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rlin.JA• 101od <br />ORD- CERTIFICATE OF LIABILITY COMMUVETE <br />OATE(MMrDD/YYYY) <br />ER 01/23/2007 <br />iation Unit a� �O / _ <br />A _ oc 0 <br />fABD <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />surance & Financial Servi ces <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />at maa Park Dr. Suite 200 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />$1000000 <br />DAMAGE TO RENTED <br />MED E (Any one pers on) <br />ento, CA 95833 05 _ &(D8 <br />INSURERS AFFORDING COVERAGE <br />PERSONAL& ADV INJURY <br />INSURED <br />Community Veterinary Hospital, Inc. <br />INSURERA: Fireman's Fund Insurance <br />NAIL # <br />INSURER B: <br />13200 Euclid Street <br />INSURER C: <br />Garden Grove, CA 92843 <br />INSURER D: <br />COVERAGES <br />N <br />SURER 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 />LTR <br />A <br />NSR <br />X <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />POLICY NUMBER <br />AZC80806771 <br />OLIC DD/YYE <br />10/01)06 <br />POLICY M�� ITIO <br />10/Ot/O7 <br />LIMITS <br />EACH OCCURRENCE <br />$1000000 <br />DAMAGE TO RENTED <br />MED E (Any one pers on) <br />$100000 <br />$10000 <br />PERSONAL& ADV INJURY <br />$1000000 <br />GENERAL AGGREGATE <br />$2 000 OLIO <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$2000,000 <br />POLICY J LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />NON-OWNED <br />WNED AUTOS <br />- <br />F. - <br />INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />A <br />I.1. <br />.JP <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />E <br />$ <br />EXCESSAIMBRELLA LIABILI TY <br />OCCUR F� CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />a <br />DEDUCTIBLE <br />RETENTION $ <br />E <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LUIBILITY <br />WZP80942490 <br />07I01I06 <br />07 /01I07 <br />X WC STATUS OTH- <br />Y. LIMITS I FR <br />E <br />ANY PROPMETOR/PARTNER/E%ECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />E1 000 000 <br />E.L. DISEASE - EA EMPLOYE <br />$1,000,000 <br />If yes. describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />" Supplemental Name •" <br />Doing Business As: Community Veterinary Hospital, Inc. 01/31/07 06 :32 IRMO <br />(dba) Animal Friends Pet Hotel - <br />(dba) Animal Discount Clinic <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER .....__... _._.. <br />City of Santa Ana <br />20 Civic Center Plaza, M -30 <br />Santa Ana, CA 92702 <br />I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - 30 DAYS WRITTEN <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ARM PRIZED Rw= E <br />z5 VU01108) 1 of 3 #944085 COMMUVETE A5A © ACORD CORPORATION <br />