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l <br />ACORD� CERTIFICATE OF LIABILITY INSURANCE DATEIMWDD,YYYYI <br />PRODUCER (760) 795 -2002 FAX: (760) 929 -0534 THIS CERTIFICATE IS ISSUED AS A MATTER OF IN ORMAOTIION <br />Hatter, Williams & Purdy Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2230 Faraday Ave <br />Al-R009- 06-2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, co I <br />Carlsbad CA 92008 Q - �6G2 INSURERS AFFORDING COVERAGE <br />INSURED NAIC # <br />INSURERA. Golden Eagle Insurance 10836 <br />Vet Care Vaccination Services, Inc. INSURERBPreserver Ins Co 69493 <br />dba: Vet Care Pet Clinic 1---- C. <br />10627 La Perla NSURER <br />INSURER D. <br />Fountain Valley CA 92708 INSURER E: <br />TI-E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTVVITHSTAN'DINC AP- <br />itEO' IREr,IEIN7 TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTA ^; <br />- ^E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDTIONS OF SUCH FOL CIE I <br />AGGREGATE Li%tTS SHOWN MAY HAVE BEEN REDUCED BY PAID LAIMS. <br />NSRIADD'LI <br />N <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM /DD/YY <br />POLICY EXPIRATION <br />DATE MM /DD /YY <br />LIMITS <br />EACH OCCURRENCE <br />$ 1,;10 <br />A <br />GENERAL <br />X <br />LIABILITY <br />CC%IME.RCIAL GENERAL LIABILITY <br />I'%'.isIMS MADE OCCUR <br />BCP8516255 <br />10/1/2009 <br />10/1/2010 <br />DAMAGE TO RENTED <br />PREMISES Eaoccurrencer <br />$ <br />MED EXP An one ersori) <br />$ <br />PERSONAL 8 ADV INJURY <br />S 1, <br />GENERAL AGGREGATE <br />$ 2, <br />AGGREGATE LIMIT APPLIES PER: PRO- <br />X PC_ICi JECT LOC <br />PRO T - OMP,'OP AGG <br />$ 2, <br />AUTOMOBILE <br />LIABILITY <br />.+1v ""TO <br />AUTOS <br />SCHEDJLED AUTOS <br />HiK�� A.:TGJ <br />O <br />J N- 06 "rNED AUTOS <br />��,� ♦��ppppp <br />l O E AS <br />i <br />Nan H <br />De t4p Cit <br />O FORM <br />�1 f� <br />p G <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />— <br />dge <br />Attorney <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />j <br />GARAGE LIABILITY <br />APaY AJTO <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY <br />AGG <br />$ <br />_ <br />S <br />� <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR [::] CLAIMS MADE <br />5 <br />CEDjC -IBLE �- <br />R= T -NTION - -_. <br />$ I WORKERS COMPENSATION AND — <br />EMPLOYERS' LIABILITY X WC STATU- OTH- <br />T RY IMIT R <br />Pn OPRIETOR'PARTNER'EXECUTIVE <br />;FE!CER; MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1 , 000, 000 <br />-- 11 c.e WCC000836000 10/1/2009 10/1/2010 E.L. DISEASE - EA EMPLOYEES 1,000,000 <br />- - :uSIONS oelow <br />OTHER E . DISEASE - POLICY LIMIT $ 1,000 , 000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />7ertificate Holder is named Additional Insured <br />=Except 10 days notice for nonpayment of premium <br />CERTIFICATE HOLDE <br />City of Santa Ana <br />Attn: Lisa Stork <br />City Attorney Office <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2001/08) <br />INS025,-�,Ds-sa <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO M AIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT <br />FAILURE TO 00 So SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Nickie EinertsOn, CISR <br />© ACORD CORPORATION 1988 <br />