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ACO rj�Y <br />l..i !7 CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /OD /YYYY) <br />s�2��zoo9 <br />PRODUCER ('760) 795 -2002 FAX: (760) 929 -0534 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hatter, Williams S Purd Insurance <br />Y <br />ONLY AND CONFERS RIGHTS UPON THE CERTIFICATE <br />,�,k{OL{JEB. �T IHIS I[S$R�[F E DOES NOT AMEND, EXTEND OR <br />2230 Faraday Ave <br />'ALTER TH'E (COV�hAGE FORDED BY THE POLICIES BELOW. <br />+'3O DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT <br />City <br />20 Civic <br />Carlsbad CA 92008 <br />{RJ URERS AFFORDING COVI'R`AGE <br />NAIL ti <br />INSURED � <br />I SVRERA: G01 dE!n Ea 1e� (Insurance <br />10636 <br />Vet Care Vaccination Services, Inc. <br />INSURER B:Preserver Ins Co <br />69493 <br />INSURER C: <br />dba Vet Care Pet Clinic <br />INSURER O: <br />10627 La Perla <br />INSURER E: <br />Fountain Valley CA 92%08 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />A RE AT IMIT H WN MAY HAVE B EN E Y I A <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM /OD/YY <br />POLICY EXPIRATION <br />DATE MM /DD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1 000 000 <br />DAR MMGE TO RE CTED n <br />$ 50 , O O O <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />BOP8516255 <br />10�1�2009 <br />1D�1�2010 <br />MED EXP An one erson <br />$ 5,000 <br />P R NA A V INJ RY <br />$ l i D D � i D � D <br />GENERAL AGGREGATE <br />$ 2, � D O, � D D <br />GEN'L AGGREGATE LI MIT APPLIES PER: <br />P T - P P <br />$ 2 � DOS � X00 <br />X POLICY PRO LOC <br />'AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accitlenq <br />$ <br />BODILY INJURY <br />(Per pereon> <br />$ <br />ALL OWNED AUTOS <br />scHEDULEO AUTOS <br />//� <br />A�P�20 E A <br />TO FORM <br />BODILY INJURY <br />(Par accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />/// <br />( <br />S ��1 /i YO <br />P� l <br />Hodge <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />n <br />GARAGE LIABILITY <br />J <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN A A <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: qGG <br />EXCESS /UMBRELLA LIABILITY <br />5 <br />OCCUR � CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />__ <br />$ <br />DEDUCTIBLE <br />RETENTION <br />$ <br />WORKERS COMPENSATION AND <br />X WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETO R/PARTN ER/EXECUTIVE <br />E.L. EACH ACCIp ENT <br />$ 1 . D�� . DDD <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 , 00 O , <br />OFFICER/MEMBER EXCLUDED <br />WCC000836000 <br />10�1�2009 <br />1D�1�2D1D <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 O O O D O O <br />If yes, tlascribe ontlar <br />SPECIAL PROVISIONS below <br />OTHER <br />OE SC RIPTION OF OPERATIONS /LOCATIO NSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Certificate Holder is named Additional Insured <br />Except 10 days notice £or nonpayment of premium <br />F•F RTI FIr"`aTF 1-1 111 IIFR rCN(�FI 1 ATI[7N <br />ACORD 25 (2007 /OB) cJ AGVKU GVKHU KA I IVN Ttlau <br />INS025 (o�oe).oaa Paye � of 2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />C1ty <br />Of Santa Ana <br />E %PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Attn : <br />Lisa Storlc <br />+'3O DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT <br />City <br />20 Civic <br />Attorney OEP1Ce <br />Center Plaza <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />Santa <br />Ana, CA 92702 <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Nickie Einertson, CISR <br />ACORD 25 (2007 /OB) cJ AGVKU GVKHU KA I IVN Ttlau <br />INS025 (o�oe).oaa Paye � of 2 <br />