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<br />ErH. <br />AC De CERTIFICATE OF LIABILITY INSURANCE TEIWMD l Yrl <br />9 <br />111 A <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <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 INSUI AUTHORISED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the ceNRcaM holder is an ADDITIONAL IN?WI a Ilri must he endorsed, N SUBROGATION IS WAIVED, suFt to <br />theterma and conditions of the policy, cedein pollDias maµrB?u ?1E:ord ?.43faMment on this cerfifioa(e does not vender rlghh; to the <br />cerdi holder in lieu of such endorsemeDgs). <br />PRODUCER I?UNEA[r NI Einelta0a, CISR <br />41 <br />. <br />Hatter, Williams E Purdy Insurance CLL PNdIIE ?p'? PAX <br /> <br />? <br />We E L 01795-2002 91 SOh 11601955-0691 <br />, <br />2230 Faraday Ave ertson@hxpinsuranoe.com <br />p URM <br /> PRODUCES 00018076 <br />cusmNERIDO <br />Carlsbad CA 92008 INSUREHSI AFFORDING 009MOE NNIDA <br />INSURED INSURmAGolden Eagle Insurance Corp 10836 <br />Vet Care Vaccination Services, Inc. InsueFxaCNA 02186 <br />dba: Vet Care Pet Clinic 9 msuPEPC, <br />10627 La Perla Ni INWRERO. <br /> <br /> <br />92708 INSURER , <br />S' <br />Fountain Valley CA INSuuPF <br />COVERAGES CERTIFICATE MUMBER:11-12 Master REVISION NUMBER' <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. NOT NTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT LATH 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 />man ttPErsINeOAANCE ADm SUP P01169ERR POLICYEXP UNITS <br />?P man 0 POUPYRUMBER RNIDDIYYY MmOfVYYY <br />GENEMLUAILItt EACH OCCURRENCE '0 1,000,000 <br />X COMMERCIAL GENERAL LIASIrm PRREEMsESIFSommraf ',S 50,000 <br />A CLANSINDE X OCCUR BOP0516255 101L/2011 10147012 NED EXP [Cry ore pemnl S 50000 <br />PERSONAL S WV INJURY $ 1,000,000 <br />GENERAL AGGREATE I¢ 2,000,000 <br /> <br /> <br />, <br />2 <br />. PPCOUCTSCOMPpPAGG $ ,000 000 <br />GEN'LAGGREGAIEUMRAPPAE6PEP' <br />1 <br />11 <br />O <br />?A <br />X PWCY PRO lOC ' 8 <br />WIOMOaIIELIAeN1Y PR COMBINED SIACLE rIMG S <br />N ? EettUWrO <br />PNYAIRO ¢OOILY INdOPYIPalttsm7 S <br />$10ftCY• <br />uLouWEnAmos <br />POOPY NduBrlvalau"nml?s <br />E <br />LISA ' <br />FnBV <br />, p110 <br />sce5ou1EOA01CS <br />ERn <br />oAMAGE <br />P <br />aD <br />DlCItY <br />t <br /> <br />? <br />? <br />P <br />? <br />s <br />9 <br />pssis <br />HIPEOANOS <br />NONANMEOAWOa ? S <br />e <br />OM¢PFILALIAB OCCUR ' EACH OCCOPPENCE I¢ <br />EXCErs LLAS LWMSlNWE AGGREGATE I$ <br />OEOOCTISLE . S <br />RETENPON S __. S <br />YgANEASCONPFNeITIdI _-.__-. -._._-_-_._ VA;STAiO, QIH- <br />B X ToeruNlrs ER <br />ANDEMPLOYFPa'11191M YIN I <br />uurrewMElCRmsmNEwSUCNeh EiEUHUCmENT ?s 1,000,000 <br />LiFICEmNENBER EXf(O[FG1 ? NIA aC424170151 lOLtL2011 ]0047012 EL DISEASE-FAEMPiOVEEb 1,000,000 <br />NVNmnin NXl <br />Itts msmNul? 'I Et oISE>TMPCUttrWr 6 1 000 000 <br />IOESiemnauCF OPERAnous ?? <br /> <br />OESCRIPIIONpFOPEPAa0N5l?OCAnOA'aIVFXI[LES IANARACOPOIDI,AANNOna PemuXRmAAtlule,XmorepmlesµnMl <br />City of santa Ana, its offices, a9BnLa, a9p10y009 Md IeplBaentdtlVB9 aI0 NOBd Add1L10na1 Inan[ed'lhla les0IMC0 19 <br />primary; Ne City's msuxanca aI self-ineuranca is non-cpnt[ibutory; Na insu[anre afforded UfJ)BI Ore policy applies <br />separately to each insured ageinet xham a claim is made c[ a suit ie blougnt <br />10 days notice Ea[ nanpay?nt of p[amium <br />CERTIFICATE HOLDER CANCELLATION <br /> SHDMLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LLED BEiOAE <br /> iNE EXPIRATION DATE THEREOF, NORCE WILL BE DELIVERED IN <br /> pCCOROANC E WRN THE POLICY PROVISIONS. <br />City of Santa Ana <br />Attn, Lisa Stork <br />City Attorney Office TM An oREPR I AmE <br />20 Civic Center Plaza <br />Banta Ana, CA 92102 <br /> Nickie Einertaon, CISR <br />ACORD ES ?2009109? I)19B82009ACOR0 CORPOAAlION. All rights reserved. <br />INSOESpoD;ml the ACORD nam¢and logo are registered marks ofACOAD