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RUG -29 -2008 08:47 FROM:CVMA <br />9166469183 TO:7145714209 P.1 /3 <br />ACORD- CERTIFICATE OF LI ILITY INSURANCE OP ID arc <br />DATE(MUM00YYYYI <br />SERAN -1 <br />08/28/08 <br />INSR _ _ ....... <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Veterinary Ins. Services Co. <br />CA License #OF64180 _ C) i���� <br />A <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1400 River Park Drive, #180 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Sacramento CA 95815 <br />EACH OCCURRENCE <br />Phone: 888-762 -3143 ]Pax: 916-921-2266 <br />INSURERS AFFORDING COVERAGE <br />NAICS <br />INSURED <br />INSURER A vLrwwwnl" F„nd Inwvrvna Co. <br />07 /01 /08 <br />INSURER B <br />Se: nano Animal 6 Bird Hospital <br />PREMISES (Es oocurence ) <br />S ott R. Weldy, OW <br />INSURER <br />21771 Lake VoteSt drive #111 <br />Lake Forest CA 92630 <br />INSURER D <br />— •- -• -•- <br />LIED EXP (Arty we person) <br />INSURER C. <br />PERSONAL d ADV INJURY <br />THE POLICIES OF INSURANCE LISTED BFLOW 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 ISbUFO OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIRED 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 />INSR _ _ ....... <br />LTR 1ISR TYPEOFINSURANCE POLICY NUMBER DATE MWDONY DATE MM/DOIY LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1 ODO DOD <br />I- r._. <br />A <br />A <br />GENERAL LIABILITY <br />8H4AZC80829158 <br />07 /01 /08 <br />07/01/09 <br />—' - -. <br />$100,000 <br />PREMISES (Es oocurence ) <br />1--C.OmmERCtAL <br />CLAIMS MADE I -- .I OCCUR <br />LIED EXP (Arty we person) <br />S10'000 <br />PERSONAL d ADV INJURY <br />3 <br />GENERAL AGGREOATE <br />s2,000 , 000 <br />GEML AGGREGATE LIMIT APPLIES PER <br />PRODUCTS- COMP /OP ACC <br />$1,000,000 <br />R POLICY PRO- <br />.IEGT LOC <br />.. <br />AUTOMOBILE <br />LWMUTY <br />A <br />ANY AUTO <br />8H4AZC80829158 <br />07/01/08 <br />07/01/09 <br />COMBINED SINGLE LIMIT <br />(ED audden1) <br />$1,000,000 <br />ALL OWNED AUTOS <br />DOOILY INJURY <br />3 <br />SCHEDULED AUTOS <br />(Per Person) <br />7C <br />HIRED AUTOS <br />$ <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(PDr a0doent) <br />3 <br />3 <br />PRON tH I DAMAGE <br />(Per aoddenq <br />GARAGE LIABILITY <br />AUTO ONLY - CA ACCIDENT <br />S <br />ANY AUTO <br />OTHER THAN EA ACC <br />S <br />I AUTO ONLY AGG <br />S <br />EXCESSNMBRELLA LIABILITY <br />I EACH OCCURRENCE <br />3 1,000,000 <br />A <br />1 OCCUR I I OLAIMSMADE <br />884AZC80829158 <br />07/01/08 <br />07/01/09 AGGREGATE <br />$2,000,000 <br />Ij <br />DEDUCTIBLE <br />,$ <br />- <br />S <br />RFTFNTION 3 <br />•...... <br />3 <br />wORKERG CCMPENaxnON AND <br />T <br />EMPLOYERG'LIA UTY <br />A <br />R TORY ITATU- <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />8H4WZP80963200 <br />07 /OI /DB 07 /01/09 <br />EL EACHACCIDENT 51,000,000 <br />OFFICERIMEMBER EXCUIDEO'? <br />_ <br />n vea eaealoo unaer <br />C.L. DISEASE • EA EMPLOYEE 3 1 000 000 <br />/ <br />SPE CIAL PROVISIONS below <br />t. L. DISEASE - POLICY LIMIT $1,000 DDD <br />OTHER <br />i <br />i <br />D13CRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />The certificate holder is named as additional insured. <br />10 -day notice of cancellation for non-payment, G <br />* *Certificate holder Continues: representatives <br />CFRTIFIrATR aanl mra <br />City of Santa Ana 6 their <br />respective officers, employeas <br />agents, volunteers and ** <br />888 West Santa Ana Blvd #200 <br />Santa Ana CA 92701 <br />25 (2001M) <br />CYTYSAN SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE THE EXPIRATION <br />DATE THEREOF, THE ISBUINO INSURER WILL 0 A4A)L 30 DAYS V/UTTEN <br />NOTICE TO THE CPATIRCATE HOLDER NAMED TO THE LEFT. BUT SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AOENTS OR <br />_'�I/ x <br />Fax from : 9166469183 88/29/88 89:46 Pg: I <br />