|
<br />I
<br />
<br />I
<br />
<br />j
<br />
<br />HOFFMAN BROWN COMPANY
<br />5000 Van Nuys Blvd.,
<br />6th Floor
<br />Sherman Oaks, CA 91403
<br />
<br />,.i,illllt.lllli181Iil'III.I.ll!:ifl!!'~:li;ll~I,;ll:l;tlIllll'!,!' OAT~'~fj~ffs;;'.,
<br />
<br />818-986-8200 THIS CERTIFICATE IS ISSVED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POUCIES 8ELOW.
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />['~~~~~~;]IIII.l',
<br />
<br />PRO[)UCER
<br />
<br />COMPANY
<br />A
<br />
<br />Hartford
<br />
<br />INSURED
<br />
<br />BTI Appraisal
<br />605 W. Olympic Blvd., #820
<br />Los Angeles CA 90015
<br />
<br />COMPANY
<br />B
<br />
<br />Oak River Insurance Company
<br />
<br />COMPANY
<br />C
<br />
<br />
<br />.K .. AA'" . ",' > .,,::f~lli:*:::':WP" ,<" .... .... ~~~:>
<br />,Y.. ",-. . .;. ....:<0: . ...:~ . ., . <1';.-,,:-,,,;,-::;:,.' .~:> .,:.;.,::>.<:;.< , """ ~:~''''' X ;.-,: ,:.",,>0'"
<br />'" '........0 '" ::;, w,':-:<';o:>>:'" _<u. ,..,,, w~x.-..;<>>;" _""....._.;::;.
<br />THIS rs TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INsuRED NAMED ABOVE FOR THE POLICY PERtoD
<br />INDICATED. N01WITHSTANDING ANY REQUIREMENT. TERM OR CQNDITION DF 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 HEAElN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLlCtES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />CO TYPE OF INSURANCE POUCY NUMBER PO~V EfFECnvE POLICY exf'tR,A.T10N UMIT,
<br />LT. DATE (MM/DOIVYI DATE IMMfbDlYY1
<br /> GENERAL UABIUTY GENERAL AGGREGATE
<br /> COMMERCIAL GENERAL UABllfTY PRODUCTS - COMP/OP AGG
<br /> CLAIMS MADE D OCCUR PERSONAL &. ADV INJURY
<br /> OWNER'S & CONTRACTOR'S PROT EACH OCCUAI\ENCE
<br /> FIRE: DAMAGE (AllY orle flrel ,
<br /> MEO EXP IA11Y DrIll plll"5CIn) ,
<br />A AUTOMoan.E UABIUlY 72SBADW3709 10/01/07 10/01/08
<br /> COMBINED SINGLE LIMIT
<br /> ANY AUTO 1,000,000
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> SCHEDULED AUTOS (Fer per~pn)
<br /> X HIRED AUTOS 600lL Y INJUflY
<br /> X NON-oWNED AUTOS IFeraccldeml
<br /> PROPERTY DAMAGE
<br /> GARAGE UABlUTY AUTO ONLY - fA ACCIDENT
<br /> ANY AUTO OTHER 1HAN AUTO ONLY:
<br /> EACH ACCIDENT
<br /> AGGREGATE .
<br /> EXCESS UABIUTY EACH OCCURRENCE .
<br /> UMBRELLA FORM AGGREGATE
<br /> OTHER Tl-IAN UMBREU.A fORM
<br />B WORKERS COMPfNSATJON AND 2200008374 6/09/08 6/09/09 WC STATU. OTH-
<br /> 0 1M ,
<br /> EMPLOYERS' UABIUTY
<br /> El EACH ACCIDENT . 1,000,000
<br /> THE PROPf\lETOfl/ lNeL El OISEASE. POLICY UM1T , 1,000,000
<br /> PAATNERS/EXECunVE
<br /> OFFICERS ARE: EXCL EL OISEASE. EA EMPLOYEE . 1,000,000
<br /> OTHER
<br />
<br />
<br />
<br />DESCRIPTION OF OPfM.TlONS/lOCAT10NSNEHIClES/SPECIAlITEMS
<br />Evidence of Insurance
<br />
<br />Ten (10) day notice of cancellation given in the event of non.payment,
<br />
<br />
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAll
<br />~_.--, "!'." ~Q DAYS WRfTT'EN NOTIC~ TO THE CERTIFICATE HOlPER NAMBJ TO THE LEFT,
<br />t;..,-~ ~'J ......:..~J..L
<br />BUT FAIWRE TO MAil SUCH NOTIC!; SHAlt. IMPOSE NO OBUGATION OR UABIUTY
<br />OF MY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATfVES.
<br />
<br />~ATrh'^~ff~
<br />
<br />;1~j(6.~ifi~~fi~1@j~fnt@ffiwti~j.Wff:1f.ful!~qn~*%~Lry.qmfr1t?#.~tl441gl~E11WIVMflr@R~wJ1~m~Wafftf(Q:]ffipRAmlpfMigijJ~,~
<br />
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />
<br />5tlOULO ANY OF THE ABOVE DESCRIBED POUClES BE CANCELlED BEfORE THE
<br />
<br />
|