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morn JANLA I-H�CCNE At FIRST VVEST INS AGENCY FaxfD: 714 - 842 -317.8 To: Vet Care Vacanation Services, <br />Date 62201 D 09.16 AM Page 2 of 2 <br />CERTIFICATE OF LIABILITY INSURANCE OP ID sF D <br />PRODUCER VETCH -1 <br />First West Insurance Agency <br />16742 Gothard St ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Y 217 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O Box 1009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOY <br />Huntington Beach CA 92647 <br />Phone:714 -942 -2523 Fax:714- 842 -3128 INSURERS AFFORDING COVERAGE <br />INSURED — NAIC # <br />INSIANER A: MERCURY CASUALTY CO. _ 11908 - -- <br />INSURER B: <br />r -- <br />Vet Care Vaccination Sex-vices, INSURER C. <br />10627 La Perla Avenue <br />Fountain Valley CA 92708 -6016 INSURER <br />COVERAGES — <br />INSURER E <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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. CONDITIONS OF SUCH <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />GENERAL LIABILITY <br />ICOMMERCIAL GENERAL LIABILITY <br />j CLAIMS MADE L-J, OCCUR <br />GEKL AGGREGATE LIMIT APPLIES PER <br />POLICY P� LOC <br />AUTOMOBILE UA&L1TY <br />A X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS CCA0012827 <br />HIR ED A UTOS <br />NON OWNED AUTOS <br />LIMITS <br />EACH OCCURRENCE $ <br />PREMISES (Ea occurence) $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY S <br />GENERAL AGGREGATE $ <br />PRODUCTS - CORIPlOP AGG S <br />COMBINED SINGL F t IMTT <br />(Ea xcidenq 1 f <br />BODILY INJURY <br />06/02/10 1 06/02/11 1 (Per person) f 100,000 <br />BOO(LYINJURY f 300, OOO <br />lPa accident) <br />1 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br />NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO SO SHALL <br />City Of Santa ]Ina IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />Ivry, A11 ngnTs reserved. <br />The ACORD name and logo are registered marks of ACORD <br />PROPERTY DAMAGE <br />(Per Accident) <br />S SOO OOO <br />, <br />LIABiLJTY <br />j <br />AUTO <br />Ash O E AS TO FOR <br />^�O JNLY- EA ACCIDENT <br />S <br />;EXCE" <br />1 <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: <br />- -_ - - - - -- - - -- <br />!UMBRELLA LUIBIL JTY <br />AGO <br />f <br />YIR CLAIMS MADE <br />n Hodge <br />EACH OCCURRENCE <br />S <br />eput City Attorne <br />AGGREGATE <br />S <br />DEDUCTIBLE <br />S <br />RETENTION <br />WORKERS COMPENSAT169 <br />f <br />AND EMPLOYERS' UABILITY <br />ANY PROPRiEfCWPARTNER/EXECUTI <br />_ <br />TORY LIMITS ER <br />CFFICER/MEMBER EXCLUDED? U <br />(Mandatory in NH) <br />EL EACH ACCIDEM <br />S <br />I yea, deccnbe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - EA EMPLOY— <br />f <br />OTHER <br />E.L. DISEASE - POLICY LIMB <br />S <br />1 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br />NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO SO SHALL <br />City Of Santa ]Ina IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />Ivry, A11 ngnTs reserved. <br />The ACORD name and logo are registered marks of ACORD <br />