HomeMy WebLinkAboutGOLD COAST APPRAISALS, INC. (3),auitAi��E ON FILE
N rn MAY PROCEED
N
o 1NSURAIVCEEXPIR D
1rti
o .Yr,;li OF COUNCIL
DATE:
N-2018-215-02
FIRST AMENDMENT TO AGREEMENT FOR
O . CD A PROVISION OF APPRAISAL CONSULANT SERVICES
(1G� tGt Sh' L THIS FIRST AMENDMENT to the above -referenced agreement is entered into on March
2� 2022, by and between Gold Coast Appraisals, Inc., a California corporation
("Consultant"), 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. On October 12, 2018, the City and Consultant entered into Agreement (N-2018-215)
("Agreement") for Consultant to provide appraisal consultant services. On November 23,
2021, the parties extended the term of the Agreement until April 11, 2022 (N-2018-215-01).
The Agreement is current and in -effect.
B. In accordance with the terms and conditions of the Agreement, the Parties desire to amend the
Agreement to extend the term of the Agreement and increase the compensation for services
provided during the remainder of the term for this Agreement.
The Parties therefore agree:
1. Section 2, Compensation, is amended to increase the compensation for services provided by
$10,000. The total amount to be expended during the term of this Agreement shall not exceed
$35,000,
2. Section 3, Term, is hereby amended to extend the term of the Agreement through October 11,
2023.
3. Except as modified by this First Amendment, all other terms and conditions of the Agreement
shall remain in full force and effect.
[signature page to follow]
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
DAISY G MEZ I
Clerk of the Council
APPROVED AS TO FORM
SONIA R. CARVALHO,
City Attorney
By. 1,
✓^r..
RYAIV O. 1IODGE
Assistant City Attorney
RECOMMENDED FOR APPROVAL
STEVEN MENDOZA
Executive Director
Community Development Agency
CITY OF SANTA ANA
KRISTINE RIDGE
City Manager
CONSULTANT
ryame� Hee�Kf."'Yi
Title: President
Digitally signed by Ton
Tori Pierson Piet=°"
Date: 2022.05.11 09:40:39
OTOU
AC p® CERTIFICATE OF LIABILITY INSURANCE
OA EJlJMI 02"y"Y)
THIS CERTIFICATE 15 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 INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: N the Certificate holder Is an ADDITIONAL INSURED, the policy(les) 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
NAME: NT CT Drew Martin
SfateFarro Drew Martin
PRDNC. N . EHf, 562 9434343 No , 562 9435092
S First Ave
•oat. keren.m.brodbury.iabb@statelann.eom
a11129
a Whittier CA 90604
mSUREA S AFFORDING COVERAGE
NAC!
INSURER A: State Farm General Insurance Company
25151
W SURED
INSURER B:
Gold Coast Appraisals Inc
INSURER C:
12440 Firestone BI Ste 2009
INSURERD:
Norwalk, CA 90650
INSURER E:
INSU SITE:
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
OD
a
POUCV NUNRER
POLICY PFP
POLICCYEXP
LIMITS
A
COMMERCIAL GENERAL UA91LITY
CLAIMS -MADE OCCUR
Business Policy
X
X
92-CK-W574-9
12/0612021
12106/2022
EACHOCCURRENCE
y 1,000,000
PREMIS�Ee ottu Game)
S
MEO EXP(Anone amen)
s 5,000
I
PERSONA. A ACV INJURY
!
GEMLAGGREGATE LIMIT APPLIES PER:
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OTHER:
GENERAL AGGREGATE
S 2,000,000
PROouCTs-wmplap AGG
$ 2,000,000
s
AUTOMOBILE
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NOWOMED
ALTOS ONLY AUTOS ONLY
COMBINED SINGLE DMR
Ee erdd,ed
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BODILY INJURY(Perperson)
s
a001LY INJURY VPw eGddenl)
$
PROPERTYOAMAGE
s
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UMaRELLA DAB
EXCESSLWa
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CLAIMS4MAOE
EACH OCCURRENCE
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CEOI IRETENTIONS
$
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WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
oFFICEMMENBFR EXXCLUDEED?�UTIVE Y❑
(Mandatary In NH)
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DESCRIPTION OF OPERATIONS helaw
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92-GA-K175-1
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07/28/2021
✓
0712812022
PER
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f I,000,000
ELOISEASE-EAEMPLOYE
S 7p00,000
EL DISEASE -POLICY LIMIT
i 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES tACORD 1016 AddlNemi Remarks Sa e, maybe attached N men apace Is raqulredl
City of Santa Ana, officers, agents, employees and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or
memorandum of understanding. Such insurance as Is afforded by this policy shall be primary, and any Insurance carried by City shall be excess and non
wntnbutory.
"it is agreed that it is the intention of the Company to provide 30 days' written notice prior to the Cancellation of the policy designated in this certificate. However,
the Company assumes no liability for failure to do so.•
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
Risk Management Division
AUTNO REPRESENTATIVE
20 Civic Center Plaza
Santa Ana, CA 92702 ° ' r El M c A g
t- 7ou ;aree.o«
®1988.2016 ACORD COI
ACORD 251,2016M31 The ACORD name and logo are registered marks of ACORD RhIM.,dye,m.,ma�raladc
GOLDCOA-01 JCEBALLOS
A�OKO CERTIFICATE OF LIABILITY INSURANCE
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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
Abernathy Insurance Agency
133 E Duarte Rd.
Arcadia, CA 91006
PHONEa, FAX
IAIC, NEtl : (626) 5744000 ac, No): (626) 574-1068
E-MAIL
BESS
INSURE S AFFORDING COVERAGE
NAICN
INSURERA: Mercury California Auto
38342
INSURED
INSURER B:
INSURERC:
Gold Coast Appraisals, Inc.
INSURER D:
11506 Telegraph Rd Ste 214
Santa Fe Springs, CA 90670
NSURERS:
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 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
LTR
TYPE OF INSURANCE
AOOL
SD
SUB
WVO
pODCY NUMBER
POUCYEFF
MMIDD/YYYYI
POUCYEXP
IMMIDDNYYYl
LfMDs
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑ OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occumencel
$
MED EXP (Any one person
$
PERSONAL B ADV INJURY
$
GEN'L AGGREGATE LIMIT' APPLIES PER:
POLICY PELT 7 LOC
GENERALAGGREGATE
$
PRODUCTS - COMP/OP AGG
S
$
OTHER:
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
Ix
BODILY INJURY Per rson
$
ANY AUTO
OWNED SCHEDULED
A rrO�S ONLY X AUpTNOpBWry�
X
X
BA040000034684
6/29/2021
6/2912022
BODILY INJURY Per accident
S
ParOacrRdant)AMAGE
$
AUTOS ONLY X AUTOSONLV
S
UMBRELLA DAB
OCCUR
EACH OCCURRENCE
AGGREGATE
$
EXCESS UAB
CLAIMS -MADE
FDEO RETENTION$
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS[LIABILITY
YIN
ELL. EACH ACCIDENT
$
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDEEXCLUDED?(Mandatory in NH) ❑
If yes, describe under
NIA
E.L DISEASE -EA EMPLOYE
$
DESCRIPTION OF OPERATIONS below
E.L DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may Ise attached if more space Is required)
City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or
memorandum of understanding.
Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory
City of Santa Ana
Risk Management Division
20 Civic Center Plaza
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROM-"-"
AUTHORIZED REPRESENTATIVE
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The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF INSURANCE
Producer:
Issue Dal: 04/12/2022
This Certificate is issued as a matter of information only and
LIA ADMINISTRATORS & INSURANCE SERVICES
confers no rights upon the Certificate Holder. This Certificate
P.O. Box 1319
does not amend, extend or alter the coverage afforded by the
Santa Barbara, CA 93102-1319
policy below.
Insured: 112364
COMPANY AFFORDING COVERAGE
GOLD COAST APPRAISALS, INC.
12440 Firestone Blvd., Ste 2009
Aspen American Insurance Company
Norwalk, CA 90650
�y
Fax Number: 562-651-1068
)
Authorized Representative
This is to certify that the policy of insurance listed below has been issued to the Insured named above for the policy period indicated.
Notwithstanding any requirement, term of condition of any contract or other document with respect to which this Certificate may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions
of such policy. Limits shown may have been reduced by paid claims.
DISCLAIMER: This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded
by the insurance policy.
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION DATE
LIMITS
Professional Liability
AAI000349-08
05/03/2022
05/03/2023
Each Claim
$ 1,000,000
General Aggregate
$ 2,000,000
Description of Operations/Locations/Special Items:
REAL ESTATE APPRAISERS PROFESSIONAL LIABILITY INSURANCE
Certificate Holder:
Cancellation:
City of Santa Ana
SHOULD ANY OF TIE ABOVE DESCRIBED POLICIES
Risk Management Division
BE CANCELLED BEFORE THE EXPIRATION DATE
20 Civic Center Plaza
THEREOF, NOTICE WILL BE DELIVERED IN
Santa Ana, CA 92702
ACCORDANCE WITH THE POLICY PROVISIONS.
LIA0001 (11197)
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LIA Administrators 8c Insurance Services
APPRAISAL AND VALUATION ASPEN
PROFESSIONAL LIABILITY INSURANCE POLICY
DECLARATIONS
ASPEN AMERICAN INSURANCE COMPANY
(A stock insurance company herein called the "Company")
175 Capitol Blvd. Suite 100
Rocky Hill, CT 06067
Date Issued Policy Number Previous Policy Number
04/05/2022 AA1000349-08 AA1000349-07
THIS IS A CLAIMS MADE AND REPORTED POLICY. COVERAGE IS LIMITED TO LIABILITY FOR ONLY THOSE
CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD AND THEN REPORT-
ED TO THE COMPANY IN WRITING NO LATER THAN SIXTY (60) DAYS AFTER EXPIRATION OR TERMINATION
OF THIS POLICY, OR DURING THE EXTENDED REPORTING PERIOD, IF APPLICABLE, FOR A WRONGFUL
ACT COMMITTED ON OR AFTER THE RETROACTIVE DATE AND BEFORE THE END OF THE POLICY
PERIOD. PLEASE READ THE POLICY CAREFULLY.
Item
1. Customer ID: 112364
Named Insured:
GOLD COAST APPRAISALS, INC.
12440 Firestone Blvd., Suite 2009
Norwalk, CA 90650
2. Policy Period: From: 05/03/2022 To: 05/03/2023
12:01 A.M. Standard Time at the address stated in 1 above.
3. Deductible: $1,000 Each Claim
4. Retroactive Date: 05/03/1991
5. Inception Date: 05/03/2015
6. Limits of Liability: A. $1,000,000 Each Claim
B. $2,000,000 Aggregate
7. Mail all notices, including notice of Claim, to:
LIA Administrators & Insurance Services
1600 Anacapa Street
Santa Barbara, California 93101
(800)334-0652; Fax: (805) 962-0652
8. Annual Premium: $2, 361. 00
9. Forms attached at issue: LU002 (12/14) LIA CA (11/14) LU012 (12/14) LU013 (10/14)
LU018 (10/14) LIA025A (11/14)
I his Declarations Page, together with the completed and signed Policy Application including all attachments and exhibits thereto, and
the Policy shall constitute the contract between the Named Insured and th any.
04/05/2022 By c� r.
. °v IE,�mmc,wsc�er:
Date Authorized Si 8'
%u PlCwo«
LIA-001 (12/14) Aspen �Ruk A4mgrnrmtUmralAde
Appraisal and Valuation
Professional Liability Insurance Policy
ASPEN
Named Insured: GOLD COAST APPRAISALS, INC. Policv Number: AAI000349-08
Effective Date: 05/03/2022
Customer ID: 112364
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL COVERED APPRAISERS ENDORSEMENT
In consideration of the premium charged, it is agreed that Section IV. DEFINITIONS (q "Insured" is amended to include:
"Insured" means:
The persons identified below, but only while acting on behalf of the Named Insured:
Name
Deloris M. Waldron
Hee K. Yi
Coverage Principal/Owner,
Effective Date Appraiser or Trainee
05/03/2022 Appraiser
05/03/2022 Principal/Owner
All other terms, conditions, and exclusions of this Policy remain unchanged.
Aspen American Insurance Company
LIA012 (12/14)
RuM AlvYgenmt oiN Br.
Page 1 of 1 W 76u P&r .
CERTIFICATE OF INSURANCE
Producer:
Issue Date: 04.105/2022
This Certificate is issued as a matter of information only and
LIA ADMINISTRATORS & INSURANCE SERVICES
confers no rights upon the Certificate Holder. This Certificate
P.O. Box 1319
does not amend, extend or alter the coverage afforded by the
Santa Barbara, CA 93102-1319
policy below.
Insured: 112364
COMPANY AFFORDING COVERAGE
GOLD COAST APPRAISALS, INC.
12440 Firestone Blvd., Ste 2009
Aspen American Insurance Company
Norwalk, CA 90650
�y
Fax Number: 562-651-1068
Authorized Representative
This is to certify that the policy of insurance fisted below has been issued to the Insured named above for the policy period indicated.
Notwithstanding any requirement, term of condition of any contract or other document with respect to which this Certificate may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions
of such policy. Limits shown may have been reduced by paid claims.
DISCLAIMER: This certificate of ft smance does not affirmatively or negatively amend, extend, or alter the coverage afforded
by the insurance policy.
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION DATE
LIMITS
Professional Liability
AAI000349-08
05/03/2022
05/03/2023
Each Claim
S 1,000,000
General Aggregate
S 2,000,000
Description of Operations/Locations/Special Items:
REAL ESTATE APPRAISERS PROFESSIONAL LIABILITY INSURANCE
Certificate Holder:
Cancellation:
GOLD COAST APPRAISALS, INC.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
12440 Firestone Blvd., Ste 2009
BE CANCELLED BEFORE THE EXPIRATION DATE
Norwalk, CA 90650
THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
LIA0001 (11/97) Insured Copy
RaY Mae^nt0iddm
Appraisal and Valuation
Professional Liability Insurance Policy
ASPEN
Named Insured: GOLD COAST APPRAISALS, INC. Policy Number: AAI000349-08
Effective Date: 05/03/2022
Customer ID: 112364
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL APPRAISAL ENDORSEMENT
In consideration of the premium charged, it is agreed that the Insureds identified below have been approved by the
Company to perform Professional Services involving Commercial Property.
Insured
Deloris M. Waldron
Hee K. Yi
Effective Date of Approval
05/03/2022
05/03/2022
Exclusion (I) remains unchanged and effective, however, unless the Insured identified is approved for Professional
Services involving undeveloped or vacant land whose proposed use is for multiple unit single-family housing
developments, condominium developments, co-operative housing developments or apartment developments consisting of
10 units or more.
All other terms, conditions, and exclusions of this Policy remain unchanged.
6.g,R.rtowm.
(hblflLm TM,mw® BY:
Aspen American Insurance Company Page 1 of 1
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LIA013 (10/14)
TF Policy No. 92 CKW574 9 75-8637 CMP-4786.1
Page 1 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS
(Scheduled)
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92 CKW574 9
Named Insured:
GOLD COAST APPRAISALS INC
12440 FIRESTONE BLVD STE 2009
NORWALK CA 90650-4309
Name And Address Of Additional Insured Person Or Organization:
CITY OF SANTA ANA
RISK MANAGEMENT DIVISION
20 CIVIC CENTER PLZ
SANTA ANA CA 92701-4058
SECTION II — WHO IS AN INSURED of
SECTION II — LIABILITY is amended to in-
clude, as an additional insured, any person or
organization shown in the Schedule, but only
with respect to liability for 'bodily injury",
"property damage", or "personal and advertis-
ing injury" caused, in whole or in part, by:
a. Ongoing Operations
(1) Your acts or omissions; or
(2) The acts or omissions of those acting
on your behalf;
in the performance of your ongoing opera-
tions for that additional insured; or
b. Products — Completed Operations
"Your work" performed for that additional
insured and included in the "products -
completed operations hazard".
However, Paragraph 1. above is subject to the
following:
a. The insurance afforded to the additional
insured only applies to the extent permit-
ted by law;
b. If coverage provided to the additional in-
sured is required by a contract or agree-
ment, the insurance provided to the
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such addition-
al insured; and
c. If the contract or agreement between you
and the additional insured is governed by
California Civil Code Section 2782 or
2782.05, the insurance provided to the
additional insured is the lesser of that
which:
(1) Is allowed for the satisfaction of a de-
fense or indemnity obligation by Cali-
fornia Civil Code Section 2782 or
2782.05 for your sole liability; or
(2) You are required by contract or
agreement to provide for such addi-
tional insured.
We have no duty to defend or indemnify the
additional insured under this endorsement un-
til a claim or "suit' is tendered to us.
O. Copyright, State Farm Mutual Automobile Insurance Company, 2013
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CONTINUED 3,,,n„ I�Ry, q�
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2. Any insurance provided to the additional in-
sured shall only apply with respect to a claim
made or a "suit' brought for damages for
which you are provided coverage.
3. With respect to the insurance afforded to the
additional insured, the following is added to
SECTION II — LIMITS OF INSURANCE:
If coverage provided to the additional insured
is required by contract or agreement, the most
we will pay on behalf of the additional insured
will be the lesser of the amount of insurance:
a. Required by the contract or agreement; or
b. Available under the applicable Limits Of
Insurance shown in the Declarations.
This endorsement shall not increase the ap-
plicable Limits Of Insurance shown in the
Declarations.
4. With respect to the insurance afforded to the
additional insured, the following is added to
Paragraph 3. Duties In The Event Of Occur-
rence, Offense, Claim Or Suit of SECTION
II — GENERAL CONDITIONS:
The additional insured must:
a. See to it that we are notified as soon as
practicable of an 'occurrence" or an of-
fense which may result in a claim. To the
extent possible, notice should include:
(1) How, when and where the "occur-
rence" or offense took place;
CMP-4786.1
Page 2 of 2
(3) The nature and location of any injury
or damage arising out of the 'occur-
rence" or offense;
b. Tender the defense and indemnity of any
claim or "suit' to us and to all other insur-
ers who may have insurance potentially
available to the additional insured; and
c. Agree to make available any other insur-
ance the additional insured has for de-
fense or damages for which we would
provide coverage under SECTION II —
LIABILITY.
5. With respect to the insurance afforded the ad-
ditional insured, the following replaces SEC-
TION II —LIABILITY of Paragraph 7. Other
Insurance of SECTION I AND SECTION II —
COMMON POLICY CONDITIONS:
a. This insurance is primary to and will not
seek contribution from any other insurance
available to the additional insured, provided
that the additional insured is a named in-
sured under such other insurance.
b. Regardless of any agreement between
you and the additional insured, this insur-
ance is excess over any other insurance
whether primary, excess, contingent or on
any other basis for which the additional in-
sured has been added as an additional in-
sured on other policies.
There will be no refund of premium in the event
this endorsement is cancelled.
(2) The names and addresses of any in-
jured persons and witnesses; and All other policy provisions apply.
CMP-4786.1 1007033 148011 08-21-2014
m, Copyright, State Farm Mutual Automobile Insurance Company, 2013
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
fleet 6 ]DM�
MD Policy No. 92 CKw574 9 8637—FB85
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CMP-4870.1 ADDITIONAL INSURED — PRIMARY AND NON-CONTRIBUTORY
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92 CKw574 9
Named Insured:
GOLD COAST APPRAISALS INC
Name And Address Of Additional Insured Person Or Organization
CITY OF SANTA ANA
RISK MANAGEMENT DIVISION
20 CIVIC CENTER PLZ
SANTA ANA CA 92701 4058
CMP-4870.1
Page 1 of 1
This insurance is primary to and will not seek contribution from any other insurance available to an addi-
tional insured under your policy provided that the additional insured is a named insured under such other
insurance.
All other policy provisions apply.
CMP-4870.1 1007043 148021 08-18-2014
Q, Copyright, State Farm Mutual Automobile Insurance Company, 2013
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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