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04/17/2012 10:01 9169212266 <br />VETERINARY INS SVCS 04314 P.002/003 <br />ACORN~ CERTIFICATE OF LIABILITY INSURANCE OAT4117Dr <br />0 2 <br />M7 7112 <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 BY 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 />IMPORTANT: it the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H SUBROGATION IS WAIVED, subject to <br />the terms and Conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such andorsemen s . <br />PRODUCER 888-762-3143 <br />RANE:CT <br />PHONE <br />a AM Ne <br />Veterinary Ins. Services Co. <br />CA License NOF64180 916-921-2266 <br />1400 River Park Drive, 0160 <br />Sacramento, CA 95816 <br />Kathy R. Noe, CPCU, ARM -VP <br />=as - <br />INSURERS AFFORDING COVERAGE Nuc • <br />INSURER A: Fireman's Fund Insurance Co. <br />INSUReo Community Vaterinary Hospital <br />INSURER B: <br />INSURER C- <br />William A. Grant 11, DVM <br />13200 Euclid Streat <br />INSURER D = <br />Garden Grove, CA 92843 <br />MED EXP (M ane eon) S 10.00 <br />PERSONAL 6 ACV INJURY S <br />INSURER E <br />INSURER F <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PR LOC <br />.. TH15 IS TO CERTIFY THAT THE POLICIES •OF INSURANCE LISTED BELOW- HAVE 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 BE 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 />W <br />L'6p <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />twlwpDIYYYY3 <br />"MIDMY I <br />UMC <br />A <br />GENERAL LIABILrrY <br />X COMMERCIAL GENERAL UA151— <br />CLAIMS -MAGE � OCCUR <br />X <br />AZC1110868331 <br />10101/11 <br />10/01/12 <br />EACH OCCURRENCE E 1.000, <br />REMISES Ea eewmerlu E 100.009 <br />MED EXP (M ane eon) S 10.00 <br />PERSONAL 6 ACV INJURY S <br />GENERAL AGGREGATE $ 2.000.00 <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PR LOC <br />PRODUCTS - COMPIOP AGG E 1,000,00 <br />Emp Ban. E 1.000.00 <br />A <br />AUTOMOBILE LIABILITY1 <br />ANY AUTO <br />NEO AUTO6ULED <br />AVT0— <br />NON -AWNED <br />X HIRED AUTOS X AUTOS <br />C.SGB68331 <br />10/01/11 <br />10/01/12 <br />L MIT a 1.000.00 <br />BODILY INJURY (Per P—) S <br />BODILY INJURY (Per eeeidenl) E <br />P RTY A GE E <br />Per elide^• <br />S <br />A <br />X UMBRELLA —0 <br />EXCESS LIAR <br />OCCuR <br />CLAIMS•MAOE <br />AZCBDBG8331 <br />10/111111 <br />10/01/12 <br />EACH OCCURRENCE S 5.000. <br />AGGREGATE s 5,000.00 <br />DED I I RETENTIQNS <br />E <br />A <br />WORKERS COMPENSATION <br />AND EMPLOTERS' LM RJTY <br />ANY PROPRIETORIPARTNER/EJCECUTNE YO <br />OrrIC ER/MEN BER EXCLUDEDT <br />IYandatery In NNI <br />n yB6 desenoe unser <br />DESCRIPTION OF OPERATIONS htlbr <br />NrA <br />P80997054 <br />10/01/11 <br />1010112 <br />X I INC STATU- OTH- <br />E.L EACH ACCIDENT a 1.000,00 <br />E.L. DISEASE -EA EMPLOYFEI E 1,000.00 <br />E.L. DISEASE -FOUCY LIMIT E 1.000.CKK <br />DESCRIPTWN OF OPERATIONS I LOCATIONS I VEHICLES /AMch ACORD 151. AddM—.1 R•,n•.kA S h d..M, If ...on epees 1• re"In-) <br />Tta oartil:Lare hoidar ie named am additional insured <br />30 Days Notice oti Cancellation/10 Day. 24100 for non-payRmant ''�E'�eROV!<:p AS 7'O DORM <br />e�Cr3rtiYicata holder Continues: itm orfioers, employeaa, agont9, volnntee <br />and rapraaentat.ives_ <br />/� I F r1VLV CR m., A Nm..CL.LA I F—I - <br />CITYSA3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />TME EXPIRATION DATE THEREOF, NOTICE NBE DELIVERED IN <br />City of Santa Ana, '� ACCORDANCE VATN NULL BE <br />POLICY PROVISIONS. <br />Santa Ana Police Dept - 118 <br />Attn: K9 Unit We "'REEE TmvE <br />60 Civic Canter Placa Kathy R o P <br />Santa Ana, CA 92702 - <br />® 1988-2010 ACORD CORPORATION- All riohts reserved_ <br />ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD <br />