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WELDY, SCOTT DR., DBA SERRANO ANIMAL & BIRD HOSPITAL
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WELDY, SCOTT DR., DBA SERRANO ANIMAL & BIRD HOSPITAL
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Last modified
4/28/2022 9:53:59 AM
Creation date
6/5/2017 1:07:55 PM
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Contracts
Company Name
WELDY, SCOTT DR., DBA SERRANO ANIMAL & BIRD HOSPITAL
Contract #
A-2014-108-03
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2017
Destruction Year
2022
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Additional Insured -- Owners, Lessees or Contractors w AB 90 67 12 93 <br />Policy Amendment Section 11 <br />1 s r d Serrano Animal & Bird Hospital 'a rU_N%mbcr AZC80911904 <br />}'inducer Veterinary Ins Scrvlum Ca 9M90v_0_1_)AW 071111116 <br />Schedule <br />Name of pemon(a) or Qrganixatiott(s) <br />City of Santa Area, Its officer v, agents and employees <br />26 Civic Center Plata <br />Santo Ana, CA 9 701 <br />City of Santa Ana, Its officers, agents, employees representatives are included ar additional <br />insureds, <br />"The insurance provided header dais policy is primary and with amy father <br />inxurance 9vull4ble tea the arldltianal Insured. This insurance applies separatet'y to each <br />lnsufed 49ahut wlaome claim iv made or sarr't Is brought except with respect to tits companies <br />limit e f liability. The lorlusion Of rtr{y person or organization as an insuredshall not erect <br />any right which such ,person Of Organization would have a s a claimant if root so included. " <br />30 Days Notice of Cancellationito mays Notice of Cancellation for Nonpayment or Premium <br />(If no entry appears above, infartmiion required to complete this EtadorsemGnt will be shown 1n the Mclarations <br />as applicable to this Endorsement) <br />The following is Added to Part 1- WHO 1S AN IN. <br />SUR ED in the Business Liability Section of this policy <br />5. 'no person or organization shown in the Schedule <br />is also an insured. but only with respects to liability <br />arising out oryaur work for that insured by or ttr <br />YOU, <br />All other terms and conditions of the policy apply. <br />This form must be attached 10 Chanaiic li ndciruotent wham jWAd aft T the p1►tie v is %vritten, <br />One of the Firematn's Fund tnsuraRc* Campania as n4md in the poti;a, <br />AOhfimd <br />A49067 1 ]-93 <br />Cxif{M OWYdAled Mmatal tarlwvawa Samos raiAas, fah. 141t <br />t�resident -� <br />Reviewed -by: <br />E V Al <br />Ethan Fisher <br />PRCSA/Zoo <br />
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