HomeMy WebLinkAboutGOLD COAST APPRAISALS , INC. 2B - 2002INSURANCE ON FILE
UNTIL tNSUR~NOF.
C L£RK OF couNo L
AMENDMENT TO AGREEMENT
N-2002-127
~TH_I~~DMENT TO AGREEMENT, made and entered into this ,! (~ d~,y, of
~~21~%y and between Gold Coast Appraisals, Inc. (hereinafter 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 (hereinafter "City").
RECITALS
The City and Consultant entered into a Consultant Agreement dated July 3,
2000, hereinafter referred to as "said Agreement", by which Consultant has
provided real property acquisition and appraisal services to City.
The parties extended the term of said Agreement to June 30, 2003.
The parties wish to adopt a new fee schedule for services provided pursuant to
said Agreement.
NOW THEREFORE, in consideration of the mutual and respective promises hereinafter
contained and made, and subject to all of the terms and conditions of said Agreement, as
hereby amended, the parties hereby agree as follows:
Exhibit A of said Agreement - Fee Schedule - shall be replaced by a new Exhibit A
"Fee Schedule", attached hereto and made a part hereof by reference.
Except as hereinabove modified, the terms and conditions of said Agreement shall
remain in full force and effect.
signatures on next page
Jul OB 03 l~:5Bp Oeor~e Bullock
· STATE FARM IN~UF~ANCE COMPANIES
state Farm General Ineuranc~ Company
31303 Agoura RoaKa~
Wesll~(e Village,GA 91363-0001
V*8637*F412 FU 3
GOLD CDASTiAP~RA~SALS INC
11506 TELEGRAPH RD STE
SANTA FE SPGS CA 90670-~100
Ihl,,Ih,,,ll,,h,,llh,,.ll,,,,lllh,,Ih,,,ll.,h,hl,,ll
Location:
Add Ins-il:
Add Ins-Ih
Add Ins-Ih
11506 E T~LEGRAPH RD STE 214
SANTA FE SPGS CA
COMMUNITY DEVELOPMENT AGENCY
COMMUNITY REDEVELOPMENT AGCY
CITY oF SANTA ANA HOUSING
Forms, Options, and Endorsements
Special Form 3
Personal Injury ExcluSion
Debris Removal Endersement
Amendatory Endorsement
Policy Endorsement
Business Policy End(~rsement
Hired Auto Liability Ehd
Protective Safeguardi
Glass Deductible - Section I
Additional Insured
Additional Insured Er{dorsement
FP-6143
FE-6346
FE-6451
FE-6205
FE-6506.1
FE-6¢64
FE-6311
FE-6303
FE-6538.1
FE-6320
FE-6494
/~I~PRO VED
562-1~51- 10~;8 p.2
RENEWAL CERTIFICATE
P~L;CY NUMBER ~' 92-B0-0091'~ -
' 'B'~SIN ESS-OFFIC~
MAR 05 2003 to MAR 05 2004
D&TE DUE "PLEASE P~,Y THIS AMOUNT
M,~R 05 2003 $641.58
Coverages an{I Limits
Section I
A Buildings Excluded
B Business Personal Property 54,400
C Loss of Income Actual Loss
Deductibles - Section I
Basic
Other deductibles may
apply - refer to policy
500
Section II
L Business Liability
M Medical Payments
Gen Aggregate (Other than PCO)
Products-Completed Operations
(PCO Aggregate)
$1,000,00o
5,000
:ooo,ooo
000,000
Annual Premium
Forms, Opts, & Endrsmnt
Bus Liability - Coy L
CA Surcharge
Amount Due
Premium Reductions
Your premium has already been reduced
by the following:
Renewal Year Discount
Yrs in Business Discount
Claim Record Discount
Prot. Devices Discount
Cov. A - Inflation Index: N/A
Coy. B - Consumer Price: 181.3
$450.0
159.0
20.0
12.5
$641.5
AS TO FORM.
r~lephone (5(~2) 943-4343 or (562) 94~-9323
Prepared DEC 19 ~002
~ 80 ~127 4653
See reverse sid~ for important information.
Please keep thil parr for your record.
Jul OB 03 12:59p
Policy Number!
92-B0-009t-3
Geo~-~e Bullock 562-651 -1068
DECLARATIONS I~AGE ^MENDED
STATE FARM GENERAL INSURANCE COMPA~IY
31303 A, GOURA RD, WESTLAKE VILLAGE,CA 9136~-0001
A STOCK COMPANY WITH HOME OFFICES IN BLOOMIN{~TON, ILLINOIS
APR 8 21303
p.3
Nan,.. d Ins~ure~ and Mailing ~ddress
8637-F412 V
GOI. D COAST APPRAISAL~ INC
11506 T~LE~IRAPH RD STE 214
SANTA FE SI~GS CA 90670-3100
Cov A - Inllafion Coverage Inde~ N/A
Coy B CQnsumer Price Index: 181.3
BUSINESS ~OLICY - I~PECIAL FOruM 3
AUTOMAT1C~REN~WA-t. - If the P.O~_-ICY PERIOD-is shown as ~2 MONTHS, '-this policy will be renewed automatic
subject to the pre.re, iu.ms, rul.e.s an, d .f~rms i.n. effect, for each su..cceeding, p.o. licy Reriod. If [his policy is terminated., we
give you and the Mongagee/Uennoloer written notice in compfiance w~tn the poficy provisions or as required by ~aw.
Policy Perio~l: 12 Months The policy period begins and ends at 12:01 am standard time at the
Effective Date: MAR 5 2003 premises location.
Expiration Date: MAR 5 2004
Named Insured: CorPoration
Location of Covejred Premises:
11506 E TELEGRAPH RD STE 214
SANTA FE SPGS .CA 90670-3100
Coverages & Prc~perty
Section I i
A Buildings ~
B Business Personal Property
C Loss of Income -!.12 Months
Section II
L Business Liabili~
M Medical Payme~ls
Products-Completed Operations
(PCO) Aggregate
General Aggregate (Other
Than PCO) '
Forms, Options, land Endorsements
Special Form 3
Personal Injury Exclusion
Debris Removal Er~dorsement
Amendatory E nctoi'sement
Policy Endorsemeht
Business Policy Et~dorsement
Hirect Auto Liabilit~ End
Limits oflnsurance
Excluded
$ 54,400
$ Actual loss
$ 1,000,000
5,000
~ 2,000,000
$ 2,000,000
FP-6143
FE~346
FE-6451
FE-6205
FE-6506.1
FE-6464
FE-6311
Your policy is amended APR 8 2003
NUMBER OF ADDL INTERESTS CHANGED
Occupancy~ Office
Deductibles - Section I
$ 500 Basic
In case of loss under this policy, the deductible wil
applied to each occurrence and will be deducted frorr
amount of the loss. Other deductibles may apply - reft
policy.
Endorsement Premium
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Sprinkler
Claim Record
Continued oD Revbrse~Side of Page ~, ~. ,.
Prepared - ., .~..- OTHER LIMITS AND EX~USIONS MAY&PPLY- REFE~O Y~UR POLI~Y
'
APR 15 2003 Counter igned
0~1993 DREW MARTINq ~
Your policy c~ist~ of ~is page, any e~dersemen~ (S62) 943-~343
and the policy lormJ PLEASE KEEP THE6E TOGETHER.
~~.Al~rac~ y
None
Agen
(o~t
Jui
OB 133 12:59p Geor-ce Bullock
State Fan~ Mutual Autoll~obile Insurance (~ompa!w
3,,~ $O.~ ,Ago. bra Road
west~Ke VJ#age CA 9~.3~3
75-8637-1 U
REBECCA SAUCEDA
157 T.E)'LEY ST AP 4
HAC~NDAiHGTS CA ~45-4574
NAM~I) IN,~URED: ~OL~) COAST APPRAIS~.LS INC
5B2-651 -IOBB p. 4
*COPY* DI~CLARATIONS ~AGE 'cosy
POLICY NUI~IBER 81 2431-E~8-75
POLICY PERIOD MAY 28 2003 to NOV 28 200
AGENT
DREW M)~:ITIN
11119 SAI~TA GERTRUDES AVENUE
WHll-BER, CA 90604-3350
DO ~IOT PAY PREMIUIIIS SHOWN ON THI~ PAGE. PHONE: (~2)943-4343 or (,~62)943-9323
SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE.
!..~:'..YEA. lA ',J.~,.~;:... MAKE- ~' .*~'; '.-."~ .,,'MODEL. z'~.;.;e:.~:'I~ODY'-~'rYLE~i~'.... 'VEHICLE.ID~IUM~BER ~'.,~ ~"r~" ',~, CLASS: :'"r"'
1997 TOYOTA CAMRY 4DR JT2BG22K4V0088050 ' 6H00A110
1 IF../'. '~2~um'L~ ~ 1':.~ ~,~cDJ(nete~ ".. ~'"~'~.. ~'":.~ ~ ..~.,~"r,i ~,~.',,~'.~'.;~*e'~-~.'%~.~a-.~.q.~..,',::..',,~ ~,D[3e~mml~miee ' ,,~".. '~ '/,' '
I 3 ." ..... '"'" '"." .V ........... ., '".".".'W": .; ' ??-.' "'.:"'".".'~>. '"'. , '~ '":' ' · .' ,,;,..... ,..."...:.' . ..:,..,.,,,~ar~:';',',: ..........
i 1997
~ See policy for coverage details. TOYOTA
Limits of Liability-Coverage ~-Bodily 19~ury
,~ Each Accident
DS00 i $500 Deductible Comprehensive $49.95
H ~ Emergency Road Son/ice $2.88
· ~ ., " ........ ' '. ..... ' ''~' ;'~'"'~.'" ''~""~,' e,~/~e,'~.,;;,[',?
,Al ,',,".', ..... ,~.,~,.., Car RentaFTmve Expenses ,: ,. -.., , .,..,~ .... ,~'.'?';:'P'?; ::,.'~?=;'?' ,~.,!'.,,'.*.'$~"60,"'~,~. r~; D,,', ,'
! Limits of Liabil,',,~, - Car Rental E~nse
i $50 ~ $~ ~o0 .......
[ Umits of Liability-U
~!~:L~;~~'.~'~~~}~':~ .~;?~,~..,~¢~i ~ ~,~'~: . ~ ~A'~-~,~'~ "..." "~ ";~ ~ '~.' ~ ' ' ~ , ~ ~ ~.'.:""""! ...... ~" "~':~ '~ ~"~":~'~Z;,~;~.~,j;,~:,~i.~g
.... i $~ o9~ooo $300,000
Your policy ccnsis~s of this declarations page, the policy booklet - form 9805A, and any endorsements that apply, including
those issued to yo~u with any subeequent renewal notice.
6028AU ADDITIONAL INSURED-REBECCA SAUCEDA, 15746 TETLEY ST APT#14, HACIENDA
HGTS CA 91745+4574.
6030S BUSINESS NAMED INSURED ENDORSEMENT
6893PP AMENDMENT OF CAR RENTAL AND TRAVEL'EXPENSES COVERAGES.
6gOSA AMENDMENT OF DEFINED WORDS. LIABILITY. MEDICAL PAYMENTS,
UN,INSURED MOTOR VEHICLE AND PHYSICAL DAMAGE COVERAGES.
Nmed Insured- GOLD COAST APPRAISALS lNG 11506 TELEGRAPH RD STE 21 ¢ SANTA FE SPGS CA
90670-3100
l)oi~u V t'itv /\tic,ney
FORM
Agent: ~REW MARTIN , ,, .....,
U,'/14/]!j L lb: .,'
ADDITIONAL INSURED ENDOKSBMENT
Insurance Company STATE FARM GENERAL INSURANCE
This ertd.),,-s,..-Taent modifies such {usurm'tce as is afforded by the provision, of Policy
i~ 92-I~.0-0091 -3 relating to t!~e following:
1 ~ The ComlnunJly R. edevclopment Agency of the City of Santa Ans.. 20
Civic C{nter Plaza, Santa Ama. Cahfonfia', 92701; its officers, employee~., agerit, and
voluatee r~ are nam0d as additional insm:eds ("additiorml insxuocts") with reg~rcl to
liability and del%nsc ofsui.ts arising from the operations and use~ performed by or
beha[fo~the named insured.
'i- With respect to claims arising out of lhe operations and uses performed by
or on b~]aal.f of the named insured, such insurance ts is afforded by this policy is
m~d is n~t additional to or contr/buring with any other insurance c~ed by or for the
benefit ~f ~e ~ufditional insureds.
}. This irtsuranc¢ applies s~p~rat¢ly to each insured aga/nst whom el,ira is
made o~ *uit i~ brought except with r*apect to the company's limits of liabDiw. The
in¢lusic~n of~y person or orgsxfizador~ as an insured shall not aff~ct any right which such
porson q~r organization would have a,s a ¢laim~t if not so included.
it. With respect to ~e additional insureds, thi~ insurance shall not be
canoele{:i, or .materittlly reduced in coverage or limits except after xhim, (30) days written
notice ~ been given to the Community Redevelopment Agency of rl~e City of S~mta
Ans, 2(1 Civic Center Pl~a. Santa Ama, CA 92701.
(Compll,tion of the following, including countersignature, is required to make mis
endorsdment effective.)
Effecti~,e 06/27/00
Policy ~. 92-B0-0091 -3
Issued ~o GOLD
App~,O%/ED AS TO
Assi: rant City Attorney
.-,...., Z-:~.~
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th/s endor$ement £onn a~ part Of '7'-
, a '- ..'
-;- ~.~
Countersigned by,
Author/(~ Representative .
FOBM - :.~ :-::,?.
· --. :,
87/lq/2~00
STATE F-'AF,'N iNS
C ~ ,-r-( OF 'S&~q-f ~ ANA HOIJS { hi~
?lm 66? ~=~
ADO!TIONAL INSLrR_ED E~OF, SfiMENT
Insurance Comply STATE FARM GENERAL INSURANCE
~r,ement modifies ,uch instmm, ce aa is afforded by the provisions of Policy
- 00 91 - 3 relating to the following:
The City of S~nta Arm. 20 Civic. Center P18.za, Santa .a..r~ California,
$ officers, employoes, agents and volu,nte~r~ ~r¢ named as additional insuzcd~
mai in~cds"~ wi~ reg~d to li~bili~ ~d defense of su{~ ~sing flora ~c
ns ~d uses pcrfo~ by or on b~fofthe nam~ insured.
'.. With respect to clalrnx a~ing out of tke operaiions and usz~ performed by
~halfofthe named in~ured, such instttanc¢ as is afforded by this policy is prima_fy.
0t additional to or contributing with ~y othor insmance carried by or for the
=fxhe additlomd irmtreds.
I Thi, _h~urtnc¢ ,pplies ,eparately to each insured against wh~,,m, clai? is
mad~Ij-o~r ,uit iz brouih! except with r~spect to t,hoe' ¢omptny'~ limit~ of liabili.,,.y.
inclusi4n of~ny l~r~on or organizat{on a~ ~n inoured shall not affect any right which such
person or org~nizatio{l would have as =[ ¢laim,4nt if not so included
notice
Aha, 2
(Comp
endors
EffecV
Policy
Assis~
4. With r~pect to the additional msuroda, ~hls insur~tee sh~ll not be
d, or m~tm-ially rodtmed In coverage or limita except after thirty (30) day, written
ms be,n given ~o the Commun{ty Redevelopment Agency of the City of Sama
Civic Ce~ter Plaza, Santa Aha. CA 92701.
=tlon of the following, including countersignature, is required ~o make this
:merit etTeetive.)
06/27/00
#__._ 92-B0-00 01 -q
GOLD COAST
· ~his endot,emenl foml ~ a p~rt of
PAGE 02
APPRAISALS INC.
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