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Weldy, Scott H. 2
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Weldy, Scott H. 2
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Entry Properties
Last modified
3/25/2024 2:52:27 PM
Creation date
12/13/2004 1:34:49 PM
Metadata
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Template:
Contracts
Company Name
Scott H. Weldy, DVM
Contract #
A-2004-143
Agency
Parks, Recreation, & Community Services
Council Approval Date
7/19/2004
Expiration Date
6/30/2005
Insurance Exp Date
7/1/2007
Destruction Year
2010
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CIippi Ai <br />�s,i <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMID DNYYY) <br />07/12/04 <br />PRODUCER <br />THIS CERTIFICATE IS 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 />2480 Natomas Park Dr. Suite 200 <br />Sacramento, CA 95833 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Serrano Animal &Bird Hospital, Inc.INSURER <br />INSURER A: Flreman�a Fund Insurance <br />B: <br />21771 Lake Forest Drive #111 <br />INSURER C. <br />El Toro, CA 92630 <br />INSURER O: <br />NSURER E' <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 <br />LTR <br />D <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />D MM/OD <br />POLICY EXPIRATION <br />DATE M DDIYY <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />AZC80758104 <br />07/01/04 <br />07/01/05 <br />EACH OCCURRENCE <br />$1000000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES E. dip <br />$250000 <br />$10000 <br />MED EXP(Any one person) <br />PERSONAL S ADV INJURY <br />$1000000 <br />GENERALAGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO <br />$2000000 <br />POLICY 7 PF T RO- <br />LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per penpn) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Perramaccidant) <br />$ <br />PROPERTY DAMAGE <br />(Per accidenp <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />$ <br />AUTO ONLY: AGO <br />EXCESS/UMBRELLA LIABILITY <br />OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR F—ICLAIMS MADE <br />LEACH <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED] <br />E. L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />SPECIAL PROVISONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I E%CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana, Its officers, agents, employees, representatives and <br />volunteers are included as Additional Insured as respects to Operations <br />Performed by the Named Insured. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana, Parks, DATE THEREOF, THE ISSUING INSURER WILL ENRR9N9M(XIMIL I_ DAYS WRITTEN <br />Recreation & Community Services NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BWX*XXXRXMARXftAMM Q <br />20 Civic Center Plaza BaIR$RaNCRewtzxaarMaaRMReonRxRRRocx$oMRMRauua$e$MxMSD$MRxxmotMx)oMxxx <br />Santa Ana, CA 92701 ®ea�xaxmdBrY <br />ACORD 25 (2001/08) 1 of 2 #596273 SERRAANIMI _nc o ACnRn cnaanFi 40RR <br />WC/ <br />
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