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CERTIFICATE OF LIABILITY INSURANCE <br />gA7eIMMttDvvvYi <br />03127/2016 <br />THIS CERTIFICATE 15 ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOI ER.. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. T1 IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13E1WEEN. THE ISSUING-: INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE. CERTIFICATE HOLDER, <br />IMPORTANT:. If the cordficato holder is an ADDITIONAL INSURED, the po[Icy(!e$) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A. statementanthis certificate does not confer rights to the <br />certificate holder In neu otsuch andorsament s . <br />PRODUCER <br />1/eterinary Ins. Services Co. <br />CA License #OF64180 <br />1400 River Park Drive, #180. <br />Sacramento, CA 96815 <br />Arthur J. Cruz, OIC -VP <br />INSURED Yorba Regional Animal Hospital <br />Steven Dunbar, DVM <br />WNTACT <br />ME: Arthur J. Cnaxy CIC -VP <br />PHO N o .888.762.3143 'AX N . 916.921-2266 <br />E -"L - <br />ADDRESS: acrUz visc-ine.com <br />iNSUREMSII AFFORDING COVERAGE <br />INSURERA.A111anz Global/Fireman's Fund <br />:INSURER at <br />NAION <br />INSURER 6': <br />A X COMMERC7AI.G@N@RAL LIABILITY <br />6290 E Crystal Drive <br />Anaheim, CA 92807 <br />INSURER D: <br />INSURERS; - <br />'S. <br />1,000,000 <br />IN$UREftF: <br />05101(2017 R I aacc� <br />-s. <br />......._ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO <br />RcvlalVn numrsCK� <br />THE INSURED NAMED ABOVE FOR <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT <br />TO <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />WHICH THIS <br />TO <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE: BEEN REDUCED BY PAID CLAIMS. <br />ALL <br />THE TERMS,. <br />;ILSR TYPEOPINSURJUiCESM <br />POUCY NUMBER 'MWD <br />POLICY EXP <br />MMRY LIMITS <br />A X COMMERC7AI.G@N@RAL LIABILITY <br />EACH OCCURRENCE <br />'S. <br />1,000,000 <br />CLAIM84MOE ® OCCUR X AZC80910416 0810112016 <br />05101(2017 R I aacc� <br />-s. <br />......._ <br />1.00,00 <br />.. <br />AEG "P ane areanl <br />$. <br />10,00 <br />PERSONAL II ADV INJURY <br />S <br />GENLAGGREGATt LI ITAPj!PPL�LI'E�S PER: <br />POLICY ❑ LOC <br />GENERAL AGGREGATE <br />$ <br />2,000,00 <br />JECT I�___t <br />PRODUCT$-COMPIOPAGG <br />$. <br />1yD00yB0 <br />DTH <br />Enlp gen. <br />AUTOMOBILE <br />LIABILITY <br />COMaINEDSINGLE LIMIT <br />S: <br />ANYAUTO <br />BODILY INJURY (Par person) <br />$ <br />AU OWNECF SCHEDULED <br />AUTOSAUTOS <br />BODILY INJURY (Pet aGGld9Mj <br />S <br />HIREOAU7O9 NONOWNED <br />pUTtl$ <br />Eb <br />E. <br />t6E <br />Pareccr� <br />m. <br /># <br />UMBRELLA tA4 dCGREACH' <br />OCCURRENCE <br />S <br />EXCESS. UACLAIMS-MADE <br />AGGREGATE <br />;.. <br />DEC RETENT@NS <br />$ <br />WORKERS COMPENSATION <br />A <br />AND EMPLOYERS-LIABILTrY <br />Y�.NtA <br />TUTS <br />OFFICE"E BER EXCLUDED? ECUTIVE <br />P81033142 <br />0&0111016 <br />0610112417 <br />E.4 EACH.ACCIDENT.. <br />$ <br />1,GD9�QQ <br />(A&RdIPyIn NEI <br />yyaaqq dascnka rindaf <br />LL. DISEASE. EA EMPLOYE <br />:$ <br />1,000a0t1 <br />ESfessi LlaE 7I $geiox <br />E <br />s <br />1,000,00 <br />A <br />nal <br />Profes$€onatLtab <br />C80910418 <br />D510112018 <br />. <br />D5f0112017 <br />curraSE-PotrcvuMir <br />OccurtenC <br />1,000,00( <br />Aggregate <br />2,000-;00. <br />DESCRIPTION OFOPEPAIION$ t LOCA=Nat VEHICLES. lADDRO1a1, Ad<gtlensl Romaflla 3cNaduis, p1My bu eNaallotl N tnara apa¢gJa toquiradi. <br />Certificate holderis named as additional Insured as required bywritten <br />contract <br />30 Days Notice of Cancellation 110 Days NOC for non-payment <br />IWAOV60 As To FORM <br />nenr�cinwrrun,. w <br />!P? 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />4Mn4GEtJAllV <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC Cantor Plaza, M29 <br />A ORIza REPRESERYve <br />Santa Ana, CA 92702 <br />A ur a. CIC -vP <br />!P? 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />