Laserfiche WebLink
YUNHt-1 UH IU: AU <br />.d►�Rv CERTIFICATE OF LIABILITY INSURANCE <br />005/14/2015 ) <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: If the certificate holder Is an ADDITIONAL INSURED, the policy(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 confer rights to the <br />certificate holder in lieu of such endorsements). <br />PRoOuceR <br />CA Li ensary IDS. SBr 80 GO. <br />CA License #OF64180 <br />1400 River Park Drive, #180 <br />Sacramento, CA 95815 <br />Arthur J. Cruz, CIC -VP <br />NAME: Arthur J. Cruz, CIC -VP <br />PHONE N 888-762-3143 a)c No,, : 916-921-2266 <br />a Exl: <br />AI DRESS: acruz@vlsc-ins.com <br />INSURERUSH AFFORDING COVERAGE NAIC ft <br />INSURERA: Fireman's Fund Insurance Co. <br />INSURED Yorba Regional Animal Hospital <br />Steven Dunbar, DVM <br />8290 E Crystal Drive <br />Anaheim, CA 92607 <br />INSURER B: <br />xsuRERc: <br />INSURER O: <br />CLAIM&MAGE I OCCUR <br />INSURER E : <br />INSURER F : <br />A7C80904163 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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, 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 />)LTR <br />TYPE OF INSURANCE <br />AUULSUBH <br />p <br />yyyp <br />POLICY NUMBER <br />MM/DDIMY <br />MMIODIYYYY <br />LIMITS <br />A <br />X I COMMERCMLGENERALLWEILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIM&MAGE I OCCUR <br />X <br />A7C80904163 <br />05/01/2015 <br />05/01/2016 <br />DAMAGE TO <br />PREMISES EaEoccwence $ 100,000 <br />MED EXP (Any one person) $ 10,00 <br />PERSONAL a ACV INJURY $ <br />GENT AGGREGATE LIMIT APPLIES <br />PLIEPER: <br />GENERAL AGGREGATE $ 2,000,00 <br />POLICY ❑ PRO- t_LOC <br />JECT <br />PRODUCTS-COMP/OP AEG A 1,000,00 <br />Emp Ben. $ 11000,000 <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Be accident <br />_ __,_ <br />BODILY I NJURY(Par person) $ <br />ANY AUTO <br />BODILY INJURY (Per accident) $ <br />ALL OWNED SCHEDULED <br />AUTOS NON -OWNED <br />HIREDAUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Peraccident <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />BXCE89 LIAB <br />CLAIMS -MAGE <br />DEC <br />RETENTION$ <br />is <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />2P61026343 <br />06/01/2075 <br />06/01/2016 <br />x STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br />II yea, deacnhe under <br />DEa RIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT I $ 1,000,00 <br />A <br />Prof Liability <br />AZC80904163 <br />05/01/2015 <br />05/0112016 <br />Occurrent 1,000,00 <br />Aggregate 2,000,00 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addieonol Remarks 80hedule, may be crashed If mom space is required) <br />Certificate holder is named as additional Insured as required by written <br />contract q �y <br />30Days Notice of Cancellation <br />10 Days NOC for non-payment <br />R®4'\ K� <br />City of Santa Ana <br />20 Civic Center Plaza, M29 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />. rSoo-cvw n�uruv. urcrwr I van. esu rig n us re8erve D. <br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD <br />