Laserfiche WebLink
0710 ?`2013 15.33 <br />sp,wrod by' AV AtI A <br />PLIT <br />9499551070 SAW PAGE 02/Ml <br />veterinary IyrafBSsiapsl Listhiiity�°��� <br />insurance Policy \��i\ <br />Certificate o8 insurance <br />741a pulley provides awtrrrenca cpvaago. plaaapaa'Aaewthe patfiay enrafl+llYr0 <br />/ ZURICH <br />PT,R1: Irsomd by fbt stock company bolo» and haralna{Isr called tht rpvptaos.n.ow ctdraa> <br />company 2nr1Clt.4astosUMN daaurapcc CaxepnnY <br />1TR1412: Nomsd Csrsafloste Holder, member ammbar, 9RCt and addrdss <br />Scott Henry Weldy, DVM <br />c/o Serrano Anivid ek Bird Hosp <br />21771 'Lake Fore at, Suite 119 <br />LakeForost, }CA 9263p0-2782 [[ <br />l�l�Brrt�A �Il�ilt[1)I�lilllf�l�lER�f1�9Pi�kf�N l�tAt��li��rl <br />h2emlez memr o = Class <br />W1 LDX SCOOT HAIRY DR 24154 17 IV <br />I9.7ht 5: Ptemium and coverdgc avrdmay <br />Liability $ 222.00 <br />Veterinary, License Defonse $ 651. 00 <br />TOTAL DUE. $ 291- 00 <br />NbsterFolloy Nuastbar, I Certificate Number: <br />EOL 3241502.08 1 36548 <br />FOR TKFORMATION Olt TO FEE A CLAIM <br />FLVASJ CALF, (800) 228 7549 <br />d"f$M3r Poky Pmiod Proms 1/01/2013To. 1101/2014 <br />12:0 un 54WWd time at Ute adtUaas ofshe Named Cartitiaata Held" as <br />elated herein <br />1`I'RM Ak Lltortt of Liability <br />Each claim <br />Aggregate <br />Fauns Agn6od at losnwunI: <br />IA'Rh47; Module of Plan Numbtraand <br />Veterinary Professional Bette 8tttcnslon <br />For additional locaitmts, Please me the sit <br />LarsLon Na:~xbtrtFiddress <br />P4Bc <br />JTRK8i Verolnary Professional Liability Regulatory Action This cadfioata amanraaa if Wiped oaths M.Rtm <br />DcfaasaCocFaragd enddrsCmrnt(ifputc6ssadj; LtmitS 25,000 Vvedicai Aaaoah0cn, (ANAA}Profoeaiowd Llabili <br />AuthoriAed Spam ,kmG9ar a�.ETN <br />Nadaa So fhm.Campaoy:. <br />, <br />'t <br />S� <br />. <br />1 <br />at' <br />$1,000,000 <br />$ 3,000,000 <br />P1 n 4am6er <br />old by the Amodaan va4esinary <br />no TrwL ey aaocpimxa of d+i <br />Ana la theoardfloata ondda <br />Was R*Ww+a agaantoals Bud <br />lMlaW`ag 6aEWaBAAtba {?rflliBad <br />sea reimingto this fhsweeaa. <br />W;ftlo0a4 ass <br />LISA k. S�URCu <br />�. Asistant CItV Alto' , ,' <br />l// <br />