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<br />AM `,.,.... - CERTIFICATE OF LIABILITY INSURANCE DAYS IMURMN YI
<br />07/1112017
<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 NEGATIVELYAMEND, 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(Ias) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to theterms and conditlons of the policy, certain policies may require an endorsement A statement on
<br />this cerfilk: does not Confer d hts to the certificate holder in lieu of such endorsamen s :. .
<br />PRODUCER 888.762.3143
<br />Veterinary Ins. Services Co.
<br />CA License SOF64180
<br />1400 River park Drive, a1S0omaa
<br />Sacramento, CA 98818
<br />Kathy R. Noe, CPCU, ARM -VP
<br />Omar Dian Thomas
<br />PHONE 888.762.3143 PAX 916.821.2268
<br />Arc No ea
<br />v sc• ns.cem
<br />INISURNSI NAIC r
<br />u" AllianzGlobaIffireman'sFund
<br />INSURED Serrano Animal & Bird Hospital
<br />Scott H. Weidy, DVM
<br />21771 Lake Forest Drive #111
<br />Ix w e; Preferred Employers Ins
<br />A
<br />u ERC:
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<br />iNauRER o:
<br />07/01/2017
<br />Lake Forest, CA 92830
<br />_ R N.. _ 1,000,000
<br />CHOCCURRENCE
<br />, ETOREN1eo _ ;.. 100,000
<br />$.IP- emurcennt
<br />INtl RERPI
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO TH--REVISION NUMBLIb-
<br />E INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
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<br />X COMMERCUU, GENERAL LIMUTY:
<br />CMM$.MADE ® OCCUR.
<br />X.
<br />AZC80917400
<br />07/01/2017
<br />07/0112018
<br />_ R N.. _ 1,000,000
<br />CHOCCURRENCE
<br />, ETOREN1eo _ ;.. 100,000
<br />$.IP- emurcennt
<br />10,000
<br />INJURY ...
<br />GEWLAGGR& LIMITAP LIESPER:'
<br />POLICY �� LOC
<br />OTN :
<br />EN _. G EGA 2,000,000
<br />P-COMP)OPA 2,0001000
<br />A
<br />AUTONOMOUS
<br />LIABILITY
<br />DOMeINeO SINGLE LIMIT 1,000,000
<br />X�ppppQ��S
<br />ANYAUTO qg
<br />ONLY pA1�UpTyOpSyUyN�POp
<br />AGTOSONLY X RR ONLY
<br />AZC80917400
<br />07/01/2017
<br />07101/2018
<br />aY INS P s
<br />OI IUUx Pe d
<br />gP@RTY MAGE
<br />UMBRELLA Lto
<br />EXCESS LIAR
<br />OCCUIa
<br />CLAIM6-MADE
<br />EA c : E-ce
<br />AGGREGATE
<br />RESTAETNNT}INONS
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<br />RNDlED Cpy
<br />IMP�LOYIRO MWSILITY
<br />ApNrrFICP pP.R�9.Tag L� &RR® ECurw$ .i�
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<br />Nla
<br />VTNI$4038.1
<br />07/0112017
<br />X. .PER TH.
<br />0710112018
<br />EADBACORIV 1,000,0110
<br />1,000,000
<br />O eA .P T 1,000,000
<br />IrNMA Ory n
<br />! 0 UNe1W WIdM
<br />n EM Ns/ TX1Nal9veon ,-!O tA RD 0YOOS 2nD rreprB 8n V®S arb°a° °$Rmen°pwo i. txN,lntll ��v;e
<br />ty oi"an°ta°f�na,Tia oCere a anis eRi y p �a"j Se�Nj
<br />Included as additional Insuret�s. 30 Days NOC/10 Days NOC for non-payment�S
<br />• S'�Avia �� Rd"ni��'
<br />SHOULD ANY CF 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 />Fin S Mgt Svcs Agency
<br />Purchasing Div. AUTHORIZED REPR98ENTAM"
<br />20 Civic Center Plaza M-16 Kathy ly. Noe, PCU,
<br />ftnta.Ana, CA 92701
<br />ACORD 28 (2018103)
<br />0 119OL-20116 ACORD C RPORATIOW All rights reseru6d.
<br />,a "'w" + L1oi1Y peen 1080 ere M913 M91 mamS Or AODRD
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