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<br />J"-2E07
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<br />Ale _ "Rt:I
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<br />
<br />13:48'
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<br />From:
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<br />To: 1714571420'3
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<br />Pa.e:2'2
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<br /> ~t'CER THIS ...,1<.......A.11ON _ __I> A8 A MAnER OF INFORMATION
<br /> .-.....,~., st. L'10" 'NSURANCE AGENCY ONlY AND CONFERS NO RIGHTS UPO" 1lE CERTIFICATE
<br />, 43S0 KATElLAAVE HOLDER. THIS <.dt....oCATE DOES NOT lMeID. EXTENO OR
<br />I LOS ALAMrr08. CA 90720 ALTER THE COVERAGE AFFOROEO BY THE POUCES BELOW.
<br /> _URERS AFFORDlNC COVERAGE HAle #
<br />fl"Suioi> .. .. -. -~ '- - ---
<br /> 'HSURFRA' HARTFORD CASUALTY INSURANCE
<br />I .,,-
<br />I scorr STANFORD lN6UIi\EA.B.
<br /> OIl'< OIAGNOSTIC VETERINARY LA9S, INC ~Rl!RG
<br /> '401 SOUTH STREET INSUfltEftD:
<br /> ~ONG IlEACH, CA 9OllO5 .... - ,..- -
<br /> INSURERf:'
<br />
<br />CERTIFICA TE OF LIABILITY INSURANCE J
<br />
<br />DItotE IMllWDrI'YYY)
<br />10lO4I:/007
<br />
<br />COVERAGES
<br />
<br />I THE POUCM;S OF INSlJI'IANCE LlSTEO BeI.OW HAVE BSEN _ TO THE IIl8U1lED NAMED ABOVE FOR THE POUCY PERIOD INDICA TED. NOlVoITHSTAND'NC
<br />A''Y REQUIREMENT, TERM OR CONDITION or ANY COIffilACT OR OTHER tlOCUMENT VolTH RESPECT TO VtIlICH THIS CERTIACATE IlAY Be ISSUED OR
<br />, "'f.,v "EOTAIN, THE INSURANCe AFFORDED BY THE POllCtES DESCRlIlEll HEREIN IS SUBJECT TO ALl. THE TERMS. exC~USIONS AIlI' COHoIT1OHS Of SUCII
<br />---.'0' ""'').''3ATE LlMI1>s SIiO'MI MAYHAVE BEEN REDUCED 8Y PAID CLAIMS,
<br />
<br /> c. - - -- '. .. POt.JCv EFF!CTfW --
<br /> ~'-~,~ .,~~,.~ ,r'~E OF INSUMNCE POLICY NUfUI5R POUCY EXNlUt'noN """"
<br /> ll/'IY .....
<br />r I .<lOfWIAl-.-uTT n SllAAG9670 08I28l2OO7 08I26l2OO8 "^"'" ClCClJIUItNCE . 1,000,000
<br /> : ,t-o ; X :';OfIPnERClAL GiNERAI L.IA8(L1I'Y '~IUKltNII!:I~- 300.000
<br /> PRDttSES Iklll ~,) .
<br /> .~ :.JOCOUR 10,000
<br /> . o::~\ts \tA':1E MED [XP (~~ pefWC 1) .
<br /> .---.----
<br /> PER$0W4... AVV INJUf "( , 1 ,000,000
<br /> .~- 2,000,000
<br /> GFHe\AL AGGnEQATI: ,
<br /> -~------,-~
<br /> : ~e:"'L AC;r.;RFf'":.,A.TF.lIMf1 ,\I'n ~R: PRODU~. COMP.~~ .\GC ,
<br /> - 'lP!:tO- 2;000,000
<br /> ~_, ._~...l. P0lY.';Y : : ~F"X;: LOC ,
<br />, ~_U~UN 72SBAAG9670 0812612007 Il8I26I2OO8 COMNEO SiNGlE UMI i
<br /> , 1.000,000
<br />i : ANY Avro ~:"'" -
<br /> Al.1,. ()'Mti) AUTOS aOOIL Y fN,JVRY 1,000.000
<br /> , .
<br /> , SCHEDULEO AUTOG I (Pw"!)QI'8On1
<br /> -
<br /> 1-- i H~FO Al f1'OS BOOa.. Y INJURY , 1,000.000
<br />I NOtII-OYH:D AUTOS (PelOIu::M:Ionl)
<br /> , I- I - ,,-
<br />I I- -. .- 1IA('Wllfi!M"Y DAMACoE 1.000.000
<br />, .
<br />I (F'er&oCident)
<br /> G.IIl~u.r.Jml1"l' AlHO ONLY. fA N;CD.NT .
<br /> -
<br /> f,"'<Y,~lJTO OIHER THJI.H I::A. \CC ,
<br /> -'-= -
<br /> AllTO OM V' ,\GO .
<br />, I~$$IU.BREUA UABlu'rY ~C!l_OCC1)RR~.HCE __ i-!-
<br />I P OCCUR I I ct..... """" --
<br /> I 1'1"!"<OV AGC'.RF('..o.TE; --~
<br /> ""U "
<br /> f---, AS TO .
<br /> FORM .-
<br /> , ' DI::DUGTIBLE ~< ; / /..,. I------ " I
<br /> "
<br /> .._._----~~, .
<br /> .,-. r IT~I.~1/i;1 ')~
<br /> ""''Q~KERB COMPl!MSa'nON Af<<I L'ur S,'lt Sh
<br /> !1;""l.OYli~1' UA8IUTY 4'''.)~''jc ~~~ ^CCIOE~T ,
<br /> : "'''IV ~IETOPJPA~TNErtn::XECUlI\IE . eOdy - --
<br /> t CJ1y ~
<br /> :,':'""-'o::<;~,"/!"'~I!:~ FXCLuocm lIar", ~:L DlSICASf. ~ 1!Mr'~ ~ -'-. I
<br /> ~'e~~~:~~~ kL l>I8EA5E - POlICY L MrT .
<br /> On.'li~ 0612612007 0812612008 PERSONAL $ 200,000
<br /> :;'.")''\::3S pqoPe:~n 72SBAAG9670
<br /> DEDUCTla~E $ 1,000
<br /> ." ~,i:~(:;,'~;,~b;,jOF QPEP-ATIQN8, LQCA11CN9/V1HCtn: I DCl.U$OH8 ADDED BY ENDQ,.tIMEHT, IPKIAL JlItO\II$tONf
<br /> , 0 ~A Y '1011CE OF CANCELLATION
<br /> <O~ NON.PAYMENT OF PREMIUM
<br />I
<br />
<br />CERTlFICA TE HOUlER
<br />
<br />CITY OF SANTA NlA PARKS
<br />RECREATION & COMMUNITY SEfMCES
<br />') GNlC CENTER Pl.AZA
<br />$""'~AANA, CA 92701
<br />
<br />CAI<<:ELLA TION
<br />BHOULD ANY 0# THe ABOYIi DDCItf8@rI POUCIH BE CANCEl:.r;.D IIE'OR:E THE EXPIRATION
<br />PATfTHmEOF.ncelnuINUINSlIR!IIlWlU.EN~VOfl:TOMAL ~ OAYS WRfTrlON
<br />NOTlCf! TO TH!! CIRT1F1CATIi HOLOI!R NAMI!D to Tl1E lEFT. 8U r It'AlI.U~ TO DO 90 SHALL
<br />IIIIPDSIi NO OBUGATIQ" OM UABLlTY OFANV KIND UPON THI!I..tIUHR,ITtlAOENTSOR
<br />IQ!!~ !IilTATrVee.
<br />C!B)Re~
<br />
<br />ACORD Z5 (2001108)
<br />
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