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AGREEMENT FOR PROVISION OF
APPRAISAL CONSULTANT SERVICES
'PHIS AGREEMENT, made and entered into this I't day of January, 2014 by and
between Goldcoast Appraisals, Inc., a California corporation (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
A. The City issued Request for Qualifications (RFQ 13 -053) on September 12,
2013, in order to retain a consultant having special skill and knowledge in the
field of professional real estate appraisal services.
B. Consultant represents that Consultant is able and willing to provide such
services to the City.
C. In undertaking the performance of this Agreement, Consultant represents that it
is knowledgeable in its field and that any services performed by Consultant
under this Agreement will be performed in compliance with such standards as
may reasonably be expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and
subject to the terms and conditions hereinafter set forth, the parties agree as follows:
SCOPE OF SERVICES
Consultant shall provide real estate appraisal consulting services, including
preparation of studies and technical reports and other necessary services, on an on -call
basis, at the written direction of the Executive Director of the Community Development
Agency, or his /her designee, in compliance with the Scope of Work, attached hereto and
incorporated herein as Exhibit A. The Consultant will provide an experienced, educated
and professional team,, whose Project Manager and stab" shall be responsive and maintain
excellent working relationships with City staff. The Consultant shall be committed to
provide adequate staffing levels at all times in order to adhere to established schedules.
Consultant acknowledges and agrees to all of the terms and conditions of each of the
exhibits attached hereto and incorporated herein.
2. REPRESENTATIVES
For purposes of implementing this Agreement, the representative of City shall be
the Executive Director of the Community Development Agency, or his/her designee, and
the representative of the Consultant shall be the Program Manager or 'his /her designated
representative. Except as may be otherwise stated herein, such representatives shall have
the authority to act on behalf of their respective parties in carrying out the terms of this
Agreement.
N- 2014 -065
3. DELIVERY OF WORK PRODUCT - OWNERSHIP
Consultant warrants and represents that it has the absolute right to enter into and
perform this Agreement and will perform its obligations hereunder in accordance with
standards and practices prevailing in the industry. Consultant's contribution to the
Project, including works to be produced by Consultant hereunder, will not infringe or
misappropriate the proprietary or personal rights of any third person or party. Consultant
shall deliver to City any work product which results from the services provided. Said
work product shall be submitted in hard copy and produced in a form compatible with
City's information systems, as agreed between the Project Manager and Consultant.
4. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its
services, the rates and charges identified in Consultant's Fee Schedule, attached hereto
and incorporated herein as Exhibit B. The total sum to be expended under this
Agreement shall not exceed $25,000.00 during the term of this Agreement.
b. Invoices. Consultant shall submit a monthly invoice by the fifteenth of the
month to the City for the services rendered in the prior month. All invoices for work
performed under this contract shall be submitted in a format approved by the City.
Invoices shall include the following information at a minimum:
i. Consultant's invoice number
ii. Beginning and ending dates of services
iii. City project number and /or name (if applicable)
iv. Work site address /location (if applicable)
V. Unit cost, subtotals and total for invoice
c. Payment by City shall be made within forty -five (45) days following receipt
of proper invoice evidencing work performed, subject to City accounting procedures.
Payment need not be made for work which fails to meet the standards of performance of
a professional real estate appraisal consultant.
5. TERM
This Agreement shall commence on the date first written above and terminate on
December 31, 2017, unless terminated earlier in accordance with Section 14, below. The
term of this Agreement may be extended by a writing executed by the Executive Director
of Community Development Agency and the City Attorney.
6. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended
nor shall it be construed to create an employer - employee relationship, ajoint venture
relationship, or to allow the City to exercise discretion or control over the professional
manner in which Consultant performs the services which are the subject matter of this
Agreement; however, the services to be provided by Consultant shall be provided in a
manner consistent with all applicable standards and regulations governing such services.
Consultant shall pay all salaries and wages, employer's social security taxes, unemployment
insurance and similar taxes relating to employees and shall be responsible for all applicable
withholding taxes.
INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain
commercial general liability insurance which shall include, but not be limited to
protection against claims arising from bodily and personal injury, including death
resulting therefrom and damage to property, resulting from any act or occurrence arising
out of Consultant's operations in the performance of this Agreement, including, without
limitation, acts involving vehicles. The amounts of insurance shall be not less than the
following: single limit coverage applying to bodily and personal injury, including death
resulting therefrom, and property damage, in the total amount of $1,000,000 per
occurrence and in the aggregate. Such insurance shall be endorsed as follows: (a) name
the City, its officers, employees, agents, volunteers and representatives as additional
insured(s); (b) be primary and not contributory with respect to insurance or self - insurance
programs maintained by the City; and (c) contain standard separation of insureds
provisions. (Sample Additional Insured Endorsement attached hereto as Exhibit C.)
b. Business automobile liability insurance, or equivalent form, with a combined
single limit of not less than $1,000,000 combined single limit. Such insurance shall
include coverage for owned, hired and non -owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of
Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required
to be insured against liability for worker's compensation or to undertake self-insurance.
Prior to commencing the performance of the work under this Agreement, Consultant
agrees to obtain and maintain any employer's liability insurance with limits not less than
$1,000,000 per accident.
d. Professional liability (errors and omissions) insurance, with a combined single
limit of not less than $1,000,000 per claim, and $2,000,000 in the aggregate.
e. The following requirements apply to the insurance to be provided by
Consultant pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force
and effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon
execution of this Agreement and shall be approved in form by the
City Attorney.
(iii) Certificates and policies shall state that the policies shall not be
canceled or reduced in coverage or changed in any other material
aspect without thirty (30) days prior written notice to the City.
f. If Consultant fails or refuses to produce or maintain the insurance required by
this section or fails or refuses to furnish the City with required proof that insurance has
been procured and is in force and paid for, the City shall have the right, at the City's
election, to forthwith terminate this Agreement. Such termination shall not effect
Consultant's right to be paid for its time and materials expended prior to notification of
termination. Consultant waives the right to receive compensation and agrees to
indemnify the City for any work performed prior to approval of insurance by the City.
S. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers,
agents, employees, consultants, special counsel, and representatives from liability: (1) for
personal injury, damages, just compensation, restitution, judicial or equitable relief
arising out of claims for personal injury, including death, and claims for property
damage, which may arise from the negligence, recklessness or willful misconduct of the
Consultant or its contractors, subcontractors, agents, employees, or other persons acting
on their behalf which relates to the services described in section 1 of this Agreement; and
(2) from any claim that personal injury, damages, just compensation, restitution, judicial
or equitable relief is due by reason of the negligence, recklessness or willful misconduct
of Consultant arising from this Agreement. The Consultant further agrees to indemnify,
hold harmless, and pay all costs for the defense of the City, including fees and costs for
special counsel to be selected by the City, regarding any action by a third party asserting
that personal injury, damages, just compensation, restitution, judicial or equitable relief
due to personal or property rights arises by reason of the terms of, or effects arising from
this Agreement. City may make all reasonable decisions with respect to its representation
in any legal proceeding. Notwithstanding the foregoing, nothing herein shall be
construed to require Consultant to indemnify the indemnified parties from any claim
arising from the sole negligence or willful misconduct of the indemnified parties.
9. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and /or proprietary, Consultant
agrees that it shall not use or disclose such information except in the performance of this
Agreement, and further agrees to exercise the same degree of care it uses to protect its
own information of like importance, but in no event less than reasonable care.
"Confidential Information" shall include all nonpublic information. Confidential
information includes not only written information, but also information transferred orally,
visually, electronically, or by other means. Confidential information disclosed to either
party by any subsidiary and/or agent of the other party is covered by this Agreement.
The foregoing obligations of non -use and nondisclosure shall not apply to any
information that (a) has been disclosed in publicly available sources; (b) is, through no
fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant
without reference to information disclosed by the City.
10. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests,
direct or indirect, which would conflict in any manner with performance of services
specified under this Agreement.
11. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in
person or mailed by first class or certified mail, postage prepaid, or sent by facsimile or
other telegraphic communication in the manner provided in this Section, to the following
persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M -30)
P.O. Box 1988
Santa Ana, CA 92702 -1988
Fax 714 - 647 -6956
Courtesy copies to:
Executive Director
Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M -25)
P.O. Box 1988
Santa Ana, California 92702
Fax 714 -647 -6549
and City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
Fax 714- 647 -6515
To Consultant: Goldcoast Appraisals, Inc.
10016 Pioneer Blvd., Suite 110
Santa Fe Springs, California 90670
Attn: Deloris M. Waldron, MAI, SRA
Phone (562) 651 -1058
Fax (562) 651 -1.068
A party may change its address by giving notice in writing to the other party.
Thereafter, any communication shall be addressed and transmitted to the new address. If
sent by mail, communication shall be effective or deemed to have been given three (3)
days after it has been deposited in the United States mail, duly registered or certified,
with postage prepaid, and addressed as set forth above. If sent by facsimile,
communication shall be effective or deemed to have been given twenty -four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile
machine, addressed as set forth above. For purposes of calculating these time frames,
weekends, federal, state, County or City holidays shall be excluded.
12. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City
and Consultant, and supersedes any and all other agreements, oral or written, between the
parties. In the event of a conflict between the terms of this Agreement and any
attachments hereto, the terms of this Agreement shall prevail. This Agreement may not
be modified except by written instrument signed by the City and by an authorized
representative of Consultant. The parties agree that any terms or conditions of any
purchase order or other instrument that are inconsistent with, or in addition to, the terms
and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to
this Agreement acknowledges that no representations, inducements, promises or
agreements, orally or otherwise, have been made by any party, or anyone acting on behalf
of any party, which are not embodied herein.
13. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of
Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest
herein without the prior written consent of the City and any such assignment, transfer,
delegation or subcontract without the City's prior written consent shall be considered null
and void. Nothing in this Agreement shall be construed to limit the City's ability to have
any of the services which are the subject to this Agreement performed by City personnel
or by other consultants retained by City.
14. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written
notice of termination. In such event, Consultant shall be entitled to receive and the City
shall pay Consultant compensation for all services performed by Consultant prior to receipt
of such notice of termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant
to deliver to the City all work product completed as of such date, and in such case such work
product shall be the property of the City unless prohibited by law, and Consultant consents
to the City's use thereof for such purposes as the City deems appropriate. However, any use
of unfinished work product shall be at City's sole risk.
b. Payment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
15. COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS
Consultant shall carry out all services pursuant to this Agreement in substantial
conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders,
and decrees of the United States, the State of California, the County of Orange, the City,
and of any other political subdivision, authority, or instrumentality exercising jurisdiction
over the City, including all applicable federal, state, and local occupation, safety and
health laws, rules, regulations and standards, applicable state and Federal labor standards,
prevailing wage requirements, the City zoning and development standards, City permits
and approvals, building, plumbing, mechanical and electrical codes, as they may apply,
and all other provisions of the City and its Municipal Code (as they may apply), and all
applicable disabled and handicapped access requirements, including, without the
limitation, the Americans With Disability Act, 42 U.S.C. § 12.101 et seq., Government
Code § 4450 et seq., and the Unruh Civil Rights Act, Civil Code § 51 et seq.
16. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex,
marital status, sexual orientation, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, in the recruitment, selection, training, utilization,
promotion, termination or other employment related activities. Consultant affirms that it
is an equal opportunity employer and shall comply with all applicable federal, state and
local laws and regulations.
17. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this
Agreement shall be determined and governed by the laws of the State of California. Both
parties further agree that Orange County, California, shall be the venue for any action or
proceeding that may be brought or arise out of, in connection with or by reason of this
Agreement.
18. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the
power, authority and right to bind their respective parties to each of the terms of this
Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees,
for any injuries or damages to City in the event that such authority or power is not, in fact,
held by the signatory or is withdrawn.
b. Captions and headings in this Agreement, including the title of this Agreement,
are for convenience only and are not to be considered in construing this Agreement.
c. All Exhibits referenced herein and attached hereto shall be incorporated as if fully
set forth in the body of this Agreement.
{Signatures on following page)
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
RIA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
P
By. _)
Lisa torck
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
Nancy Fong,
Interim Exec
Community ]
Agency
CITY OF SANTA ANA
DAVID /CAJVAl/ZOS
City Manager
CONSULTANT
Goldcoast Appraisals, Inc.
Deloris M. Waldron
President
LIST OF EXHIBITS:
Exhibit A — Scope of Work
Exhibit B — Proposers Statement & Fee Schedule
Exhibit C — Additional Insured Endorsement
Exhibit D — References
Exhibit E — Proposal & Contract Agreement/Proposers Statement
Exhibit F — Certification of Non - Discrimination
Exhibit G — Non - Collusion Affidavit
to
EXHIBIT A
CITY OF SANTA ANA COMMUNITY DEVELOPMENT
REQUEST FOR QUALIFICATIONS FOR APPRAISAL SERVICES
SCOPE OF SERVICES
The Community Development Agency issuing this Request for Qualifications (RFQ) for Appraisal
Services to obtain professional appraisers for non - condemnation purposes exterior -only appraisals and
appraisals with inspections on an as needed basis.
The Community Development Agency is seeking a professional appraiser to provide the following
services:
• Single Family Residence Drive -by Appraisals (One to Four Units)
• Single Family Residence Appraisals with Inspection (One to Four Units)
• Income Property Appraisal, both Commercial and Residential
• Desk Reviews
• Field Reviews
The Agency will enter into a contract with the individuals or firms selected to provide these services.
City of Santa Ana Community Development Agency
Request for Qualifications Appraisal Services
Page 9
EXHIBIT B
CITY OF SANTA ANA COMMUNITY DEVELOPMENT
REQUEST FOR QUALIFICATIONS FOR APPRAISAL SERVICES
PROPOSERS STATEMENT AND FEE SCHEDULE
Certification — I certify that I have read, understand and agree to the terms and conditions of this
Request for Qualifications. I have examined the Scope of Services (Exhibit A) and am familiar with the
scope of work locations. I am familiar with all the existing conditions and limitation that may impact
work requests. I understand and agree that I am responsible for reporting any errors, omissions or
discrepancies to the City for clarification prior to the submission of my proposal.
TYPE OF APPRAISAL
FEE RANGES
APPROXIMATE TURN AROUND TIME
Single Family Residential
Interior and Exterior
$ 400
5days
Exterior Only
$ 350to$400
4days
Multi- Family
2 -4 Units
$650 to $850
7 days
5 -10 Units
$ 1,500
7 days
11 -20 Units
$ 1,800
7 days
21 -30 Units
$ 2,500
10 days
30+ Units
$ 3,000 to $ 4,500
10 days
Multiple buildings
$ 1,800 to $ 4,500
10 days
Commercial (Mixed Use, etc)
Form
$ 2,500 to $ 5,000
21 days
Narrative
$ 3,000 to $ 7,500
21 days
Vacant Land
Form
$ 750 to $ 1,500
14 days
Narrative
$ 1,500 to $ 7,500
21 days
Desk Reviews
Form
$ 150 to $ 500
5 days
Narrative
$ 1,500 to $ 5,000
5 days
Satisfactory Completion Certificate
Rush Service
$ 200 to $2,000
1 to 7 days
*If your firm offers additional services that are appropriate, please include them in your fee schedule.
City of Santa Ana Community Development Agency
Request for Qualifications Appraisal Services
Page 10
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EXHIBIT D
CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY
REQUEST FOR QUALIFICATIONS FOR APPRAISAL SERVICES
THIS SHEET MUST BE COMPLETED IN FULL AND RETURNED WITH OFFEROR'S PROPOSAL
List and describe fully the contracts performed by your firm which demonstrate your ability to provide the
supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages
if required for additional references. The City reserves the right to contact each of the references listed for
additional information regarding your firm's qualifications.
Reference No. 1
Customer Name: Pacific Alliance Bank
Address:
8400 E Valley Blvd.
Rosemead, CA 91770
Contract Amount: N/A
Description of appraisal services provided:
Contract Individual: Laurent Sy
Phone Number: (626) 773 -8882
Facsimile Number:
Year:
(626) 773 -8877
Year relationship wd an ,
8 Year relationship with Mr. Sy
Provide appraisals for Single Family Residences, Multi - Family Dwellings and Commercial properties which include retail, industrial and
vacant land parcels.
Reference No. 2
Customer Name: Torii & Awakuni
Address: 406 Amapola Avenue, #215
Torrance, CA 90501
Contract Amount: WA
Description of appraisal services provided:
Contract Individual:
Phone Number:
Facsimile Number:
Year:
John Torii
(310) 320 -5450
(310) 320 -5140
10 year relationship
Provide appraisals of Single Family Residences, Multi - Family Residences and Commercial property including retail, industrial and
vacant land properties.
City of Santa Ana Community Development Agency
Request for Qualifications Appraisal Services
Page 13
Reference No. 3
Customer Name: City of Santa Ana
Address:
Contract Amount:
Contract Individual:
20 Civic Center Plaza, M -26 Phone Number:
Santa Ana, CA 92701
$ 25,000
Description of appraisal services provided:
Facsimile Number:
Year:
Claudia Fernandez -Shaw
(714) 667 -2265
(714) 667 -2225
2008
Contracted to perform appraisals of Single Family Residences and Multi- family as well as commercial and industrial properties as needed.
TO BE INCLUDED IN PROPOSAL
City of Santa Ana Community Development Agency
Request for Qualifications Appraisal Services
Page 14
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EXHIBIT F
CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY
REQUEST FOR QUALIFICATIONS FOR APPRAISAL SERVICES
PROPOSAL AND CONTRACT AGREEMENT
CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR
The undersigned Contractor or corporate officer, during the performance of this contract, certifies as follows:
1. The Contractor shall not discriminate against any employee or applicant for employment because of
race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that
applicants are employed, and that employees are treated during employment without, regard to their
race, color, religion, sex, or national origin. Such action shall include, but not limited to, the following:
employment, upgrading, demotions, or transfer; recruitment advertising; layoff or termination; rates of
pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor
agrees to post in conspicuous places, available to employees and applicants for employment, notices
to be provided setting forth the provisions of this nondiscrimination clause.
2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the
Contractor, state that all qualified applicants will receive consideration for employment without regard to
race, color, religion, sex, or national origin.
3. The Contractor shall send to each labor union or representative of workers with which he has a
collective bargaining agreements or other contract or understanding, a notice to be provided advising
the said labor union or workers' representative of the Contractor's commitments under this section, and
shall post copies of the notice in conspicuous places available to employees and applicants for
employment.
4. The Contractor complies with all provisions of Executive Order 11246 of September 24, 1965, and of
the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor shall furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by rules, regulations, and order of the Secretary of Labor, or pursuant
thereto, and will permit access to his/ her books, records, and accounts by the administering agency
and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules,
regulations, and orders.
6. In the event the Contractor's non - compliance with the non - discrimination clauses of this contract or with
any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in
whole or in part and the contractor may be declared ineligible for further Government contracts or
federally assisted construction/ services contracts in accordance with procedures authorized in
Executive Orders 11246 of September 24, 1965, and such other sanctions may be imposed and
remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations,
or order of the Secretary of Labor, or as otherwise provided by law.
7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the
provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by
rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive
City of Santa Ana Community Development Agency
Request for Qualifications Appraisal Services
Page 16
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The City of Santa Ana
20 Civic Carnal` Plaza
Santa Ana, CA 92702
ACORD 25 (20141011
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE eXpaRAjIOH DATE THEREOF, NOTICE WILL Be DELIVERED IN
ACCORDANCE VATH'445 POLICY PROVISIONS-
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SECTION It ADDITIONAL INSURED ENDORSEMENT
Policy No.; 92•CK- W574-9
Named insured:
GOLD COAST APPRAISALS ING
10016 PIONEER BLVD STE 110
SANTA FE SPGS CA 90670.6217
(include address):
FE-6809
Page I of 1
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WHO IS AN INSURED, under SECTION It DESIGNATION OF INSURED, Is amended to include as an insured the
Additional insured shown above, but only to the extent that liability is imposed on that Additional Insured solely beoause
of your work performed for that Additional Insured shown above.
Any insurance provided to the Additional Insured shall only apply with respect to a claim made or suit brought for
damages for which you are provided coverage,
The Primary insurance coverage below applies only when there is an "X" in the box.
{ Primary insurance, The insurance provided to the Additional Insured shown above shall be primary insurance,
Arty insurance Carried by the Additional Insured shall be nonocntributory with respect to coverage provided to
you.
All other provisions of the policy apply.
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Apr 30 14 12:29p
CD Pollcy No. 92- CM- WS74 -9
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST
OTHERS TO US
SCHEDULE
Pollcy Number: 92- cx- W574 -9
Named Insured. CO n COAST AsPRA:ra&Ls Xxc
Name and Address of Person or Organization:
CITY OF SANTA ANA
20 CIVIC CENTER VLZ M -26
BANTA ASIA CA 92701 408a
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Page t or 4
The following is added to Paragraph 110.16, of SECTION I AND SECTION It— COMMON CONDITIONS.
We waive any right of recovery we may have against the person or organization shown in the Schedule
because of payments we make for injury or damage arising out of-
a. Your ongoing operations; or
b. Your work done under contract with that person or organization and included in the products-
completed operations. hazard.
This waiver applies only to the person or organization shown in the Schedule.
All other policy provisions apply.
FE -6871
0, Copyright, Stake Farm Mutual Autamooga Insuranm company, 2068
Inoiudos copyrighted muledai or insurance services Often, Ina, with he permission.
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9/4
�: CERTIFICATE OF INSURANCE
Producer: — - _._.. — _ -
_ —Issue Date: 03/06/2014
This Certificate is issued as a matter of information only and
LIA ADMINISTRATORS & INSURANCE SERVICES
confers no rights upon. the Certificate 11older. This Certificate
P.O. Sox 1319
does not amend, extend or alter the coverage afforded by die
Santa Barbara, CA 93102 -1319
policy below.
Insured: 112364
COMPANY AFFORDING COVERAGE
GOLD COAST APPRAISALS, INC.
10016 Pioneer Blvd., Ste, 110
Liberty Insurance Underwriters Inc.
Santa Fe Springs, CA 90670
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, tern of condition of any contract or other doctuneut 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 terns, 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
LIU003305 -013
05/03/2014
05/03/2019
Each Claim
$ 1,000,000
General Aggregate
$ 2,000,000
Description of Operations /Locations /Special Items.
REAL ESTATE APPRAISERS PROFESSIONAL LIABILITY INSURANCE
CCrtlficate Holder:
Cancellation:
City of Santa Ana
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
20 Civic Center Plaza, M -30
BE CANCELLED BEFORE THE EXPIRATION DATE
Santa Ana, California 92702
THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
LIA0001 (11/97)
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