IRVINE VALLEY VETERINARY HOSPITAL, INC.

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RC44511 A�Co/2L7@ CERTIFICATE OF LIABILITY INSURANCE DATE2/29/209/20(MMIDD/YYYY) 24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Digitally sigMdby Safehold Special Risk, Inc. (916) 589-8000 q ` ,,, I nqiaj d S lal I s e vl 117G1 hl oa �2 UL:"Vi Date.2o2L�. Rancho C, CA 95670-6076 Angie PHONE FAX : AIC No : MAILoExt ADDRESS:U(S) AFFORDING COVERAGE NAIC # INSURER A: Everest National Insurance Company 10120 _ INSURED —081001 Irvine Valley Veterinary Hospital 14980 Sand Canyon Ave Irvine, CA 92618 INSURERB: Technology Insurance Company 42376 INSURER C INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 15830652 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS q X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR SH00000535-231 05/15/2023 05/15/2024 EACH OCCURRENCE $ 2,000,000 PREM IA AGN (Ea o'currRENTEDence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO-JECT ❑ LOC POLICY ❑ PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY SH00000535-231 05/15/2023 05/15/2024 MBINED Ea accdentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE TWC4173154 10/15/2023 10/15/2024 STATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability SHPL001425-231 11511512023 05/15/2024 $1,000,000Per Occurrence $3,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as Additional Insured per the attached endorsement. Primary Wording and Waiver of Subrogation applies per attached endorsement City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PRC Santa Ana, CA 92702 E RiskManagmumtDMsian AUTHORIZED REPRESENTATIVE z f °x R�EWED & APPROVED BY: - , i ", `! 1" Risk Management Specialist The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD ACORD 25 (2016/03) (This certificate replaces certificate# 15717281 issued on 5/8/2023)