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09/13/2011 14:31 8189212288 VETERINARY INS SVCS A3704 P.002/005 <br />CERTIFICATE OF LIABILITY INSURANCE <br />ast+sr++ <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 13Y 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 />IMPORTANTI It the IJortiflcato holder Is an ADDITIONAL INSURED, ins pollcy(les) must be endorsed. It SUBROGATION IS WAIVED, suNact to <br />the terms and conditions of the Policy, certain poiioiee may require an endorsement. A statement on this Certificate does not confer rights to the <br />Certificate holder in lieu Of such endoraamen s . <br />►Rooucaa 688-762-3143 <br />Voterinary Ina. Services Co. 918->i21-2286 <br />CA LJcanse 001'e4180 <br />1400 River Park Drive, 010180 <br />9acrament0, CA 9601E <br />Kathy R. Woo, CPCU, ARM -VP <br />o w <br />Ne <br />: I ..L- <br />IN Y AP O NG COV <br />wIC e <br />Ir/Eu E A:Flreman's Fund Insurance Co. <br />INausl'D Serrano Animal i Blyd Hospltal <br />Scott H. Weldy, PVM <br />21771 Lake Forest Drive #111 <br />Lake Forest, CA 92630 <br />IH <br />wsu o <br />— <br />IwuNla o <br />- <br />INEURaR a • <br />ER <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW WAVE 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 13E 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 />art <br />rVps or WEYRANCa <br />POLICY MUMP.9O <br />LOOT. <br />A <br />GENERAL <br />LABILITY <br />MMERCIAL GENERAL L"ILITY <br />OLNMS-MADE OCCUR <br />N.E.1 <br />X <br />80S61i687 <br />�. F L' F� �.� U L L, S <br />07101111 <br />T O F <br />07101/12 <br />RM <br />EAOH OOOVRRENCE_ <br />a 1,000.000 <br />p EM o <br />a 100,006 <br />MED EXP (Any ere Per.en) <br />S 10.00 <br />PERSONAL A ACV INJURY <br />f <br />43ENCRAL AOGPMGATE <br />_ <br />a 2,000,00 <br />ADORE.. <br />POLICY <br />UMIT APPLIES PER: <br />- OO <br />PRODUCTS - CONY/OP AGG <br />S 1,000,000 <br />a <br />AUTOMOPILC <br />LIAIEUTY <br />ANY AUTO <br />ALL AUTOOi lED AUTO UIEO <br />MIRED AUT09 1-1AIOJTO WNED <br />A .:i L.l r Ll `.7 L t L L// <br />C W,,'li <br />1IVV'' <br />�� <br />N D SMOLE I.NMI <br />BOOX.Y INJURY (Par P.1—) <br />I C f: Y <br />Liornc / <br />a <br />ROPILY INJURY (P./ acUdPni) <br />i <br />P P AM <br />f <br />i <br />A <br />X <br />UNINNELLA LIAN <br />EXCESS LIAP <br />OCCUR <br />OLAdASaWADE <br />C80868687 <br />07/01/11 <br />07101t12 <br />EACH OCCURRENCE <br />S 1.000.000 <br />AGGREGATE <br />f 2,000,D <br />DED I X I RETENTION zS <br />- <br />WORKERS ODMPENaATON <br />AND EMPLOYERSr YAeaJTY <br />ANY PROP��l!IL OR/PARTNiRI XCCUTIVE YIN <br />OFFICER/MEM It EXCMEO� <br />M.r,d fi. <br />bN ") <br />PT1D Dc v aNa lie <br />N / A <br />I WG 8TATU- O H- <br />E.L.EACH ACCIDENT <br />f <br />E.L. DISEASE -EA EMPLOYEE <br />f <br />E.L. ISSA E-POLICY LIWT <br />f <br />DEs00WP M OF OPERATIONS I LOCATIONS I VEHICLES AUN h ADDED 1D1, Addllan.l R.N,./W a.I,.d.l., N T.n ►p. I. Ap.4.d) <br />cit�yy of Santo Ana, les omcers. agents. amp Soyoos, ropr000ntatives and <br />vofuntasm are nomad as aggitionPl Insured <br />30 Days notice of cancellation <br />10 Days notice of cancellation if oon-payment <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES DE CANCELLED PEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE- WON. BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Parks, Recreation dI Community AUTIIOR=O REMISSENT NVE <br />Service Agency -Athena Martinez <br />P.O. Box 1988M-23 Kathy R- U. RM -Vv <br />iSanta Ana.CA 9 702 <br />4) IDW-2010 ORD CORPORATION. All riahle racer. -Ad. <br />AL:VKtj 4:6 (z010r06) The ACORD name and logo are realstored marks of ACORD <br />