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ACORbs CERTIFICATE OF LIABILITY INSURANCE <br />�./ <br />DA 11 71 018 <br />11r27/2018 <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 be endorsed, If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(*). <br />PRODUCER <br />DREW MARTIN <br />State Farm 11129 S FIRST AVE <br />WHITTIER, CA 90603 <br />•• <br />CONTACT NAME: DREW MARTIN <br />PHONE 562-943-4343 n/c Np :562-943-5082 <br />E-NAIL <br />ss: <br />INSUPFR(SIAFFORDING COVERAGE <br />NAIC9 <br />INSURER A;Stale Farm Fire and Casualty Company <br />26143 <br />INSURED GOLD COAST APPRAISALS INC <br />10016 PIONEER BLVD STE 110 <br />/SANTA FE SPGS CA 90670-6217 <br />D'S R <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F ; <br />COVERAGES CERTIFICATE NUMBER: REVISION NUM RFR- <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 />ILR <br />TYPE OF WSURANCE <br />U BR <br />POLJCY NUMBER <br />MM/ODDY EFF <br />�UOY UP <br />LIMITS <br />A <br />x <br />I COMMERICAL GENERAL LIABILITY <br />CLAMS -MADE I OCCUR <br />92-CK-W574-9 <br />1210012018 <br />12/06r2019 <br />EACH OCCURRENCE <br />S 1,000.000 <br />p MA R T nm <br />S <br />MEo"P(Anyone rwn <br />s 5,000 <br />GEN'L <br />PERSONA.&ADVINJURY <br />IP <br />AGGREGATE LIMIT APPUES PER: <br />POLICY JECTT' LOC <br />OTHER: <br />GENERALAGGREGATE <br />! S 2,000,000 <br />PROUCT*- COMPNP AGGIs <br />2.000.000 <br />s <br />AUTOMOBILE <br />LIABILnY <br />ANYAUTO <br />ALL OYVNEO SCHEWLELI <br />AUTOS AUTOS <br />NON -OWNED <br />HIREDAUTGB AUTOS <br />I <br />CONBINEUDuNME LIMIT <br />Ea a.a. <br />s <br />BODILY INJURY (Par person) <br />S <br />BODILY INJURY PerevJdaM <br />( i <br />S <br />PROPERTY DAMAGE <br />Per acndenl <br />$ <br />s <br />UMBRELLA LIAR <br />EXCESS LUB <br />OCCUR <br />CLAMS-r4ADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />DEO I I RETENTIONS <br />S <br />A <br />WORKERSCOMPENSATION <br />ANDEMPLOYERSLIABILITY YIN <br />ANY PROPR' E7CR9ARTNER/EXECU-IVE <br />OFFICERPAWBEREXCLUDEOT <br />(Mandatory M NH) <br />If s, &e Wbe under <br />DESCRIPTION OF OPERATIONS1,0w <br />MIA <br />92-EK-2466.5 <br />07/28)2016 <br />07/26/2019 <br />ER OTH- <br />5 A TE ER <br />EL EACH ACCIDENT <br />S 1,000.000 <br />E.L DISEASE - EA ENAMOYE1 <br />$ 1U110,000 <br />E.L. DISEASE -POLICY LIMIT <br />s 1,ODO,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES(ACORD 101, Addilloml RemarNa Sbheaale, mey be aeecMed V moo apace is rx,Wrad) <br />CITY OF SANTA ANA HOUSING <br />SERVICES M-37 <br />20 CIVIC CENTER PLZ #M-37 <br />SANTA ANA CA 927014068 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION GATE THEREOF, NOTICE WILL BE DEUVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 <br />