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FISHER, KRISTIAN 1
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FISHER, KRISTIAN 1
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Entry Properties
Last modified
12/3/2015 4:39:45 PM
Creation date
9/6/2005 3:34:47 PM
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Contracts
Company Name
Kristian Fisher DVM
Contract #
A-2005-134
Agency
Parks, Recreation, & Community Services
Council Approval Date
6/20/2005
Expiration Date
6/30/2006
Destruction Year
2011
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Jun -2O-2005 10:27 am FrDR-NCB INTL IL 3128225358 T-754 P, 001/001 F-038 <br />£ cvY.3�J1!e i'1.�CC'V x. tP'T T.e"' tx,; Yf S: IJ... <br /><. , ..T.,... ,111,1 ?:•... .., .. LI. ..; .,.,...,_ �..lo <br />PRODUCER <br />'DATE; MMIODIYYI <br />.......s ,t. Y. •,6 29 2005 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />AVMA Professional LiabilityONLY <br />Insurance Trust <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW, <br />C/O Hub International Illinois <br />1COMPANIES AFFORDING COVERAGE <br />55 East Jackson Boulevard <br />COMPANY <br />Chicago, IL 60604-4187 <br />A Zurich American Insurance Company <br />IN6IMED <br />COMPANY <br />�"C— lay <br />Kristian J. Fisher, DVM i...fVl <br />B <br />Serrano Animal & Bird Hospital <br />COMPANY <br />21771 Lake Forest Dr., Ste 111 <br />c <br />Lake Forest, CA 92910 <br />CONEANY <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VO FOR THE POLICY PERIOD <br />IND ICATEO, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN NAY HAVE BEEN REDUCED EY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POOLLIC IEFIRSMEI <br />POUCYFXIDOhOYNI <br />LIMITS <br />COEVAL <br />LIABILITY <br />GENERAL AGGREGATE 6,000,000 <br />COMPIOP AEG I <br />COMMERCIAL GENERAL LIABILITY <br />CLANS MADE OCCUR <br />_ . <br />AOv INJURY F <br />AAONCE Fl 000 000 <br />OWNW6 B CDNTPACTO,S PACT <br />A <br />X <br />Prof. ;Ciab. <br />086497 VPL <br />1/01/05 <br />1/01/06E <br />pUw me I.., { <br />OE" <br />_ <br />Y ant IN.. 1 <br />AUTOMOBILE <br />IIAMUTY <br />ANY AUTO <br />INGLE LIMIT I <br />ALL OWNED AUTO$ <br />SC MULEO AUTOS <br />BODILY WJVAY <br />IMI PINPIII L <br />HIRED ALTOS <br />NONOWNCO AUTOS <br />ODINJURY F <br />IP.,, .[CAOn1I <br />PROPERTY DAMAGE <br />PRINCE LIABILITY <br />AUTO ONLY - EA ACCIDENT a <br />OTHER THAN AUTO ONLY: <br />ANY AUTO <br />EACH ACCIOENT I <br />AGGREGATE I <br />EXCESS LIABILITYt <br />uMPRlW FORMA13GAEPATE <br />11PRO V r i <br />AS 10 <br />l e.: <br />EACH OCCURRENCE I <br />L <br />I <br />OTNSA THAN UMBREUA FORM <br />WORMERS COMWICATIONANO <br />._._ <br />W S ATV 0 M. . <br />UNUT RT <br />EMPLOYERB'LIABILITY <br />T.EPROPTIIETOw <br />PARTNERS19XECUTIVE INCL <br />uf' <br />.; ulY.i I. <br />St'lt ;; IICI: L1 <br />— <br />4 EAC. ACCIDENT F <br />El DISEASE POLICYLIMIT I <br />EL DISEASE • EAEMPLOYIF I <br />OFFICERS Aft SNCL <br />OTHMI <br />XLCRIFTION OF OKMTOWM1OGTIOFI6NENICL{iRRC1Y IlIMi Subject to policy terms and conditions of AVMA <br />Pmmrfonnfew�ssionepa��l Liability Insurance TcuLkst Master 0 EOL 52413602-00. <br />bl};PSH!^ .RO.k, �L`1A vxl;� las a. RP. +t'FP' R Ie11 iF'riT'd30 t:11 <br />Kristian J. Fisher, DVM <br />/Policy <br />niM!Id�:i.E) ',i A.uJ S.,:n,I <br />SHOULD AMY OF THE ABOVE DEBCNBEO POLICIES EE CANCELLED BEFORE THE <br />EXPIRATION DAT[ THEBEOP, THE ISSUING COMPANY WILL ENDEAVOR TO MAR <br />�1Q PAYS WIBYT6N NOTICE TO THE CDITOICATE HOLDER NAMED TO THE LEFT. <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OELICATIYN OR UORITY <br />OF ANY XWO UPON THE COMPMIY, ITS AGENTS CA REPRE ATIVR. <br />AIITHOAIXD REPR[AlryTAT1YE <br />GGM <br />
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