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Weldy, Scott H. 1a
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Weldy, Scott H. 1a
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Entry Properties
Last modified
3/25/2024 2:52:15 PM
Creation date
7/24/2003 10:32:28 AM
Metadata
Fields
Template:
Contracts
Company Name
Scott H. Weldy, DVM
Contract #
A-2003-080
Agency
Parks, Recreation, & Community Services
Council Approval Date
4/21/2003
Expiration Date
6/30/2004
Insurance Exp Date
7/1/2007
Destruction Year
2009
Notes
Amends N-2003-008 Amended by A-2003-178
Document Relationships
Weldy, Scott H. 1
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
Weldy, Scott H. 1b
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
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Client#: 46200 <br />SERRAANIMI <br />ACORDr. CERTIFICWE OF LIABILITY <br />INS�NCE <br />D/YYYY) <br />11/20/03 <br />1/20103 <br />PRODUCER <br />THIS CERTIFICAT r3 ISSUED AS A MATTER OF INFORMATION <br />Association Unit <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ABD Insurance & Financial Services <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />305 Walnut Street <br />Redwood City, CA 94063 A -- 00_j -- P7 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Serrano Animal & Bird Hospital, Inc. <br />21771 Lake Forest Drive #111 <br />El Toro, CA 92630 <br />INSURERA: Fireman's Fund Insurance <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />HER LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />OATS MM/DDM/ <br />POLICY EXPIRATION <br />DATE MMIDD/YY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />AZC80727616 <br />07/01/03 <br />07/01/04 <br />EACH OCCURRENCE <br />$1 00D 000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 51OCCUR <br />PREMGEETO RENTED n <br />$250DDD <br />MED EXP (Any one person) <br />$1 D 000 <br />PERSONAL &ADV INJURY <br />$1000000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$2000000 <br />POLICY D PRO- <br />JECT OC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON-0W NEO AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGO <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />g <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />WZP80914440 <br />07/01/03 <br />07/01/04 <br />WCSTATU- GTH- <br />X I <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />A <br />OTHER Professional <br />AZC80727616 <br />07/01/03 <br />07/01/04 <br />$1,000,000 occurrence <br />Liability <br />$2,000,000 aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Workers Comp Information V <br />Voluntary Compensation <br />** Supplemental Name ** l/ <br />(See Attached Descriptions) <br />City of Santa Ana, Parks, <br />Recreation & Community Services <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL EM1H[*9)t0i_ DAYS WRITTEN <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />REPRESENTATIVE <br />Awrcu zs (2UU1IUa) 1 of 3 #530885 SERRAANIM1 VAB © ACORD CORPORATION 1988 <br />7 C�.rn .- <br />
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