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U __ <br />Client#, 46200 <br />SERRAANIMI <br />A CORD M CERTIFICWE OF LIABILITY <br />DATE (MM/DD/VYYV) <br />IN NICE 11/20/03 <br />PRODUCER <br />THIS CERTIFICAT r3 ISSUED AS A MATTER OF INFORMATION <br />Association Unit <br />ABD Insurance &Financial Services <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />305 Walnut Street <br />�> <br />Redwood City, CA 94063 .A ':LI[J /`% �5 <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 />INSR <br />LTR <br />ADD' <br />IIINSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD <br />POLICY EXPIRATION <br />DATE tMM/DDNYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />AZC80727616 <br />07/01/03 <br />07/01/04 <br />EACH OCCURRENCE <br />$1 000000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 51OCCUR <br />DAAMAGETo RENTED (Ea CCUn <br />$250OOO <br />MED EXP (Any one person) <br />$10 000 <br />PERSONAL &ADV INJURY <br />$1000000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMP/OP AGG <br />s2,000,000 <br />17 POLICY 7 PRO-ECT LOC <br />J <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <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 -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR El CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />WZP60914440 <br />07/01/03 <br />07/01/04 <br />X WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <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 - al" LICV LIMIT <br />$1,oQQ,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 / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />Workers Comp Information <br />Voluntary Compensation <br />** Supplemental Name ** <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 />ACORD 25 f20n1/DRI 1 -s Q eGQDaae <br />ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL EN,@X*X)BMCkXWL 30_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BW)F7i1CXORr(30RQ.QQAO'BLXXX <br />Bbcamceta xlaaxxaxaa�eaEXxxwxxxx <br />F4*M X9TA30X=X <br />AUTHq&ZED REPRESENTATIVE <br />coeon nNusA� v,Ao n Ar.nRn Cr1RPnPATIr1N 1QAR <br />