Ana residency requirement. Estimated Numbers of Clients to be Served: Based on ImmDef s proposed budget, ImmDef anticipates serving an additional ami clients in Santa Ana with these funds. The actual number served will depend on factors beyond our control such as: the number of individuals who have no relief available to them or who seek voluntary departure, the number of individuals whose cases proceed to a trial (merits hearing) while detained versus clients released on bond, and the level of cooperation from EOIR or ICE V9 - in assisting with client accessibility and case calendaring. Given our budget of $•85,aaoe, the � Vol DOO proposed metrics leave us with a case cost of $41250$4722, which is identical to the case cost in Y1. Under the Y1 contract through the City of Santa Ana and the Vera Institute, ImmDef projected that it would represent 35-40 Santa Ana and Orange County residents in removal proceedings. We anticipate by the end of the contract year with the City of Santa Ana ending on October 31, 2018, that we will have initiated representation with another 3-5 cases, bringing our Y1 total to approximately 20-22 Santa Ana residents represented by this project. Due to staffing changes and hiring, and delays with setting up our physical space in Santa Ana, our Santa Ana OC team was not fully operational until March 2018, approximately four months after the grant period began for Y1 on November 1, 2017. ImmDef plans to incorporate the additional 15-20 cases to our Y2 deliverables, with an expected total by the end of Y2 o£sgSanta Ana and Orange County cases, with a mixture of non -detained and detained cases.! Anticipated outcomes and Impact of Services: ImmDef expects our high ❑quality representation to have a profound effect on the clients we serve. As of October 4, 2018, ImmDef represents 17 Santa Ana residents in removal defense proceedings. Three cases have been closed, with one Santa Ana resident obtaining relief from removal. The remaining 14 cases are pending. The project serves a cross-section of Santa Ana's immigrant community, including single mothers, fathers, homeless individuals, youth, the EXHIBIT A elderly and victims of domestic violence. Even in cases where we were unable to secure immigration relief for community members, our attorneys played an important role by showing our clients and their families that they are not alone through this process. The impact of this project will be most concretely evident in the number of clients served through the program, and the impact of representation on the outcome of those clients' cases. We will be able to measure this impact by the sheer numbers of clients receiving representation, but also by comparing the outcomes of cases of those clients who receive representation with the outcomes of unrepresented detainees. This data will be readily available through our internal case management software and government[] maintained immigration court data. Another important indicator of the project's impact will be the number of Orange County area residents who receive an intake screening even if ultimately, they are unable to receive representation through the project due to financial or residency factors. The screening in and of itself is an important benefit to a potential client as we will be able to use it to orient the detainee to the immigration removal process and offer them options outside of our services such as referrals to reputable private attorneys. In addition to the sheer number of clients served under the project and the outcome of the cases, it will be important to measure the qualitative impact of these services on our clients, their families and our communities. ImmDef has worked with the Vera Institute to measure this impact which will hopefully enable us to build support for continuing funding for removal defense in Orange County. ImmDef would also be interested in facilitating meetings between clients whose cases are successfully completed and the Santa Ana City Councilmember whose district they live in so that we may directly show elected officials the impact of the program on their constituents. 4ccrRn® CERTIFICATE QF LIABILITY INSURANCE �,�,.,.-- o9/ 11/20YW o9/xl/tole 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(les) must 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. 1725 S. Gaffey Street Second Floor San Pedro CA 90731 NAME:GT Jim Roberts FHCNfdo Exl: (310) 521-441 ntc N0: Pim 521-0111 ADDRESS: INSURERS AFFORDING COVERAGE NAIC B INSURERA:Non Profits Ins Alliance of CA INSURED Immigrant Defenders Law Center 634 South Spring St., 10th Flt Los Angeles, CA 90014 INSURER 8: INSURER C: 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. NOTIMTHSTAN DING 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 TYPEOFINSURANCE A DDL SUSHI POLICY NUMBER MWDDNYYY CYR MMIOD LIMITS A GENERALLIABILITY x 018 -48928 -HBO )8/31/2018 8 31/2019 EACH OCCURRENCE $ 1,000,000 PREMISES (E. ocanen $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Q OCCUR MED EXP (Any one arson) $ 20,000 PERSONAL &ADV INJURY $ 1,000,000 % Contractual Liability GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 $ POLICY 0 PRO- JECTLOC A AUTOMOBILE LIABILITY 018 -48928 -NPO 08/31/2018 08/31/2019 EOeBBINEDcdcarISINGLE LIMIT 11000 000 BODILY INJURY (Per person) $ AUTO ALL OWNED SCHEDULED IxANY AUTOS AUTOS BODILY INJURY (Per &Wdenp $ Par cccitld. DAMAGE $ HIRED AUTOS % AUUTOSWNED A % UMBRELLA LIAB OCCUR 018 -48928 -Ina NPO 8/31/2018 0/31/2019 EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEO RETENTION S $ WORKERS COMPENSATION WC STALIMTU- OTH- ANDEMPLOYERSUABILITY YIN ANY EGUTIVE El. EACH ACCIDENT $ OFFICERIMEMSEB EXCLUDED? ❑ NIA (Mandatory in NH) EJ- DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below EJ- DISEASE - POLICY LIMIT S A Improper Sexual X 018 -49928 -Neo 8/31/2018 8/31/2019 Each Ox.ma a 1,000,000 Misconduct General Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD IN, Additional Remarks Schedule, If more space is matured) The city of Santa Ana, its officials, agents, employeee and representatives are named as additional insured as per additional insured endorsement CG2026 0413 where required by written contract with the named insured subject to the terms and conditions set forth in the policy. Ei {110 W`I V CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza AUTHORIZED RESEN A Santa Ana CA 92701 ACORD 25 (2010105) e -2010 AWRID CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2018-48928 Named Insured: Immigrant Defenders Law Center COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organiaation(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 — Who Is An Insured is amended to include as an additional Insured the person(s) 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. 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 contract or 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. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Francine R. Digitally signed by Francine R.Villareal Villareal Date:2021.11.1710:55:55 -08'00' 64. R' CERTIFICATE OF LIABILITY INSURANCE DAT/30/2D/YYYY) �,,,,,.-'` 08/30/2021 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 endorsements. PRODUCER cONTACr Kathleen McDermott Bettis Insurance Services,Inc PHONE (310)521-4480 FAX ,(310)521-0111 PO Box 2816 W. San Pedro CA 90731-0197 E-MAIL kathleen@bettisins.com INSURERS AFFORDING COVERAGE NAIC# Nonprofits Insurance Alliance of CA(A VIII Rated) 0 INSURED INSURER B Immigrant Defenders Law Center INSURER C: 634 S.Spring Street,10th Floor INSURER D Los Angeles CA 90014- INSURER E INSURER 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 ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY X 2021-48928-NPO 08/31/2021 8/31/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE N OCCUR -A "- TO RENTED $ 500,000 X Improper Sexual Cond MED EXP(Any oneperson) $ 20,000 X ContractualLlab PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 X POLICY D jEO- D LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X 2021-48928-NPO 08/31/2021 8/31/2022 COMBINED SINGLE LIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED N NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR X 2021-48928-UMB 08/31/2021 8/31/2022 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana,its officers,agents,employees and representatives are named as additional insured including primary&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. CERTIFICATE HOLDER CANCELLATION AI 000988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza;4th Floor Santa Ana CA 92701- AUTHORIZED REPRESENTATIVE �F n Risk Division REVIEWED&APPROVED BY.- @ 1988-2015 ACORD COR S� a ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD me R, VAA44d —��" Risk Management Analyst NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA ANeadfor Insurance,AHeartforAfonproffts. POLICY NUMBER: 2021-48928 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 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 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 e Risk DMsian N IAC-E61 02 19 ;r REVIEWED&APPROVED BY: —��" Risk Management Analyst NMINONPROFITS INSURANCE ALLIANCE OF CALIFORNIA R Head for Insurance.A Heart for Nonprofits. POLICY NUMBER: 2021-48928 (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 Cuveralye, Builder's Risk, Inslallallun Risk ur slrrlllar coverage rur "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. (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. �e Risk DMsian N IAC-E61 02 19 ;r REVIEWED&APPROVED BY: —��" 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. o NSF Risk Division REVIEWED&APPROVED BY.- NIAC-E641012 —��" Risk Management Analyst ACCO CERTIFICATE OF LIABILITY INSURANCE DATE/10/2021 Y) 11/10/2021 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 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 CONTACT David Kessler NAME: The Leavitt Group of Atlanta, Inc. A/c°NN Ext: 202.452.9870 FAX No): 202.452.9879 2200 Century Pkwy AIL ADDRESS: d.kessler@nlada.org Suite 410 INSURER(S)AFFORDING COVERAGE NAIC# Atlanta GA 30345 INSURER A: AIX Specialty Insurance Company 12833 INSURED INSURER B: Immigrant Defenders Law Center INSURERC: INSURER D: 634 S. Spring St. 10th Floor, INSURER E: Los Angeles, CA 90014 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $ CLAIMS-MADE1:1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY jE LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability $1,000,000 each claim A L1AA687864 06 07/20/2021 07/20/2022 $2,000,000 in the aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 Risk Management Division,4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESATIV���������_ Santa Ana, CA 92701Risk•/(,/+//1 D Msian REVIEWED&APPROVED BY.- ACORD 25(2010/05) @ 1988-2010 ACORD C m The ACORD name and logo are registered marks of ACORD ��- Risk Management Analyst ACoR 11 " CERTIFICATE OF LIABILITY INSURANCE DA /1 DD/o/zoz YYYY) /ll 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 CONTACT NAME: Dana Dattola Weaver & Associates, Inc. PO Box 1508 A/C No Ext: (626) 446-6161 A/C,No: (626) 445-3827 E-MAIL Arcadia CA 91077 ADDRESS: jacquelyn@weaverinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Wesco Insurance Company 25011 INSURED (213) 314-0700 INSURER B Immigrant Defenders Law Center INSURER C: PO BOX 741879 INSURERD: Los Angeles CA 90004 INSURER E7 INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 7896 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION YIN y�y1C3544134 08/01/2021 08/01/2022 X STATUTE EERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 11000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 " w' �F Risk MwagmerdUlMsiun REVIEWED&APPROVED BY.- ©1988-2015 ACORD C °� m ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ��y Risk Management Analyst Page 1 of 1