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ADVANCED CRITICAL CARE & INTERNAL MEDICINE (ACC&IM) 1C - 2011
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ADVANCED CRITICAL CARE & INTERNAL MEDICINE (ACC&IM) 1C - 2011
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Entry Properties
Last modified
10/13/2015 2:36:29 PM
Creation date
12/6/2010 2:27:42 PM
Metadata
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Contracts
Company Name
ADVANCED CRITICAL CARE & INTERNAL MEDICINE (ACC&IM)
Contract #
N-2007-141-003
Agency
POLICE
Expiration Date
12/31/2011
Insurance Exp Date
7/1/2011
Destruction Year
2016
Notes
N-2007-141
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UFr IU- AU <br />A` o'er °' CERTIFICATE OF LIABILITY INSURANCE °A�`"""D°"""�" <br />1 OM 2/1 O <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ TH13 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER_ <br />IMPORTANT: H the certificate holder la an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, Subject to <br />the terms and condltlons d the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to [he <br />certificate holder in lieu of such endorsame S _ <br />PRODUCER 888- 762 -3143 <br />Vebarinary Ina- Services Co- 916- 921 -2286 <br />CA License #OFB4180 <br />1400 River Park Urive, #180 <br />Sacramento, CA 95816 <br />_ <br />NAME: <br />PNDNE F <br />� Eap: , we, Nor <br />_ <br />li <br />AD a: <br />a RID r� ADVCR -1 <br />INSURER 8 AFFORDING COVERAGE <br />NAIL C <br />INSURED Advanced Critical Cars S Inter <br />Ravi Seshadri, DVM <br />3021 Edinger Avenue <br />Tustin, CA 92780 <br />INSURER A :Fireman's Fund Insurance Co- <br />INSURER a - <br />INSURER C <br />INSURER D <br />INSURER E <br />$ 1 rOOO,OO <br />IN URER F <br />X COMMERCIAL GENERAL LIABILITY <br />GLAIMS-0IIADE � OCCUR <br />LS{JV CKACiCa GE RTIFIC YTE NUMRFRe IDFVISIPfN NI IMRFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OP IN8URANCE <br />POLICY NUMBER <br />1 Y P <br />D Y EXP <br />VATS <br />GENERAL LMBII.nY <br />EACH OCCURRENCE <br />$ 1 rOOO,OO <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />GLAIMS-0IIADE � OCCUR <br />X <br />080853323 <br />07/01/10 <br />07/01/'19 <br />pR MISES Ea oewrtenre <br />$ 100.00 <br />MED EXP (An one parson) <br />$ 10.00 <br />PERSONAL 8 ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />_ <br />$ 2,000,00 <br />GENL AGGREGATE <br />LIMIT APPLIES PER'. <br />PRODVCTS - COMP /OP AGG <br />$ 9,000.00 <br />X POLICY <br />PRO- LOC <br />Emp Ban. <br />$ 9,000,0 <br />A <br />AUTOYDBILE <br />LIA9ILITY <br />ANVwro � <br />080853323 <br />07/09/90 <br />07/09/11 <br />COMBINED SINGLE LIMIT <br />(E °BOCidB"1) <br />$ 1,000,00 <br />BODILY INJVRY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJVRY (Per amidenl) <br />$ <br />SCHEDULED AUTOS - <br />HIRED AUTOS <br />NON -0WNED AVTOS <br />APPRQ V p AS Tq <br />M <br />X <br />PROPERTY DAMAGE <br />(Per acclaenl) <br />$ <br />X <br />$ <br />„ <br />/ <br />$ <br />A <br />J( <br />UM6RELLA WB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />/ ! <br />M. CR <br />�� Cu A <br />AITE <br />07/09/19 <br />EACH OCCURRENCE <br />$ B.000,OO <br />AGGREGATE <br />S S,000,OO <br />DEDUCIBLE <br />RETENTION $ <br />$ <br />X <br />$ <br />A <br />WORKER8 COMPENSATION <br />AND EMPLOYERS' LUI9EJTY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N <br />OFFICER/MEMBER EXCLUDEDT � <br />(Yerrm4xy In NH) <br />H 3sGrR1PTON OF �PERATONS below <br />N / A <br />PSO984421 <br />07/09/90 <br />07/09/99 <br />X WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />$ 9.000.00 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 9.000.00 <br />E.L. DISEASE - POLICY LIMIT <br />$ 9,000, <br />A <br />Professional Llab <br />80853323 <br />07/09/10 <br />07!09/11 <br />Occurrent 1,000,00 <br />Aggregate 2,000, <br />DESCRIPTION OR OPERATONH /LOCATIONS / VENICLES (Alkaeb ACORD 101, ArIUNienal Remarire gehetlule, Ir mere space le rpulrW) <br />The certificate holder is named as additional insured_ <br />10�ay notice of cancellation for non - payment <br />VCR I Ir•IVAI C I-IVLUCR GAPrLiCLLJi 11 N <br />CITYSA3 <br />SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN <br />City of Santa Ana, Iffi ACCORDANCE WITH THE POLICY PROVISIONS. <br />offic¢rs, employees, agents, AuTNOR¢eDRePREaE rnE <br />volunteers 8r representatives Arthur J_ Cnaz 1 -VP <br />20 Civic Cenbar Plaza <br />An CA 92701 <br />® 1988- 09 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009!09) The ACORD name and logo are registered marks of ACORD <br />
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