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09/19/2011 14:31 9169212268
<br />VETERINARY INS SVCS A3704 P.002/005
<br />iIrrx~11-1 V ILJ. wU
<br />.4cc>�rcXCERTIFICATE OF LIABILITY INSURANCE
<br />DATt(MYII /111
<br />09/16111
<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,' EXTFND OR ALTER THE COVERAGE AFFORDED DY 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 If the certiNeat4 holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject io
<br />the terms and conditions of the policy, certain poliales may require an endorsement, A statement on this ceFtificato does not confer rights to the
<br />Certificate holder in lieu of such endorsemen s .
<br />PROOUCSA 6,11,762-3143
<br />Veterinary Ins. Services Co, 218-921.2266
<br />CA License aY0F64110
<br />1400 River Park DrlYe, #1 SO
<br />Sacramento, CA
<br />Kathy R. Noe, CPCUGU, ARM -VP
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<br />INSURERISI APPORPINc cOVE AOE
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<br />IN9uRERA:Fireman's Fund Insurance Co.
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<br />IHSURRD Serrano Animal Ik Bird Hospital
<br />Scott H. Weldy, DVM
<br />21111 Lake forest Drive $I I I
<br />Lake Forest, CA 92630
<br />IN
<br />INSURE C:
<br />INSURER D
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<br />INSURER E
<br />INSURER F!
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<br />CnVFRAr.FS CERTIII1r_ATF N111{/F1FQ• RPVINInN PAJURFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUpJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE OPEN REDUCED BY PAID CLAIMS.
<br />LRTaa
<br />TYPE OF giBURANOa
<br />POLICY NUMBER
<br />jftRjgfYYvi
<br />L"TA
<br />01RXERAL LIABILITY
<br />EACH OCOURRENCE
<br />1 1,000,000
<br />PREMi a ace„ ga ea
<br />= 100 06
<br />A
<br />X �CQMMERCIAI. GENERAL LIABILITY
<br />CWMS•MADE L^.J OCCUR
<br />X
<br />A.ZC80865687
<br />07101l11
<br />07/01112
<br />MEDEXP(Anyonoparoan)
<br />3 10,00
<br />PERSONAL: ACV INJURY
<br />3
<br />OENERALAGGREGATE
<br />_
<br />3 2,000,00
<br />OEN'L AGGREGATE LIMIT APPLIE3 PER
<br />PRODUCTS . CONPIOP AGG
<br />s 11,000,D011
<br />POLICY 7 % LOC
<br />1
<br />$
<br />AUTOr
<br />OMI LIAPIL17Y
<br />COM111NED SINGLE LIMIT
<br />ANY AUTO
<br />SOO KY INJURY (Par parson)
<br />S
<br />ALL OWNED SCHEOULEO
<br />AUTOS AUTOS
<br />NOW -
<br />MIRED AUTOS M• AUTO$WNED
<br />BODILY INJUfLY (Par w0denl)
<br />i
<br />P PrrJd AMA
<br />3
<br />i
<br />X
<br />UMBRELLA I"
<br />HCLAWMADIE
<br />OCCUR
<br />EACHOCCURRENCE
<br />S 1,000,0
<br />A
<br />axcF$$ UAa
<br />AZC80865687
<br />07101111
<br />07101M 2
<br />AGGREGATE
<br />= 2,000,D
<br />DED X RETENTION
<br />t
<br />WORKERS OOM/ENSATION
<br />AND EMPLOYjTERlr UABILnY
<br />0FFr-EERRJMFJJEEeREXCLUDED?GDUTIVF YIN
<br />NIA
<br />WC ITATU• OTH-
<br />E,LEACH ACCIW-W
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<br />IMandatary in NHI
<br />U yea, a Wb
<br />DESCRIPTIONa undor OF OPERATIONS Ixlow
<br />E.L. DISEA&E - EA EMPLOYEE
<br />S
<br />E,L OIBEASE -POLICY LIMIT
<br />i
<br />p6sORN'710N OF OPERATIONS I LOCATIONS I VEHICLES (Aeaeh AOORP 101, AdW(lanal Rageaft schadala, H mom qa¢a la mgalrod)
<br />MOf Santa Ana, Its officers, agents, employees, raproeenlativea and
<br />gtesm are named as additional Insured
<br />30 Days notice of cancellation
<br />10 Days notice of cancellation if Icon-pay:1?
<br />I•CDTICIJ• AV. LJw,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PEFCRE
<br />THE WIRATION DATE THEREOF, NOTICE NU. BE DELNERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Parks, Recreation & Community
<br />Service Agency -Athena Martinez AUTHORREO REPRESENT NE
<br />P.Q. pox 1988M-23 Kathy R. Naffs, !ARM -Vp
<br />6)1988-2010 ACORD CORPORATION, All rights reserved.
<br />ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD
<br />
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