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<br />SERANA OP ID: DT
<br />A� CERTIFICATE OF LIABILITY INSURANCE D0612612014ATE )
<br />OSlZ6/2014
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: H the carNgcate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not canter rights to the
<br />certificate holder in lieu of such endorsements).
<br />PRODUCER
<br />Veterinary Ins. Services Co.
<br />CA License 4OF64180
<br />1400 River Park Drive, #180
<br />Sacramento, CA 96816
<br />CONTACT
<br />NONE,
<br />MAN�Ny0.
<br />�P,-EnOc888-762-3143 {slrt, :o : 815-821,-2266
<br />Ala..:
<br />AI
<br />_.._._............_.....__._........__..__�..._,_.,.
<br />_..... INSURERIS Al FFOFRji COVERAee
<br />_
<br />Kathy R. Noe, CPCU. ARM -VP
<br />INSURER A: Fireman's Fund Insurance Co.
<br />INSURED Serrano Animal &Bird Hoop, In � _
<br />Scott H, Weldy, DVM
<br />21771 Lake Forest Drive #111
<br />INSURERS:
<br />— —
<br />----- --
<br />N8URER0_Y_�,
<br />Lake Forest, CA 92630
<br />INSURER Ea
<br />INSURER F:
<br />IFICATF NI
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />TYPE OF MSURIWCE
<br />D
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<br />pODGy NUMBER
<br />V EPF
<br />MID
<br />GV EYP
<br />MMIR YY
<br />_ .__.._...__.-.....
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL. GENER�AL LIABILITY
<br />CLAIMS -MADE I. ^ 1 occua
<br />X
<br />C80897850
<br />07I01/201d
<br />07l01l2015
<br />EA�ECCURRENCE
<br />$ 1,00D,00
<br />-
<br />_
<br />$ _ 100,00
<br />MED EXP (Any ono person)
<br />is 10,00
<br />--.__..._�__...
<br />PERSONAL&ADVINJURY
<br />�$
<br />GENLAGGREW,ISLIMIT APPLIES PER
<br />--- j-...� PRO-
<br />X POLICY U %8T L] LOC
<br />OTHER'
<br />GENERALAGGREGATE
<br />'....._._....._-
<br />—
<br />i$
<br />PRODUCTS-COMPIOPAGG
<br />,2,000,00
<br />' $ 2,000.00
<br />i $
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANYAUTO _
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON-OV/NE0
<br />NIREDALnOB °C ! AUTOS
<br />AZC8tl697850
<br />O7/0172014
<br />07101➢2015
<br />rIEO NEI) I l UMIT
<br />s =1tl
<br />$ 1,000,00
<br />BODILY IN JURY (Pot ponan)
<br />_.._
<br />_�._.._.. _.. _..._.
<br />$
<br />I
<br />BODILY INJURY. Per axldanl
<br />( )�
<br />.......
<br />$
<br />i�{Per AglJAent1
<br />...,--,
<br />$
<br />I$
<br />LL__... _
<br />UMBRELLA UAe
<br />OCCUR
<br />EACH OCCURRENCE
<br />&
<br />EXCESS LIAB .�.)
<br />CLAIM&.MADE
<br />AGGREGATE
<br />$ ..^—
<br />OEO RETENTION
<br />_._
<br />A
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LLAmLITY YIN
<br />ANYPROPRIETORI-ARTNERIEXEOUTIVE
<br />OFFICERIMEMSER EXCLUDED?
<br />IMaadalory In NID
<br />Hyyea&"950 under
<br />OESCRIPTI'a DP PE TIONB helix
<br />NIA
<br />WZP81020444
<br />07f0112014
<br />0710112015
<br />PE TFI-
<br />-.{-.--._.—
<br />B.L.EACH ACCIDENT
<br />is 1,000.00
<br />EA. DISEASE -EA EMPLOYEE'S
<br />^1,000,00_
<br />El. DISEASE -POLICY LIMIT
<br />I$� 1,006,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks $enaduie, may ha mumma it mare space 1s ngaaa4l
<br />City of Santa Ana, its officers, agents, employeas and volunteers are
<br />included as additional insureds. The insurance provided is primary.
<br />"The insurance provided under this polio is primary &non contributory with ,'L} aic�
<br />any other insurance available to the additional insured" 1'j±'nnVE'A�
<br />30 Days NOC/10 Days HOC for non-payment
<br />�S R K
<br />ttorney �
<br />City of Santa Ana
<br />Fin & Mgt Svcs Agency
<br />Purchasing Div.
<br />20 Civic Center Plaza M-16
<br />ASS13Lar
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NQTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ARM
<br />_1'
<br />2,_
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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