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

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08/19/2011 14:31 8189212288 VETERINARY INS SVCS 43704 P.002/005 CERTIFICATE OF LIA131LITY INSURANCE DA'osi e/'ry' THIS CERTIFICATE IS ISSUHD AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,• EXTENn OR ALTER THE COVERAGE AFFORDED 13Y THE POL)CIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUROR(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANTI If the aortiflcato holder is an ADDITIONAL INSURED. Ins pollcy(I") must be endorsed. Y SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poliolee may require an endorsement. A Statement an this certificate does not cantor rights to the certificate holder in lieu of such andorpremant40. ►RODUCaR 888-762-3143 Lcnse ins. Services CieOFdNCo,916-921-22" 1400 River Park Drive, 0180 S Kathy A. A. Nooe, CA C9PCU6I116, ARM -VP o w weA N NN11 �DDR IMSuRERIS) APPORDINC CCVFkRAOE NAIC E INEUAC A:Fireman•s Fund Insurance Co. IN;uRED Serrano Animal S Bird Hospital Scott H. Weldy, pVM 211711 Lake Forest Drive 0111 -^ Lake Forest, CA 92630 ` 4A _ 1 1 _— I � MEURER. a. rnsuRB o I INSURER D INSURER a' SORER P e THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU£O 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 MAY OF ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY TH£ POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. B TYPE DF INSURANOS POLICY w"IlIgg I LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CIAIM0-MAOE =X OCCUR X 80865687 07/01/11 07101/12 EAOH OCCVRRENCE a 1.000,000 P EM F I IF, ---I a 100,000 MED EXP (Any ono par N) S 10.00 OEN'L PERSONAL S AOV INJURY a GENERAL AGGREGATE _ S Z,000.00 AGGREGATE POLICY LIMIT APPLIES ER: PRODUCTS - COMP/OP AGG S 1,000.00 a AUTOMORLLa 9IAa1LI7Y ANYAUTO ALL OWNED SOHE ULED HIRED AUTOS AUTO HIAUT08 -AUTOS O DINED 31 OLE LIMIT aDDILY SIJURY (Par peso.) E BODILY INJURY (PRr alzldrnl) ; R P en M S ; A X YMa RELLA LIAe EXCESS LIAa H OCCUR CuryLs.luwDE C80B656117 C17101111 07/01N2 EACH OCCURRENCE S 1.000.0040 AGGREGATE a 2,000,0 D X BETE TION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP({2!I[7eRRARTN9RMXCCUTIV9 YIN ,MgIM_d _y I. ER E%CLUDEO> iycmeac erylbsr-d DESCR PT F PER" ON below, N / A WC STATU- OTH- E.L. EACH ACCIDENT S E.L. 018EASE -EA EMPLOYEE S E.L. DISSA815 -POLICY LIMIT S DGSORIPTR/N DF OPERATIONS / LOCATIONS / VEHICLES Aeaeb ADORD 101. AddlEenal Ra Oft EeM1ad..la, If Ten apace Ire nagWod) City of Santa Ana, Ks officers. agents, empSoyses, representative* and volunteers are named as additional Insured 30 Days notice of cancellation 10 Days notice of cancellation if non-payment A.PY)'ROVEj AS TO FORM i>. i s t a. <; i I. y A I.I <) c c;SHOULD ANY OF THE ABOVE DESCRIBED POLICIES PIE CANCELLED PEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Parks, Recreation dl Community Serolce Agency -Athena Martinez AurNORUAb REPRESENT NE P•O• Box 1988M-23 Kathy R- U. RM .VP Santa Ann. CA 92702 6) 1988-2010 ^CORD CORPORATION. All rights reserved. RCORD 74 (2010105) The ACORD name and logo are rsglstared marks of ACORD