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COMMUNITY VETERINARY HOSPITAL, INC. 3B - 2011
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COMMUNITY VETERINARY HOSPITAL, INC. 3B - 2011
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Entry Properties
Last modified
2/10/2016 7:17:22 AM
Creation date
6/13/2011 4:09:22 PM
Metadata
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Contracts
Company Name
COMMUNITY VETERINARY HOSPITAL, INC.
Contract #
N-2009-057-002
Agency
POLICE
Expiration Date
6/30/2012
Insurance Exp Date
10/1/2010
Destruction Year
2019
Notes
Amends N-2009-057, -001 Amended by N-2009-057-003, -004
Document Relationships
COMMUNITY VETERINARY HOSPITAL, INC. 3 - 2009
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
COMMUNITY VETERINARY HOSPITAL, INC. 3A - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
COMMUNITY VETERINARY HOSPITAL, INC. 3C - 2012
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
COMMUNITY VETERINARY HOSPITAL, INC. 3D - 2013
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
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LV -v IJ Ia JIOJC ILC bb Vt It.i NAHT iNJ aVUj <br />CERTIFICATE OF LIABILITY INSURANCE <br />PRDDUGEw HIS TIFIC^TE IS ISSUED AS 1 <br />V¢t¢rinary ire . S¢res <br />vicCo. ONt_Y AND CONFERS MO RIGHTS <br />CA Lioenea *0;6-43.80 HOLDER. THIS CERTIFICATE DOE <br />1600 River Dark Drive, 0160 ALTER THE COVERAGE AFFORDE <br />Sacramento CA 95615 <br />Phoma: 869-762 -31 d3 Fax: 916-921-2266 INSURERS AFFORDING COVERAGE <br />Q IDOL .VVI/VVJ <br />OR <br />NAIL s <br />C um�tuni t—y V/OClr1TL y �HO�Op1 tat INSURER C' <br />1 William�a A Grant gZS, DVM <br />GM=Cl nEGrove C% 92843 INSURER D: I� <br />I f IN SURER E: I I <br />trtivco s rs�� <br />THE POLICIES OF IN SURA—E LISTED BELOW HAVE BEEN ISSUED TO THE INSURE. OA6 E FOR THE POLICY PERI00 INDICATED. NOTWIT H6TAAIOING <br />ANY RE OUIRENE T. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WrTH RESPECT TO WHICH THM CERTIFICATE MAY BE ISSUEO OR <br />MAY PERTAIN. rHE WSU RANGE AFFORD&O DY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN RMOUCED BY PAID CLAIMS. <br />'.T4 <br />IMS <br />TYPE O►WSVRANC! <br />POLICY NUMBER <br />E M—.— <br />T.,.—.—, <br />WE MM/D`O <br />_.._. _ <br />uMIITa <br />GENERAL LIABILITYEACH <br />OGC Up RFNCE <br />i 1 OOO 000 <br />A <br />X <br />iX�COMMERCIALGENERALLIABILITY <br />AZC90643687 <br />10/01/09 <br />10/01/10 <br />PREMISESIEanm,rrnoa) <br />, , <br />5100,000 <br />1. j CU�r/.15 MAUE OCC V.'� <br />MEO EXP (Mv — yr , <br />i 10 , 000 <br />T._... <br />PER60Nwl EADV lu., <br />S <br />_ <br />GENERAL AGGREGATE <br />s2,000,000 <br />GE -L AGGREGATE I— APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />a 1 OOO , 000 <br />a_ <br />- <br />X PO L'CY JECT LOC <br />E Bali. <br />1,000.000 <br />AL/TOYO <br />BLLE LIABILITY <br />JL <br />I <br />X <br />ANYAUTO <br />iLi C608d 3867 <br />10/09/09 <br />10/01/10 <br />COMBINE. SINGLE LIMIT <br />(EA ame ) <br />a 1, 000, 000 <br />ALL OW NEO A1106 <br />BODILY INJURY <br />a <br />ECHEDJLEO AUT06 <br />' <br />(Pd pAnen) <br />wRE. wUT.S <br />NOHOWNE. A.TDSA <br />n <br />itO�lEl <br />FORM <br />BODRY INJURY <br />(Per a_6 ) <br />i <br />✓ 1 <br />f70, <br />•�7 <br />—_ <br />/ <br />ROP- Em1CTaYA DAMAGE <br />7 <br />AUTO ONLY ACCIDENT <br />a <br />S <br />GARAGE LMBILITY <br />1I1� <br />O S <br />ANY AUTO <br />,yepu I <br />Sty Attorney <br />EA ACG <br />a <br />JJ <br />OTHEq THAN <br />AUTO ONLY: AGG <br />i <br />EXCEAS I UMWLELLA LIABILITY <br />EACH OCCVRREMGE <br />S 5,000.00 <br />A OCCUR O CLAIMSMADE-NZC60643667 10/01/09 10/01/10 <br />_ <br />AGGREGATE _ <br />i 5 000, OOO <br />__— <br />a <br />DEDUCTIBLE <br />- <br />X RETENTION a <br />'- <br />a <br />1MOR CCIaiPEMSATION <br />a <br />—lL <br />AMO EM►LOYEgB' LMWl1TY I'MART <br />X TORY LIMITS ER <br />A O/IKEA QINi HEACLUDED]ECUTI—= WZP80978220 10/01/09 10/01/10 <br />L_1 <br />E.L.EACr: ACCIDENT <br />_ <br />al 000,000 <br />IYMMe,y IR MN) <br />III'u, tleaGiea unea/ <br />E.L. DISEASE . EA EMPLOYE., a 1 , 000 000 <br />. SPECIAL PROVISIONS L+aIPr <br />OTM4R <br />I <br />EL OISEASE- POLICY LIMIT <br />S 1 000,000 <br />OE3CRPT`IOM OF pIER/ITiOMi / LOCATIONS / VEMIOLEB I EXCLUaaONi ADpiD YY EYpoiiEMEKT / iPECiAL PIIOVIiIOMi <br />CElrti£C.atO Holder is named as JIM3d=t.ional Inaurad (endt attached) <br />10 -Day NOC for Non-Paymont <br />••Cert Holder: its oFficerm, emplOyeaa, mgonta, vOlum taora and <br />rapraJ3 an to ti va a <br />CERTIFICATE HOLDER <br />SHOULD AMT OF TME ABOVE DESCRIBED POMO,,.. ME CANCELLED BEFORE THE EiPIRATION <br />Ci TY O a. 7 WTE TME%OF. THE ISSUIMO IMSUMER y L MAIL _30 pAyB yI,RIT{EM <br />NOTICE TO THE CERTIFICATE MOLDER NAMED TO TMP Li:FT. BUT IO�OOp�� IIHALL <br />City Of $alit- Ana, IMPOSE NO OBLE:ATIOII OR LIABa.JTY OF AMY TOMO UPON THE IMSURE/L ITB AGENTS OR <br />Sgt. Marty Shirey/Canino Unit REPREBENTATFI". <br />20 Civic Cant®r Plaza M-30 AUTMORNZED REPRESERTAT1VE <br />an to Ana CA 92702 Kathy R. a7oa, CPCU, ^EtL-s -VP <br />ACORD 25 (200907) ® less -2009 ACORD CORPORATION. All Fights re iE ed. <br />rho ACORD Flinty and 1090 Bri TBgiitirod ITlirki Of ACORD <br />
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