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~~~ CERTIFICATE OF LIABILITY INSURANCE ,~~~ F - ? DATE (MM/DD/YYYY) <br />09/29/2008 <br />PRODUCER (760) 795-2002 FAX (760)929-0534 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hatter, Williams & Purdy Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2230 Faraday Ave a-~OOI - ~Q Z HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Carlsbad, CA 92008 ~-2(~3 ' X01$ <br />Einertson, CISR, Nickie ~ '~®~ -~ 1 ~ 2-0 + INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Vet Care Vaccination Services, Inc. INSURER A: Golden Eagle Insurance Corp 10375 <br />DBA: Vet Care Pet Clinic ~ _~~~ -~Q~ ~s~ wsuRER a Tower Select Ins Co 44300 <br />10627 La Perl a Ave ]~ l i INSURER C: <br />Fountain Valley, CA 92708 //A- ~~-~~~y`-° • ~~+`,~o Z ~~3 INSURER D: <br />" _ - -"'`~ ~ ~~ 5/ Z'~ INSURER E: <br />ti <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I SURED 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY BOP851625 5 10/01/2008 10/01/2009 EACH OCCURRENCE $ 1 ~ 000 ~ 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300' 000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 ppp <br />A PERSONAL & ADV INJURY $ 1 <br />ppp <br />ppp <br /> GENERAL AGGREGATE ~ <br />~ <br />$ 2 <br />ppp <br />ppp <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO PRODUCTS - COMPlOP AGG ~ <br />~ <br />$ 2 ~ ppp ~ ppp <br /> POLICY <br />LOC <br />JECT <br /> AUT OMOBILE LIABILITY ~ - COMBINED S <br /> <br />ANY AUTO ~1 <br />Aa ~ y0 <br />fir INGLE LIMIT <br />(Ea accident) <br />$ <br /> ALL OWNED AUTOS ~ <br />O~ ter. <br />BODILY IN <br /> ^' JURY $ <br /> SCHEDULED AUTOS ~ ~ (Per person) <br /> HIRED AUTOS ~ <br />S~~Rt y <br /> ~ <br />1 , <br />r <br />A BODILY INJURY $ <br /> NON-OWNED AUTOS . t ~~ty (Per accident) <br /> ~e51S n PRO <br /> Y <br />PERTY DAMAGE <br />$ <br /> (Per accident) <br /> GARAGE LIABILITY ~ AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TBD 10/01/2008 10/01/2009 X WC sTATU- oTH- <br /> EMPLOYERS' LIABILITY l <br />B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 ~ ppp ~ ppp <br /> OFFICER/MEMBER EXCLUDED? <br /> <br />It ya,, describe un;ier <br />E.L. DISEASE - EA EMPLOYEE <br />__ <br />~ 1 OAO On <br />i s <br /> SPECIAL PROVISIONS below I E.L. DISEASE -POLICY LIMIT $ 1 ,ppp , 00 <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />ertificate Holder is named Additional Insured <br />Except 10 days notice for nonpayment of premium <br />City of Santa Ana <br />Attn: Lisa Stork <br />City Attorney Office <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />'`30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF AN'f KIND UPON THE INSURER, ITS A ENTS OR REPRESE TIVES. <br />AUTHORIZED REPRESENTATIVE ~~ <br />Nickie Einertson . [ISR , >~ c / 9 .iil ~' A ~/l f~ <br />ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />