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CERTIFICATE OF 1-I149W"NCI <br />Digitally signed <br />by Angin <br />DATE(MMn1D/YYYY) <br />A __..__j 08/18/2021 <br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY D CONFERS NO RIGH �JP-�O°N 'HE CERTIFICATE HOLDER. THIS <br />THIS ERTEDOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX��Ii,/IS MIoz4EppLUNItIFH2 D <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE C `�r �g� ED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 1 1 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be en.or.ed. If SUB IV s to the <br />terms and conditions of the policy, certain policies may require an endorsement. A state,np,,t on this certificate does not confer riGhts to the <br />PRODUCER <br />SHAHINIAN INSURANCE SERVICES, INC. <br />P.O. BOX 4093 <br />TUSTIN CALIFORNIA 92781.4093 <br />PHONE (800) 457.22311FAX (714) 544-4370 <br />CONTACT <br />NAME <br />A/O E. EM: 512-423-7734 Fn c No: <br />gooREss: BA B GOODBIRDIN <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: MESA UNDERWRITERS SPECIALTY INSURANCE <br />36838 <br />INSURED GOOD BIRD, INC. <br />BARBARA'S FORCE FREE ANIMAL TRAINING <br />6904 CHERRYDALE DR. <br />AUSTIN TX 78745 <br />INSURERS: <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />NI IMRFR- <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 <br />LTR <br />TYPE OF INSURANCE <br />ADM <br />INSD <br />SUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />AIM/OOIYYYY <br />LIMITS <br />A <br />1COMMaRCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />MP0004017006072 <br />8117/21 <br />8/17/22 <br />EACH <br />OCCURRENCE <br />$ 1,000,000 <br />PREMI <br />SES(Ea occurrence) <br />$ 250,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL B ADV INJURY <br />s EXCLUDED <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT LOC <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'L <br />X <br />PRODUCTS-COMP/OPAGE <br />$ EXCLUDED <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMB NEDS LE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Par parson) <br />IS <br />ANYAUTO <br />H <br />AUTOS NEO SCHEDULED <br />BODILY INJURY(Peraccldem) <br />$ <br />HIREDAUTOS NO&OWNED <br />AUTOS <br />PERTY DAMAGE <br />(Per accident) <br />$ <br />S <br />UMBRELLA LIAR <br />OCCUR <br />— <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />T - <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACHACCIDENT <br />$ <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatary In NH) <br />NIA <br />EL DISEASE - EA EMPLOYEE <br />$ <br />If yas, describe under <br />E.L DISEASE -POLICY LIMIT <br />I $ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />LOCATION: SANTA ANA ZOO, SANTA ANA, CALIFORNIA, 92701. <br />CITY OF SANTA ANA, RISK MANAGEMENT, ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES AND VOLUNTEERS ARE <br />NAMED AS ADDITIONAL INSURED. COVERAGE IS PRIMARY AND NON-CONTRIBUTORY <br />30 DAY NOTICE OF CANCELLATION --EXCEPT FOR NON-PYMT. 10 DAY NOTICE FOR NON -PYMT OF PREMIUM. <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA CA 92702 AUTHORIZED REPRESENTATIVE <br />r <br />Itisk wED& gonattDlvisl <br />DBy.RenEwEo6APPRov®er.©1988.2014 ACORC 1Q+jwt Ad�ek(aACORD 25 (2014101) The ACORD name and logo are registered marks of ACORDRisk Management Specialist <br />