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Fraln:5antli Falcone Faxl O:Frr+st West Inwrance Page 2 a` 2 Qate:B/4512612 12:05 PM Paget of 2 <br />OP ID: SF <br />'4?°R° CERTfFICATE OF LIABILITY INSURANCE DATE{MMfDD1YYYY) <br /> 08/15/12 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER TFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />B ELOW_ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU RERf St, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />iM PO RTANT: If [he cartlflcata holder is an AD DiT10NAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION 15 WAIVED, subJe ct Lo <br />the terms and coral ltlons of the policy, certain. policies may requtre an endorsement. A statement on this car[i0ca[e doesnat:conier ?iig('!ts to the <br />__...._.. ._.._ <br />c artlflrate haldar In If atT of such endorscm entisl. <br />PRODU?R 71442-2523 NAME' <br />`- <br />First West Insuran ca Agency <br />16742 GDthard 3t #217 7?4-642-3'128 _ <br />PHONE --`- FAk- <br />:c ? -_ __ .___?AI?. NIL <br /> <br />P.O Box 1009 ADDiiESS; <br />_ <br />-_. _...?. '_-,,`;'?. <br />Hunting[an Beach, CA 92647 , <br />-? <br />cusTOMER tb ?: VETCA-1 ."? <br /> INSUREW91 AFFORDING COVERAGE MA1C <br />,NSURED Vet Care Vaccination Services. wsuRER A :MERCURY CASUALTY CO. ?910H <br />10627 La Perfa Avenue ,NSURERS; <br />__... '':1 <br />-__.._.,_.,._ <br />Fountain Valfe CA 927413?i016 <br />y. _ <br />__. .._.____.________ . _....... <br />iN3tbZER E <br />: <br />.. <br /> a_ ... <br />INSURER D : - ?"""`I <br /> INSURER E __ <br /> INSDRER F <br />.-rte. r1=e n? rc rccrn c[r-ATF NI IM RFR- REVISION NUM SERI <br />v THIS IS TO CERTIFY THAT THE POLICIES OF 4N SU RANGE LISTED BELOW HAVE 8EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATE C. NOTW ITH STRN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIl'li RESPECT TO WHICH THIS <br />CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN. THE WSU RANGE AFFORDED BY THE POLICIES DESCRiB ED HERE Nd IS SUBJECT TO ALL. THE TERMS, <br />EXC LUSiONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE 8EEN REDUCED BY PAID CLAIMS. <br />_ __ . _ ..._.... <br />_._..._. _.__..- - -rarrG???- aaev-ExP-- <br />L TYPE OF WSURANL'E POLIFY NUMBER MMfD MMIbOtYY _ <br />? ? LIMrT3 <br />GENERAL LIABILITY . EACH OCGURR ENCE S <br /> <br />COMbERCIAL GENERAL LIABILITY ?ISF,,E tEV acxv ran«? 1; <br />R%M SHLADE n OCCUR MED E:tP (Any one ynr sor7_ S <br /> PEP.SONAL 8 ADV iN.ADS?Y E ___ <br /> GENEe AL AGGREGATE S <br />PEN'L A6GREGAT$ LIMLT APPLIES F r-R RRO{IL CTS - COMRrOP AGG S <br />POLICY PRO.. LOC s <br /> Ai.T CMOBILE LIABAITV X. COMSENED SINGLE LICAIT S 1,000,0' <br /> {ES vcn Cant} <br />A X wNY wuTa <br />eoDILY IN.tuRY {Per pasnn) <br />s <br /> wLL OWNED AUTOS <br />BODILY YN JURY (P Vr ascidenlj <br />S <br /> ??J;E6ULEG AU:'CYS GA4412627 06J02N2 06ro2f13 Ix?oPERTY DAMAGE <br /> ED AL1T08 <br />H w (Pei accitl6nl) $ <br /> _ <br />NON.OWNED RUTOS _ <br />__ <br />_ S <br /> - ..._ <br />.._ S <br /> UMFSRELLA LIAO OCCUR EACH UCCUfYR ENCE 5 <br /> ? <br />? <br /> EX?59 LIAR CtwR.tS-MADE ?? AOGR EG ATE F <br /> O EDUCTtBLE ?? <br />S <br />? ?---- <br /> w i <br />y <br />v ---- <br /> RETENTON S 3 <br /> WORKERS COMPENSATION w? <br />2'y?' WC ST AI ?? G7?- . <br /> ANp EMPLOY ERY LIA80.4TY <br />Y <br />I N - <br />? <br /> I ? <br />ANM PROPR4ETORS ARTNERlE3tECiJTNE '? O <br />y E.L.. EAQ-1 P.CODENT S <br /> !YrIG£RANEkBER c'XCLUDED? 1 ? NIA E S 0? r2 <br /> $ManGatwY In NH1 ?SP <br />? t E.L. pSEASE - EA EMPLOYEE S <br /> ? <br />GAty <br /> !Fya ?? descibe none <br />^ESCRIPTION Or OPERATIONS beiaw t <br />tl E.L. D95E.ASE" -POLICY LIMIT 5 <br /> <br />DESCRWTtON OF IIPERATONS) LOCATO NS . VEHCLES (ASach ACORD t01, AtlWriAnal Ramancs 3<h atlYlA, {f mvrs spa<s is raqulnd7 <br />SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED CEFORE <br />THE EXPIRATION DATE THEREOF, NOTCE WLL BE DELNERED IH <br />City Of Santa Ana <br />Palioce DepC/M -1 B ACC ORGANCE WRH THE POLICY PROVISION6. <br />60 Civic Center Plaza AvrHDwzsD REPRESENrA'rrrE <br />Santa Ana, GA 92702 _y„ _ ? <br />`?? <br />® 7999-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009!09) The ACORD name and logo are r®gistered marks of ACORD