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Trul Pierson
<br />Tori Pierson :.,,.;o0h13:25:4-07'nP
<br />VETCARE-01
<br />DOUGLASS
<br />DA10118/2021 Y)
<br />10/16/2021
<br />AFRO CERTIFICATE OF LIABILITY INSURANCE
<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 policy(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 endorsements .
<br />PRODUCER
<br />Veterinary Insurance Services Company
<br />1400 River Park Drive, #180
<br />Sacramento, CA 95815
<br />CONTEACT
<br />PHONE FAX
<br />(AIC, No. Ext): (916) 921-2260 FAXNo):
<br />EdDDRE1AIL
<br />ss:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC If
<br />INSURER A: CNA Continental CasualtyCo.
<br />20443
<br />INSURED
<br />INSURER B: Preferred Employers Ins
<br />10900
<br />Vet Care Vaccination SerVcks, Inc.
<br />Bryan Brannon
<br />INSURER C
<br />10627 La Perla Avenue
<br />INSURER D:
<br />INSURER E
<br />Fountain Valley, CA 92708
<br />INSURER F:
<br />COVERAGES CFRTIFICATF NIIMRFR• RFVIYIryN MIIMRGR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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
<br />TYPE OF INSURANCE
<br />ADDLSUBR INSD
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />7012482148
<br />10/112021
<br />10/112022
<br />E
<br />$ 1,000,000
<br />D
<br />PREMISESn
<br />$ 1,000,000
<br />mon
<br />$ 10,000JURY
<br />t
<br />$ 1,000,000GEN'L
<br />M
<br />AGGREGATE LIMIT APPLIES PER
<br />SECOT LUC
<br />ATE
<br />$ 2,000,000POLICY
<br />/OPAGG
<br />$ 2,000,000OTHER
<br />A
<br />LIABILITY
<br />EOMaB1INdELIMIT
<br />mtl
<br />$ 1,0130,000
<br />BODILY INJURY Per arson
<br />$
<br />POMOBILE
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />7012482148
<br />1011/2021
<br />10/112022
<br />BODILY INJURY Per accident
<br />$
<br />ROPERTY AMAGE
<br />Per accident
<br />$
<br />H R X NON -OWNED
<br />A S ONLY AUTOS ONLY
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />7012482599
<br />10/112021
<br />10/112022
<br />DED I X I RETENTION$ 10,000
<br />B
<br />AND EMPLCOMPENSATION
<br />YER$' N A TIOITNY
<br />AA�NYPROPRIETORIPARTNERIPAECUTIVE YIN
<br />IFICERIModatoryEn NHS EXCLUDED?
<br />Dyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />VTN1B4737-5
<br />101112027
<br />10/112022
<br />X STA LATE OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOY
<br />$ t,00D,000
<br />E.L. DISEASE -POLICY LIMIT
<br />1,000,000
<br />A
<br />Prof Liability
<br />7012482148
<br />10/1/2021
<br />10/1/2022
<br />Occurrence
<br />7,000,000
<br />Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space ie required)
<br />30 Days Notice of Cancellation 110 Days NOC for non-payment
<br />City of Santa Ana, its officers, agents, employees and representatives are additional insureds.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 PROM"--"
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<br />ACUKIJ Z5 (ZU161U3) Oc 1988-2015 ACORD C(�
<br />The ACORD name and logo are registered marks of ACORD
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