WELDY, SCOTT DR. a/k/a SERRANO ANIMAL & BIRD HOSPITAL 5B - 2011

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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS rc4annrw,•c nncc .,ter .a,..0 are,c, .. n� .�...�..,� .----_-.— _--__. _ __ - ___ _ _ _ __ __ _ coma- CERTIFICATE OF LIABILITY INSURANCE OPID AD DATE(/1, YY Y) 06 17 10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED77re-p—oMy Ties) must be endorsed. , subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Veterinary Ins. Services CO. NAME: A/C Me Eat: INC, No): CA License $OF64180 Aooaess: 1400 River Park Drive, 4180 Sacramento CA 95815 Phone:888-762-3143 Fax:916-921-2266 CUSTOMER ID p: SERAN-S INSURER(S) AFFORDING COVERAGE NAICp INSURED Serrano Animal S Bird Hospital Scott H. Weldy, DVM 21771 Lake Foresyt pDrive #111 Lake Forest CA 92630 INSURER A: Fi canon a Fund ineuranP. Oo. INSURER B: INSURER C: INSURER D : INSURER E : INSURER F : saw Vr1111r IGAlt NUMEIEIR: CCVICInM unu4aee. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CAMS. LT0. TYPE OFINSURANCE INSR WVDI POLICY NUMBER MWDO /YYY17 (MMIOOIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S1,000 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AZC80841431 07/01/09 07/01/10 PREMISES (Es or4asrence) $100,000 MED EXP(Any one person) $10000 PERSONAL S ADV INJURY S X PXN$NAL OF A$C00841431 07/01/10 07/01/11 GENERAL AGGREGATE E2,000, QQQ GEN'L AGGREGATE LIMIT APPLIES PER: 7X POLICY IT& JECT LOC PRODUCTS-COMP/OP AGG E1,000,000 g AUTOMOBILE LABILITY ANY AUTO ALL OWNED AUTOS AP OVE F RM COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Par person) $ BODILY INJURY(Par accident) S SCHEDULED AUTOS HIRED AUTOS J/0 EPH L CHER PROPERTY DAMAGE (Per awdent) $ NON -OWNED AUTOS ATTOR EY $ S p4 X UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE AZC80841431 07/01/09 07/01/10 EACH OCCURRENCE S1,000,000 AGGREGATE s2,000,000 DEDUCTIBLE X RETENTION $ COMPENSATION KERSEMPLOYERS' AND AND EMPLOYERB'LIRTNCY Y/N PROPRIETOR/PARTNDED' CUTIV OFFICERM,E NH) E%CLUDED7 in NH)EA Ifyea DeacriEeunderDESCRIPTION OF OPERATIONS aalvry 1AIAlandstory T$ ERANY IDENT $ EMPLOYEE E POLICY LIMIT MOccurrenc$1,000,000 SA Umbrella/Excess IrzNFNAC OF A¢C80841431 07/01/10 07/01/11 nc $1,000,000te $2 000 000 DESCRIPTION OF OPERATIONS; LOCATIONS I VEHICLES (Adsch ACORD 101, Additional Ren+arle. SrLaEula, Nmen apace is requited) City ofSanta Ana, its officers, agents, employees, representatives and volunteers are named as additional insured 30 Days notice of cancellation 10 Days notice of cancellation if non-payment rcennrwx unI nce _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Parks, Recreation S Community AUTHORIZED REPRESENTATIVE Service Agency -Athena Martinez P.O. Box 192702 3 CA Santa Ana CA 927 Kathy R. Noe, CPCU, ARM -VP 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD