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VI/ IcicU'V D.Ia c)I014IL40b VtItKiNAKY iNJ JVU6 <br />,4coR& CERTIFICATE OF LIABILITY INSURANCE <br />veterinary ins. Services co. <br />CA License #OF64180 <br />1400 River Park Drive, #180 <br />Sacramento CA 95615 <br />Phone:888-762-3143 Fax:916-921-2266 <br />INSURED <br />Cnnr�unity Veterinary Hos ital <br />William A Grant ZI, AVM <br />13200 Euclid Street <br />Garden Grove CA 92843 <br />COVERAGES <br />alb�z � uGl/UVd <br />PATE (MMlO DlyYYYj <br />OP ID MC <br />COMVE-1 04/12/10 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE ( NAIC 4 <br />INSURER A: Y1PUw Ine"&.06 Co. I <br />INSURER 8: <br />INSURER C: <br />INSURER D: <br />THE POLICIES OF INSURANCE LISTED BELOW 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 WfTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSION6 ANO CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN R:000ED BY PAID CLAIMS. <br />W6R'ADORi ...------ FEC <br />.TR INS TYPE OF INSURANCE POLICY NUMBER DATE MWDWrM DATE MWDDO� <br />- --- <br />LIMITS <br />ERAL LIAMLrTY <br />EACH OCCURRENCE <br />$ 1 , OOO , 000 <br />A <br />X <br />I X� COMMERCIAL GENERAL LIABILITY <br />AZC80843887 <br />10/01/09 <br />10/01/10 <br />PREMISES I.00nurenoel <br />$ 1001000 <br />I CLAIMS MADE FX OCCUR <br />ME_O UP (Any Ono Porwrn) <br />S '10 , OOO <br />E <br />PERSONAL 6 ADV INJURY <br />GENERAL AGGREGATE <br />$2,000,000 <br />. _ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMP/OP AGG <br />S 1 OOO , OOO <br />X POLICY JECT LOC- <br />1 OOQ 0000 - <br />E Ben. <br />AUTOMOBILE <br />UARILITY <br />A <br />IX <br />I ANYAUTO <br />AZC90843997 <br />10/09/09 <br />10/01/10 <br />COMBINED SINGLE LIMIT <br />(�dDCO°^') <br />S 1 OOO 000 <br />' ' <br />ALL OWNED AUTO£ <br />BODILY INJURY <br />S <br />£CHEOULEO AUTOS <br />(Poe person) <br />HIRED AUTOS <br />NON <br />n " R <br />A0PKO�IE <br />S TO FORM <br />s <br />BODILY INJURY <br />-OWNED AUTOS <br />(Pe aeoaenl) <br />�r <br />--'e <br />PROPERTY DAMAGE <br />S <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />'�eput I{ <br />Ity Attorney <br />OTHER THAN EA ACC <br />S <br />AUTO ONLY: AGG <br />f <br />EXCEBSIUMBRELLJIUABILITY <br />EACH OCCURRENCE <br />S 5,000,060 <br />A OCCUR F7 CLAIMSMADE AZC80843887 10/01/09 10/01/10 <br />_ <br />AGGREGATE <br />s5,000,000 <br />$ <br />DEDUCTIBLE <br />—' <br />$ <br />}( RETENTION $ <br />WORKERS COMPENbATION <br />S <br />AND EMPLOYER$ LN181UTY <br />ER <br />X TORY LIM ITbANY <br />PROPIR <br />A :OFFICER EIf TOR M6ER EACLUD DXECUTIV¢—t WZP80978220 10/01/09 10/01/10 <br />E.L, EACH ACCIDENT <br />$ 1,000,000 <br />(Manaamryin NNi <br />it <br />If yet, desG'ipa UIIde( <br />E.L. DISEASE • EA EMPLOYEE.- <br />S 1 , OOO 000 <br />: OPEC WL PROVISIONS belpw <br />OTHER <br />E.L. DISEASE • POLICY LIMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES I EXCLUS RNIB ADDED BY iND01lSEMENT I BPECULL PROVISIONS <br />Certificate Holder is named aEI Additional Insured (endt attached) <br />10 -Day NOC for Nvn-Payment <br />**Cert Holder: its officers, employees, agents, volunteers and <br />representatives <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY"3 DATE THEREOF, THE KSUINO INSURER WILL WAXIMMM MAIL 30 DAY8 WRrrTEN <br />NOTICE TO THE COMPICATE MOLDER NAMED TO THE LEFT, BUT 10, SHALL <br />City of Santa Ana, • t IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TNF INSURER, ITS AGENTS OR <br />Sgt. Marty Shirey/Canine Unit REPRESENTATIVES. <br />20 Civic Center Plaza M-30 AUTHUWEVREPRESENTATIVE <br />Santa Ana CA 92702 Kathy R. me*, CPCU, ARM -VP <br />ACORD 25 (2009/01) V 1888-2009 ACORD CORPORATION. Ail rights reserved. <br />Tho ACORD rMI IO and logo are registered rUrks of ACORD <br />