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r , <br />P ID MC DATE (MMY) <br />P <br />*MD CERTIFICATE OF LIABILITY INSURANCE Sa_1 082a 08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Veterinary X ns . Services Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #OF64180 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1400 River Park Drive, #180 � ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />W�� y <br />Sacramento CA 95815 A ' y3 <br />Phox%e:888-762-3143 Fax:916-921-2266 INSURERS AFFORDING COVERAGE NAIC <br />INSUAEO INSURER A' rtr*I-m-n Fund Znnvrnncn Co. <br />INSURER B <br />Serrano Atximal, & Bird Hospital <br />Scott H. Weldy, DVM INSURER C. <br />21771 Lake Forest Drive #111 __. <br />Lake Forest CA92630 INSVRER D <br />INSURER F_: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE RFFN ISSUED TOTHE INSURED NAMED AROVE FOR THH POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNF,NT WITH RESPECT TO WHICH THIS CF-RTIFICATE MAY RF 1$q1 ED OP <br />MAY PERTAIN, THE INSURANCE_ AFFORDED BY TI'IF_ POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br />LTR R TYPE OF INSURANCE POLICY NUMRBR 1 'pgTr' INMrDDA'YI DATE IyMRjp/yYI LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />; 1 , 000 , 000 <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />8H4AEC80829158 <br />07�01%0$ <br />07�01/09 <br />PRA S(I: uroneel._ <br />100,000 x <br />CLAIMS MADE I X OCCUR <br />M£D FXP (Arty one pereen) <br />S10,000 <br />_ <br />PERSONAL R AOV INJURY <br />7 <br />GENERAL AGGREGATE <br />x 2, 000, 000 <br />GL•N'L AGGREGATE LIMIT APPLIES PER: <br />�_... ,. <br />MODUCTS - COMPIOP AGC <br />.. ..._.._ <br />31,000,000 <br />.. <br />�....... PRO- <br />X POLICY ' JECT LOC <br />AUTOM080.E <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1 00O 000 <br />A <br />ANY AUTO <br />8H4AZC80829158 <br />07/01/08 <br />I 07/01/09 <br />(EAeecident) <br />r , <br />ALL OWNED AUTO$ <br />SOOILY INJURY <br />SCHEDULED AUTOS <br />(Per pendn) <br />X, <br />HIRED AUTOF, <br />GIDDILY INJURY <br />4 <br />NON -OWNED AUTOS <br />(PIV fteltldnl) <br />--_- -_- <br />PROPERTY DAMAGE <br />(Pnr neeldmi) <br />6ARA6fi WABIUTY <br />AUTO ONLY . EA ACCIDENT <br />3 <br />ANY AUTO <br />OTHER TIAAN EA ACC <br />-x <br />AUTO ONI.Y: AGG <br />BXCESSNMBRP..LLA LIANUTY <br />FACH 0 1.URRf. NCR <br />d 1 , 000 , 000 <br />A <br />, OCCUR I I CLAIMS MADE <br />S6I4AZC80829158 <br />07/01/08 <br />07/01/09 <br />AGGREGATE <br />; 2, 000, 000 <br />—_. DEDUCTIBLE <br />I <br />A RETENTION ; <br />__ .... _.__... ... <br />...... .. <br />; <br />WORKORS COMPENSATION AMID <br />'S <br />x TVVQ LIMITEft <br />R <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNF_R/EXFCUTIVE <br />8H4WZP80963200 <br />07/01/00 <br />07/01/09 <br />__.....__.__._ _ _.._ <br />E.i.. EACH ACCIDENT <br />_._ .. _.. <br />;1 000 000 <br />[L <br />OFFICERIRII:MEER EXCLUnF.n7 <br />N <br />F.I., pl$F.n$E . EA £MPLOYEB <br />_._.--��..... <br />x 1 OOO O00 <br />Yel, dosembe under <br />SPECIAL PROVISIONS <br />___._.._._...—.__.__—__._—. <br />_..__{!._,........_. <br />below <br />E.L. DISEASE -POLICY LIMIT <br />; 1, 00O 000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES r EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />The certificate holder is named as additional insured. J <br />10-day notice of cancellation for non--paymant. � �! <br />**Certificate holder continues: representatives <br />CRGTYGIC ATC urY1 Man <br />CITYS" SHOULD ANY Or THE AOOVE DUCRIRCD 15000F,$ QE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL EMAIL 30 DAYS WRITTEN <br />City of Santa Ana b, their NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 94RQppD SWALL <br />respective officers, employees <br />agents, volunteers and** UPOW NO OBLIGATION OR LL4AILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />880 WASt Santa Ana Blvd #200 REPRESENTATNEB. <br />Santa Asa CA 92701 AUT/IORIZEDREPRE3 ,� <br />i <br />ICath R. Noe L` <br />ACORD 25 (2001108) ® ACORD CORPORATION 99RR <br />Fax from 09/08/08 14:30 Pg: 2 <br />