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HJELMSTROM & ASSOCIATES dba BTI APPRAISAL
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HJELMSTROM & ASSOCIATES dba BTI APPRAISAL
Contract #
A-2015-158-04
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11 BTIAPPR-01 <br />CERTIFICATE OF LIABILITY INSURANCE I °"' 1-1.... <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 pollcy(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 andorsementfal. <br />PRODUCER ""v.w .. v,.,.•a� <br />Hoffman Brown Company <br />5000 Van Nuys Blvd. 6th Floor <br />Sherman Oaks, CA 91403 <br />INSURED <br />BTI Appraisal <br />605 W Olympic Blvd #820 <br />Los Angeles, CA 90015 <br />COMIACT <br />—PHONE ---- - <br />INC, No, Eaq:_(818) 986-8200 <br />.___. INC. Nol:(818)986.8510 <br />._ INSURER(SI AFFORDING COVERAGE- _ NAIC e_ <br />_ wsuRERA,TragalersCasualty_Ins.CoofAmalice '19046____ <br />_WSURER 6: Travelers Property Casualty Insunnee Cmrrpany of America 25674 <br />WSURER C: <br />W SURER D: _ <br />MUM E : <br />CflVFRAr.P-q CCOTHEIPA TC All mOee. <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' TYPE OF WSURANCE AOOL,StIBR POLN:Y NUMaER POLICY EFF POLICY EXPO <br />A'18 X COMMERCIALGENERAL LIABILITY <br />EACH OCCURRENCE 3 2,000,000 <br />CIAIMS-MADE X' OCCUR <br />_ <br />X . X 6804C337108 10/1/2019w� DAMAGETORENTED 3001000 <br />- <br />REMISES IEe ocwrtenceJ _ S _, <br />MEO ExP IAnv one persoJ� _S 5,000 <br />- - - - - <br />PERSONAL 3 ADV INNRY S 2,000,000 <br />_GEN'L AGGREGATE UMIT APPLIES PER <br />POLICY El Y LOC <br />_ <br />GENERALAGGREGATE--_s 4,000,000 <br />_ J, <br />PRODUCTS -_ OMP/OP AGG_ 5 _- 410001000 <br />OTHER-- <br />5 <br />A AUTOMOBDJE UAINUTY OOZE eDB.IN DSINGLE UMFT 2,000,000 <br />S - - <br />ANY AUTO ',6804C337108 101112019 101112020 EDGILY INJURY (Perperagn s <br />- <br />OWNED SCHEDULED <br />AUTOS ONLY <br />SCCHEDULEp <br />9!)eIm LY INJURY IPerawdenl) 5 _ <br />N <br />q <br />AUTOE ONLY ` AUTO ONLY PP¢Or Pacd�NI AMAGE <br />S <br />I,. <br />3 <br />UMSRELALIA6 OCCUR EACH OCCURRENCE 5 <br />EXCESS <br />EXCESS LIA9 CLAINSJJADE <br />. - �GREGATE S <br />CEO I RETENnON3 <br />S <br />B WORKERSCOMPENSATION ( - X PER <br />AND EMPLOYERS' UABIU7Y STATUTE_ _ _G P� <br />YIN 'UBSK75857A <br />ANY PROPRIETORIPARTNMEXECUTIVE 5/9/2020 519/2021 EL EGACCID_E_NT 00 <br />OFFICEEMN—_.1—,000-.0— <br />EryEXCLUDEDI NIA <br />(Mend. <br />ZLDISEASE. EAEMFLOYEE1.000'000 <br />desrnOa w,der -- <br />Dyes <br />DESCRIPTIONOFOPERATIONSbdvw EL CISEASE-POLICY UMIT i 1.000,000 <br />Im <br />DESCRPnM OF OPERATIONS I LOCATIONS I VEMICLES (ACORD tet, Addleermt Remarks SchedW , may b amched If mo epau Ia mgwi I <br />WARNING: Additional insured status valid only when required by written contract executed prior to a loss, unless as noted below. Coverage is limited as by <br />policy terms and conditions. <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured, General Liability on this policy pursuant to written contract, <br />agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carded by City shall be <br />excess and noncontributory per form#CG Of 05 0494 8 CG861103, attached, Thirty (30) days prior written notice of cancellation. <br />REVIEWED & APPROVED <br />L 2 <br />City of Santa Ana RAN CIN CO. VI AL <br />Risk Management Division <br />20 Civic Center Plaza <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />REPRESENTATIVE <br />.. Ia. r P.L+1 c9 1958-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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