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5�c 19 06 11:24a <br />Win, >nt,:4 by <br />A V M A <br />P 1. 1 '1 <br />Santa Rna Zoo 7149537401 p.2 <br />Veterinary Professional liability <br />Insurance Policy <br />Certificate of Insurance ZURICH <br />'1'hi:: poliov p,vv1A. uccm rum. covcr:n: C, 1'Iv.au ral�•:w Iho Iwh y caratul ly. <br />1'1'4:M 1: Insured by the stock company below and heteimlacr enllcd the Campany 11 v1.1.. IU,.N .I W, W) <br />Zurich American Imunmce Company <br />•'1 "cM 2' Vumcd Ccrtiftnnc noldcr, mcmbcr num1wr, ll(C, and addres <br />L(»ric R. 13oldrick DVM <br />1130 North Glassell St,cct <br />Suite M <br />Orangc, CA 92807 <br />LI...II,ILJ,III,.I ... 11.d,l <br />M;wcr 110huy Nuudx:r: I Cerlilicatc Number <br />GO(. 524 1.,( (17309 <br />FOR INFORMA'T'ION OR TO FILE A CLAIM <br />PLEASE CALL (800) 228 -7548 <br />I'fV..M d: Palmy IVrilxl Prom. I /QI /2(N)G'Co: I /011LlNr/ <br />12 01 am lnuxlunl hmc ul lh<uJtlrl'rc of d¢ Nnnn:d Ccnil ic:nc l luld.n n. <br />xUNal Loco,. <br />-11 "EM a: Liumsol Liabilily <br />MidiClainl S 1 000,000 <br />Mcn6ci Nalnc Mciaber Nu. IRC CIa!5s Aggrc),a1c $ 3,O(X),000 <br />Iibl.ol CK LOmw: Ulz 211 N5 16 In <br />- S'. 1 "CI ^4su :xkl Ct1vcC1�C SllllnnbrV <br />y 347 O <br />TOTAL DUE: i 347.00 <br />1 "fEM 6i Pnnns AtUtO d at lsalwl¢c: U -VIII. 103 -A CW (0711)4), U -VI'1. Inn -A (:W (07 /041, <br />L'. -VDT. -107 -A CA (09104) <br />(,rv,M 7•. Seheduleol'Pl:u)Nuudar.;:nul lacalioll( <)tbr <br />Velcmlzlry hoc vionul l4ni(u UAIellsion P'j,I0n.,emmt1t(I lxuchauc(l) <br />fir nddi(i00o1 ll l,111onu, pl¢ISC ma: the httlidICd P"IrV <br />I..Iwnllgn NumlxT /A I'll z Phut N....dvi <br />I'fEA1 R, Vch:mwly Lia:nyu lh�lcncc Covcray;c ranlorsrllnnd (I <br />Aulhonud Rnywlnre <br />'I Lk C'dliliralc of luso...... i, ix,,A MI the Mal.w, I'olicv hold by Om Ame: -10 V.1. +u,aq <br />Mod,11 A.vnculml, (A. V.M A) P.W -i,.-A 1,,b,l,ly Inexr 'I u 1 Ily :,a cpl;mu. of tl . <br />ln+hcy the Nnnled ('..'I ncilte IhAd.. atgNv. Ill.n Illy -n. u. ,n' ll e acn,ucn. , nJ 11 . <br />"Pt'"tnon and anY mindnncnte Iterlvt:vo the N..lml CerlilW;141 I lnl.ler's yyromonu.:nul <br />rc,n,...n.aim s alul That Ihiv ynhcy entbndao all algncmuns cxir:hn•. b<Iwcrn th, Nxutnl <br />('cMifiaa.• hukler a 1111e('atll... ^y,aoy of ee rePr:.�nlali.mx Icl:uing nl this m:an:umc. <br />Nolwr to the C'mnP:,nv. Zurich Nnnh MU,.l na- 3)w.:6.hlce C'h," <br />Atlhl Ian +I. .;,,nal l i:ihilil) 0:11's- <br />I',() Tine 107010.1- Haile, NY 111130- -7010 <br />