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YORBA REGIONAL ANIMAL HOSPITAL-2014
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YORBA REGIONAL ANIMAL HOSPITAL-2014
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Entry Properties
Last modified
2/14/2018 2:43:20 PM
Creation date
7/17/2014 8:25:47 AM
Metadata
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Template:
Contracts
Company Name
YORBA REGIONAL ANIMAL HOSPITAL
Contract #
N-2014-091
Agency
POLICE
Expiration Date
6/30/2017
Insurance Exp Date
4/1/2018
Destruction Year
2022
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280379 <br />® DATE (MM/DDIYYYY) <br />oR0 CERTIFICATE OF LIABILITY INSURANCE 7/5/2017 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Elisabeth Koss <br />Commercial <br />InsuranceLines sE-MAIL <br />X1l 995 PHONE a (q(c <br />Wels Fargo SerrviceUSA, Inc. - CA Lic#: OD08408 E -M ESS:elsabeth koss@wellsfargo com, No) .855 583 9937 <br />21250 Hawthorne Boulevard, Suite 600 INSURER(S) .............�..mmmmmm NAICk <br />Torrance, CA 90503-5519 .. ......... ......... <br />INSURERA: First Specialty Insurance Corporation 34916 <br />INSURED <br />VCA Inc. <br />12401 W. Olympic Blvd <br />Los Angeles, CA 90064 <br />N-2014-091, <br />N-2017-097 <br />E: <br />COVERAGES CERTIFICATE NUMBER: 12049899 REVISION NLIMRFR- See helnw <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 />INSR -....._'ADGLTSUBR .......... ...----- - POLICY EFF '11—POLICY—EX <br />POLICYEX.....LIMITS <br />LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MfvVDD/YYYY MM/DD/YYYY) <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />CLAIMS FIOCCUR <br />"PREMI EY'0" tEN1511" "" <br />-------_- <br />-MADE <br />PREMISES Ea occurrence <br />S <br />.................................... ........... <br />MED EXP (Any one person) <br />S <br />........PLIESP <br />PERSONAL &ADV INJURY <br />S <br />..- <br />GEN'POGGRE� LIMIT APPLIES PER: <br />m <br />GENERAL AGGREGATE <br />.-..-- <br />S <br />PRO- <br />D <br />J <br />JECT LOC <br />PRODUCTS -COMP/OP AG <br />S <br />I OTHER: <br />I S <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />S <br />ANY AUTO <br />I <br />UR Y (Per person) <br />S <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />.... ....... ..,,... .... <br />BODILY INJURY (Per accident) <br />... _._. __ <br />� S <br />HIRED NON -OWNED <br />m PROPERTY DAMAGE <br />S <br />I� AUTOS ONLY AUTOS ONLY <br />,- Per accident,m,m.......................................�, <br />,..., <br />S <br />UMBRELLA LIAR <br />HOCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />S <br />DED RETENTIONS <br />I S <br />WORKERS COMPENSATIONPER <br />OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />I STATUTE ER <br />L EACH ACCIDENT S <br />ANYPROPRIETOR/PARTNER'EXECUTIVE <br />OFFICER/MEMBEREXCLUDED <br />NIA <br />��� <br />�.E.L .... , ...... ................... ,,,,,,. <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE S <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT S <br />A <br />Prof. Liab. <br />IRG200092504 <br />04/01/2017 <br />04/01/2018 <br />52,000,000 Each Accident <br />$4,000,000 Aggregate <br />$150,000 SIR ` <br />f <br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: 1102 VCA Yorba Regional Animal Hospital 8290 East Crystal Drive Anaheim, CA 92807 <br />Consultant agreement with the City of Santa Ana K-9 unit. ApruVeM l r,�7) <br />>� <br />CERTIFICATE HOLDER CANCELLATION <br />Clerk of the City Council 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 ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza (M-30) <br />P.O. BOX 1988 AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702-1988 <br />9� <br />The ACORD name and logo are registered marks of ACORD @ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) <br />
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