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<br />\ <br /> <br />, <br /> <br />. . Cllent#: 15695 nUI'ACR" <br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DAlE (IIIIIDDIVYVY) <br />12115104 <br />PRODUCER THI5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB Intematlonalllllnols ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />55 E. Jackson Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Chicago, IL 60604 <br />312922-5000 INSURERS AFFORDING COVERAGE NAIC. <br />INSURED INSURER" Hartford Insuranca Group 29424 <br /> Lorrie Boldrlck, DVM dba INSURER B: <br /> 1330 N. Glasssll Ste. M INSURER c: <br /> Orange, CA 92869 INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF: INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO 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 /> <br /> <br />A <br /> <br />TYPE OF INSURANCE <br />-....-m <br />X COMMERCtAL GENERAlllABIUTY <br />ClAIMS MAOE D OCCUR <br /> <br />POLICY NUMBER <br />83SBWPQ3536 <br /> <br /> <br />LIMITS <br /> <br /> <br />GENERAl AGGRE;GATE <br />PRODUCTS. COMPIOP AGG <br /> <br />$2 000 000 <br />.300 000 <br />$10 000 <br />.2 000 000 <br />$4 000 000 <br />$4 000 000 <br /> <br />LOC <br /> <br />COMBINED SiNGlE LIMIT <br />(Eaaccident) <br /> <br />. <br /> <br />All. OWNEO AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br /> <br />8OO1l Y INJURY <br />(Per person) <br /> <br />. <br /> <br />BODILY INJURY <br />(Peraccidønl) <br /> <br />. <br /> <br />PROPERTY DAMAGE <br />(Peraoç denl) <br /> <br />$ <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />EXCElSlUMBRELtA LIABILITY <br />OCCUR 0 CLAIMS MADE <br /> <br /> <br />AUTO ONly. EAACCtOENT $ <br />EA ACC $ <br />AGG . <br />. <br />. <br />. <br />$ <br />$ <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />ElllPl.OYERI' LlABfUTY <br />ANY PROPRlëTOR/PARTNERlEXECUTIVE <br />OFFICERlMEMBER EXCLUDED? <br />~~8SCt~OVI~S below <br />01HER <br /> <br />STATU- <br /> <br />0.... <br /> <br />E.L. EACH ACCIDENT S <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE. POlICY LIMIT S <br /> <br />DE8CRPTION OF OPERA-noNS I LOCATION' 'VEHICLES I EXCLUI80NS ADDED 8Y ENDORSEMENT / SPEC1AL PROVtStONS <br />The Certificate Holder is listed sa Addltlonsllnsured as their Intereste may appear With <br />respscts to the general liability. <br /> <br />Loc# 1 -1330 N GLASSELL SUITE M; ORANGE, CA <br />(See Attached Descriptions) <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCEL <br /> <br />TION <br /> <br />City of Sante Ana, Its officers, <br />agente and employees <br />Attorney's OfIIca (MslI Stetlon <br />29) 20 Civic Center Plaza <br />Santa Ans, CA 92701 <br /> <br />SHOULD lIMY 0Jr TNE ABOVE DESCRIBED POUtIE' BE CANCELLED BEFORE THE EXPtRATION <br />DATE THEREOf', THE "SUING INSURER WILL ENDEAVOR TO MAIL -30.... DAYS WRmEN <br />Nonce TO THE CERTFICATE HOLDER NAIlED TO WlE LEFT, BUT FAILURE TO DO 80 SHALL <br />IMPOSE NO OBUGAT1ON OR UABILfTY OF lIMY KIND UPON THE INSURER-ITS AGENTS OR <br />REPRE8ENTATlVE8. <br />AUTHORIZED REPRESENTATIVE <br />-;) <br /> <br /> <br />Ii> ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) 1 of 3 <br /> <br />#109215 <br />