HomeMy WebLinkAboutWELDY, SCOTT, DBA SERRANO ANIMAL & BIRD HOSPITAL - 2008City of Santa Ana
�m Clerk of the Council
AGREEMENT TERMINATION
LU
Please complete this form when the attached agreement is no longer in effect.
Return form to the Clerk of the Council Office (M-30).
Call 647-5237 if you have any questions.
The agreement with
No.
and final payment has been made.
Department: PPIC SA
Phone/Ext.: 5p-�S4
Signature: �p�.a Vaj
5 G k�
Date: M) �E
Revised 07-23-07
A-2008-243
INSUR
WORK MAY ppo( EE
UNTIL INSURANCE E PIRES _LTTREEENT
t ANAGM
CLERK OF COUNCIL CON S
SEPit 2 Qa EE f T. 111'a'de and venter into this I W" day of August. 20(11,-, b�- and
k,twv��fl SNcou DVM, DBA Serrano Aninial & Bird Hospnlal (herImafIVT 'T'Grisultani
wid the (-It%, ol-'-'SWnla A,na, a diarici cttv wid rnum,L:tpal COE�)01111M and URIJ--T
the onstitution and Laws of the 1,iate of Cal ircirIra 0heremat'ler -Clt� —I
RKITALS
,A ,Flit C ItL &SI res to retat r, a misutlani 1-wL In , sIieclaf sk I I I Lind k nowle&ze 1 n the field of
tietertnan, servsce.s,
8 t7onsultant Tvprvwnt,,s that Coris-ultant is able and 1A.111ing to provick,. smF, !w-mc-,,z to the
C. In widertaking the lyerformwice ofthis Agee t em. Coristiltmii represents that i't is
knowle&e,qble to its field and that am: semices [vrfornied by Consultant tinder this
Agircerric-rit 1A111 Inc perft)rnwd in wrilplikinCC With ',S;](.h a,� 1112V R�41soiulblv
,expecwd fiont -a ptofesmorial in the field
NOW THLREVORE. in consideration Of the ITIURIal and respeciv�e pronuses. x-id subject. w, the
terms arid >ndltlons bereinafter set forth, flee parties agree as foil o"vs,
1, SCOPF OF SERVICFS
0,anstiltam -shall provide veierinary services to, the Santa Ana Zoo it Prenriu Park. as- set
'Forth in ENfilblt A to this Ageenwilt
2. CONIPENSATION
a. Cite agrees, tia p-ay. and Consultant agrees to accept as total payment f6T its services.
the rocs and ebares'denttfiedInExhibit A h1av mum anwoult for Tel mbursableexpersesl all
Iv, $2000 00 Provid"I howcver, the u)tal sum tt,) be exjx-ndvd under not
exceed S68.000 durtm- the, term of this Agreement.
b, Pavnient 'v C'tv shall be made within thin, ("W� days Folla 11 1 , r I To e I �Of g eceipt of p p r
i I ideiicing�.k,-ort,,.perf,-iriliel.,-,ubjectt0 Ci nvo ce e- tv acxountimprocedUres, Payment need not
Iw rnuh, for work v,,fiK7h fillIs tail m"t tht. ,,tan(tartfof perfqrmamc m:t forth In the R"Itals
Wh1c:11. rnaly le.a.SOILablIV Ilk," exp&ct�1J hy City
3. 'FE R m
This A:!,ri:vmerit shall commence on the date first WTIttim aboveand wrminate on JoIN, 3 1,
2CkW., tufles-, temimaltd earkei In accordamce with SI-etton 17, bcifyw, The t-,rm ofthi.(.
Aoreement may be eaten ded upon a wTiti nL, e XeC Lited by the E XeC Llfi ve Director of the I lark-
Recreat'lom and COMM Lill I N' Services Agenc%and the ity Attorney.
4. INDEPENDENT CONTRACTOR
Carisi.iltanl shall, C11.1,17111L the eritire term of Ilits Agreenwin, be con,-Arued zo Lie, are
Uidependeilt cotitranor and Pool all enip-lovec oftlie-, Otv"h15 Agreement 15 not Intended nor
--hal[ II p, or
it be cons
11) allow 11t1- Cjt% to c xercvqe or wnirol ovl-j ikproffesslf)n;�d Inn- trier III 'k011ch
C011SI.I.It-VII tWtrfornis the ser,- Ices vdiicli are the sub'ect anattef of this Aureemerlt. howei.-..r. the
ser4 Ices to Lt,,,- prev, i,ded LConsultant shall be pro%. Ided in a maimer consistent with all
appl lc�ab le nandarls and regulatl on-S g , vert" n i! 5uc 1i yen -Ice-5 Constil tantshall," pay 61,111 s-a, arles and
kva:�,vs. ovi�r's sx1al , :,icuri ry taxc�, unevnpi ovraw-ni iriskirauwv 1411 d Si MI hir Tefittl W, UN
vnplov,-esgird shall be kil Lill aill,plicable wiffilLoldill"L" to
5. INSAIRANCL
Pnor 14,) ;indcl-takint, p� ormanctintler this Alfreenim, Consull-ani shall
main wit zmd shall v.-L).utie it,, sul ontiaelois. tl'.utv. tooka-m and ntamruaw nv;wwme as
below
.a. Commercial General I -lability Insuraiwe Consultant shall maintain commercial
.,,cn cral I iabi I I ty rnstmwcc nami nv flic, City, its officcrs, ag-virits, voluantc-c rs, anti as
additiortal irouved(k) and �,hall Include. but not 1linnet LO t)1Ot2"LtIOr1 kLa-I11St JAZInzi at
CI-0111 bodily and personal i1i'LIA, '11C.I.Liding deafli resulting therefrom and daiiiage to Property,
re.sultirlL, fioir, anN, act or oecurrence arising outof ConsulEant"s, operations M Elie Iyerformance of
this Ar I W1 I I I ,reemeilt, mcluding, ithout limitation, acts xelkles. The amounts of insurance
sh;tl' he liot Ic x than the fol lowl n- si nAv,, i I M11 �Iykvm applyin-, to bodily and pQrsonal irtjttn
litclujing death resulting L' wid jmoj%rt% daiti2igre, In the '11OLkil W11 [0 lin I of S 1. Ck"O. DO() pe:
DICCLITM)Ce ('OtISU11211t Shall 'Alpf1k, CIIV 'Alth 3 k' I ful exe,,.utedaddlllorlal '11SUred endorseni-eatin
substantially the form attached hereto as ENbibli B upon execution of this Agreement and shall
be appro-ved M Form by the (Ity Attorney
b, Bujiniess autonjobale habilLty in-Lilattce. at e4utvalens forat. %vith a cornbined e
IMIR of riot less than $ 1,000,000 per o-ccurrence Such insurance shall include coveraLjefor
owned. hired and non -owned. autoillobi I es
tc %Vorkcr's Compensation lnwrztn�-c In xxordancc w'tb the I , provislons cif' ,%coiI on 3300
oC lite Lat,,.wor Code, Consulwa, JeCol'"Uhant has &Iv ernplovi2es., a,,., required to be wisured agal,11"A
I'la:bilit-v for worker's Compeilsation of to widertake, Self-Insurwice. Prior tocommetickriv the
performance of the work Under this Agreement, Consultant agrees to ctain and aI It aI
n any
emplover's Ilability insurance with limits not less than S. UK , Kl,(Kg,,t per accident.
A. 11 o!C .stona-1 habdit,.. alId In'-wratice, with a
riol less than S I AMAM per claim.
01 ItYkNI R" 10 tke m.sujaj'it--- to 1.�t pro videdby CWISMI[Lull
pi.11-SLIZIL1It OW 111iS Sle"COOD,
'lid C0115111MD1 5hal," inawntain all instrrance re-cJ(.Ilred abkav�, ir, fud force and.
,-fFCcl For the �rjtlr� Ivrio,'I covvrt�d by this A.,,,Ir,�,Crnelt
II I Ctrtj l"Icates of ln-�Urance shall ITfurltlslw�d to the Ca', ul,}of) extti:UtIo-11 ol,
tills Agreement and shall be, appro,% ed iii rorm Ly4 the On,
il I I Il Ce-1-11 ri Cates and Policie's Shalstate that the pohcies shall nc?t be canc,elvJ
or reduced 'in co,. ertwe or changed 'in any, other inwerial aspect
thirty` 110alma; prior %vi-ittion nimix w the Ohl
C, IrCcansi.iltani falls or Tefuses to produce or nialwaln, the insuranct?, recju� red b�, this
section or" falls or rerases to runildi the Cit�, vvith required proof that insurwice has bee-ri procured
,arid is in force and paid for. the Clm,' Slia"I have the ri_Jit. it the Oty's election, to, forthwith
ivTmliiaw this Agi-cemcnt Slich tcm-tination shall not aff"t Cowsuluint's right to bc paic, Ift)r Ij-'5
tii=- and ji-Laterials tel)ertded pnw it., itol,&iediton of teraiwanon Consultant vwaivel, the light to
rl.Xeive compensation arid agrees to lridemn,&N the City for anv %vork performed prior to approval
Or IIISLII-allCe, hy the Op .
6� INDEMNIFICATION
Cr OPISLIlt3fit agrees to mid shall lndenuilf�, and hold harmless the C'*% its offivers, w-leats,
2rnploN ees. consultmics. �peval coujisel. and rep[ L--;,ellE3trves from J'abihv,. for personal
injur-,% darna�es, �'Oal or equitable relief arising out of clainis
just compens-ati on, TP-5ti wtion. j ix i i
f4r i 'ur�7, im7ludinv health.. and claints f r proporw danlagc, which rnw arlsa� from ft,
or iadiv:�c!t cqtn-rations ot'llit,, of it', CINIMArLW-S. f,U]IN:f)UL'cEAOtS. azrejlbi,
2mplvvees. or -other persons acullu all their` L"dialf f,Oiicli relates to the se?-Vtces descnb-d in
,section I a Fthis, Agreement.: and (2) from any claim that personal injury. darmige5, Just
C:ompensatlon, restitution. judicial or equitable relief is due by reason of the terms of or effects
arrsinv, from this Agi-gemcrit Thl, lndvmnim=1 bold llarnllcss 4vrvQrncntapplIc,,, to all claims
tits darnage5i, jum colviperls'atICIII, Ut V�11,11.111011,judicjal eat equita-lile zeltefs uffered. or alleizexj its
lmve been suffiered- Lip,' reas�oji of the e,ti,eats referred to in this Section. or by reason of tl�ie teriliS
of, or effects, arlsirij., from this Agreement. The Consultant further agrees to mdenimR,. hold
harmless. kind pay all costs for the defense of the. City. fees, including -,- and costs for special
I , I e-L
i;otins ,:J to h 1 t lhy the City, rcgardin_v, any amin by a third p arty challQiwing the validlINI,
orthis of that r)er4orlal Irijuiy, damage--,,,jLcsi tornpen�a-tton, re-,tautl0a.
judi cial or equittabl e relief due to persorial or propmby e� rig�zs arises reason of the ternof is ', or
effect5 ansln� from this Agreement City may make all reasonable decisions with respect to its
representation in any legal proceeding.
-T
CONFIDENTIALITY
IfCorisLiltani receives from the City information which due to the natitTe, of such
information is reasonably undel,31ood to be confidential andior proprietary, Coristiltani agrees
that it shall not IISC OT dvw I (^,-c such information c-, ce-pt 1 n t.lw perform anee (if this Agir"munt,
and further kgrto extnci.". the -same dqoe..- ofe-are zt w�-s it) Protect k1s, own 111rol'Inallon of
like Importance. but In no event less than reasonable care -Confidential Infoniiation" shall
include all nonpublic Information, Confidential inform ationIncludes not only writtell
iniforrnailoa. but also Mfor-rimoon transferred o ral Iv. vi 5 tial ly, J ectronical ly. or by other inea ris,
Cojifid.miieil infOrmatton d:isclos,:d Io e&lffici jurtv "w wi N, subs,'idnim 0111-rr
PaM IS C0t 01-ed n,-%, t"ll I � ALr'meant. , Fhe fore u!ulmob!i I uatloii� Of 11011-LISe W)d nondi.scloixe.
s� all nol appiV� to am wifor.noi ian-i thai ILI) hs-,J as been diosed in publiclk avallabl, sources. tH I
Ilmou-Ii i10 `atilt of the Ccrmultani disciosed in z, publIcIv aVRIllible i0ilru,-. (c) 15 In rightful
P%YSos,m)u, 1�F the Consult,,int wiilit5ur ;in b.+Iwxwn ofwnfidentialitty, Idl 1,, r,�!clwm-d to bc
dl,�i:losl-d b operation of lav%co (el Is judepolid:mLIN, d�� L!ky,-In Lite
refef-ellce to ffifoi-mation dtsclos.ed b%. the CIN.
8, CONFIACT OF INTEREST CLALISE
'COHN1,111a:11 COVtMaJIIS Ilia., it rnesejrlly hay no 11ft-lesk widsha-11 riot have, ulticrtsl, dau-n:t
or Indirect, vdiicli WOLI]d C011fliCt In UM fflmnei- %g irli perfor-iiiance, urser-% Ices specified, under
this Auieenwiit
9+ NOTICE
Am, notice, tender-. demand. delior offie I- comm uni cation pursuant to this
Aor-eement shall be, In writing and shall be deenned to be (:?roperl%giveii If deii-vered in person or
mailed by fir-5t class or certified mail. postage prepaid. or sent by telefacsimile or other
w4nuphip communicatian in the; manner prov-i dcd in this to the follow -mg rsons
C,
TO C''itr Clerk of the. City Council
City of Santa Ana
CI%ic Center Plat 11M.-W)
- -)88 S�urm.An2,(', Q`1702-IL
tete�acsjmlle (714� 647-6956
W11-ficourtesy copies to
ENVC L111 ve Di rector oF Parks, Recreation and CommunwServices Ageflcv
City of Santa Ana
SSE W. Santa Aria Blvd. Sit, 200
Santa Aria. Califoma 92702
telefacs1iii,itile (7114 ¢ 5 71-4 13 5
and
City Aliorjlt��,
City cif Santa .Ai va
-nu
.:. 0% IC C21`[Eel- Plana 1 %4-29)
Santa Ana. Californla �?270'
t -- k- i1i cs i i t t t i t! (714) (4, -L"15
'I'L, Consultant cott W--IdN . DVN4
Serrano Animal Bird Hospital
7 7 l I a F o i DT -� I I I
Lake Foitsi. Calif6rm2 92630
teleflesirni'le (941)) 85s-9-1,44
A part%, may change its address by giving notice in ,wi ti n g to the other party Tliereafter.
anv comnimic,,ijl(ln ,,h;tll N: and transtnittcd to thv ncnvaddmss Ifseni by mail,
COMIULU'llCallOn '41all be effective ot dt:�tnwd 1,o k2vt: Imeen gE%I-n three (3), days, 2dtl!r tF li&� be -en
deposited In the. United States mail, duly registerad or certified.. wth pos[a.Lw- prepaid. and
address"ed as set forth above, If sent by tellelfacsirni'le. coniniuniCaE1011 shall be effectiVe Of
deemed to have been given twenty -Four (24) hours after the time set forth on- the transmission
rqxwt 1swixi by the transmitting fa-:slrnlh,- rnarhin(, addrcsy—d as wt forth ahovv For ptzrpxY,,v,
arcalculatim: thee urne fiaine.s., A-tekejids. l*&dt!rL)d, state, County or City holidays shall be
excluded,
10, EXCIUSIVITY AND AMENDMUINT
This A-i!efll-.W teltiel,,tMLS tile COM;Aett� and exLIUSW,'�- SLatt-MlerlL bet%Vtt!11 11W () IN' Wid
I-
CC1r1SL1I1an1. and Aljyersodes LwN and, all other a-greenitents. oral or written. Ltetween the parties In
the event of a conflict between the tern -is of this Ageernem and any attachments hereto. the
iernis of this A5 greerneril shall prevail. This Agreement may not be i-nodified except by -written
Mtrunricnt si,4ned bN- the City- and by an authorizzd rcprv-smtat1,,,-c ofConsul zant T1w pram ics
,airree that WIN' Lerills of coridilioris c&wi% purchase order or othet irvqrurntnit that are IRLOrkStMelit
�Nltli. or in addition to. that terms and conditions hereof. shall not bind or obligate ('01)SUltani.nor
the City. Each pam to this Aggeerneni acl nowledges that no representations. IndLicenients.
promises or agTeernents, oralIN . or oth emll se. have been made ky tiny pam, or anyone acting 0,11
bc-lialf (if any Pam, which are not cmWicd h�=in
11. ASSICNMENT
Inasmuch as this Ag-Teement Is intended to secure the sciakzed services of Considti-rit-
not asmim, transfcr, cklcgato, oT stibcontract any lnti�rost h,��rcin ior
Consultant ma-N, I Nki thout the pri
willtel! �wllsefu orill-, Ctt- and any such a-�isigzlnieat, (rwvXer,. delegati0ft Or SUbCOMIUCL N41thOUt
the CAN's prior written consent shall be considered nall and void. Nothim- Jii) this .,%.,.,reeniertt
shall be construed to linitit the, Cits 's ability to ha-,.,,-e any of the serviceF, .N.-hich are the subject to
this Agreement perfornied bN. City, personnel orby other consultants retained by Citv
12. TERMINATION
This Agreement rnky be terminated by the City upon thirty (30) days written notice of
teniunwlon, In such Constiltant shall be entitled to receive and the City shall pad- Consultant
t�rrrizert ktIiaji Ibi a [i ji kv ConSultutt I)riara to s'er:ejIM 01'suLh rIOUCe rrl ttrrIII ILit 101L
€1l"Jeel 1 ! -kne fol ii�5'111.� �;s�rlilitlL�11
a;. r a condirion 0h sUCII,; [.Ma Vlltenl- the l=.XeCMI'V e DireCtOT r aN' require C onsultanr to deliver
ts4 t1 (7it. all %vork produc: ctlmp" tO0 as chi s ail: tl rte, ,and in such Gent ,Iwh %vork prk.;hrs:t sh,al' be
tlrL lrrtil erti 'III Cl v. urs, � iAtI[nied bX lam" and C oilsultwit cowl eras to the C"rt)"a tL-�e the:eof
for such purpsoses as the Cat} deems; approp.nate.
h I'i�°ntent need not b r1ra> f sr rr which fadtomeet the standard ` perfor�rttance
apt � fi; t1 in the Rc6t,k; of lhv1 -Ajrecn7 •n1
Canstrltrant shall not dIs rrminate, because0' race. color. creed.. relIglon. seq. nlaritatl
ta�tta°-::. 4t.a1 a tricrit.`tt7aln at�Pi", �i 1tltln$ I tlrl 'ln, a1&nc trti', Tr tll aibllim-,, as tic med 1n 1 lirohibiu�
ni the re- rUltrtsert., "itd ett0rt. ¢r rrat ig. uttli 1.1011, li tartto ton' 1 rrritai t CMI rrr
ether entltltavrtre.nt rebated activities Consultant affirms, that rr. is an equal opportunm e r .l'ove3
and slra ll cortnplv 4 tlr. all applicable federal.. state mid local tav °s and regul:attOtis.
This Agreement al1d all questions reiatanu to its ).alidity. interpretation, riot- mice, aard
:nforcement :shall he uo,ern ttteni and construed i.tt ac.cordarice l+ith the ia. "- of the Mate of
California This Agree -merit has been e\aft ited and delivered in the Mate of C°alifomm and the
"6'dWirv. in107'ret;atir n Itertilrm rlt t .. nil r f +r : rneni �tf atrtw c the tlF tr � of tlhis .�►vl-)�trnl nt
,nuraf :trig )vejnr;:1 i1"° tlt: 1s1w"", 01`111e stxt- t'``C'atil`t+t'rti i. BoLli jma n,e+, 1'ur'thei
agree that Orange C'out1rv. Ca.liforrua. shall Lie the �.errue for any action or pr ce dirt-, that may
b,e broug-ht or ;iris°' out of. to connection with or Ily reason of this Agreentettt.
15. PROFESSIONAL LICENSES
C'011SUltant shall, tfirouj17 ut the teratt of this Aggreenient, inaintatn all necessa.ry licenses.
perrtttts. a ppr - als, walv rs, and e\en ptl ns necessary for t o prox'l5,1,oii ofthe s rvice.5
hereunder -and reciiii red b. the Iaws, t,ind regulations of the Lin I ted States, the State of Cal I torn1 a,
the City i')f 'Sa nta And a nd a.11 oth; r gstvcmrnell t;aI ag,cncIcs ir; I)n,;uItan t L;ba II n o t I f ~ - thy, Cite•
ininte diately anti in writing; of Frei inability to ohi in or rrkauttualt such [ rta5ats. lrcertses..
approvals, vals, waiters. mid exerttpuons. Said Inabtlrty shall be cause for terminarion of tlu.s
Agreement.
16. MISCELLANEOUS PROVISION';
a. Each undersiprled represents and vyarrartts that its sigrlarature, hereiiibelov, has the: payer.
authority and right to bilid their respect ae: parties to each of the terms ofthis greerilent. mid ,shall
itrdentni .= City fully. Including reasonable costs and attomey's fees, for ally iniunies or damages, to
City in th( cv-4 nt that such authoni ty, or pow r is rmt, In Fact, h(fl d hy the sigmattory or is vv t'hdrawn
b :III bits refeTe-noed herein and attached hereto shall be inoorp rated as if full; set
Furth ire the of this A�;r ntent.
M
[. ' W[T\E SS'W1[ERE0F, I] it! ftwties IrL elo hwa tmecu led this AjLj :raitmI [ksu duLc Lrr�, .,tear
Ci1.51 a ")o. e 4 ritte"l1.
. m ,
C ink 01,111t Couric 1
APPPRO4'ED AS TO FOR NI:
J'I..)'' EPH M'. [= LIB I C HER
C'ir tionie%,
[�at a SI eed, ,
SEKKANO ANIMAL AND
BIRD HOSPITAL
* a w'uP ).' "wt yr
Tax III 4. .3 75 — 6 �7 00 VV
EXI HBIT A
SCOPE OU SERVICES
CONTRACTOR'S OBLIGATIONS
CONTRACTOR a,-rees to render �eterinar,% to CITY at the, ", and in the Morrie
of bLISMeSS 0111 a contlinUML! Llasi-k fair the dUfallor of this A--reernent.
MClUdii1g. but not limited to the follown-L"
A serv'- as a, 11trdical offi'cej 101 fll� ZOO LOUCCLi,on,
B, Sen. -, as caretaker of drugs. ilarcoti es. and phannaceut ioa I equipment,
pliarrna�xwlcal,, and phaTmacouticid c-,quipmimi to tbcanima ls in the Zoo
,ft.'Iled]011,
P'fovide a cornpreherisj�,,e prograni of preventative and curatl'�,e medical care for
the designatedaninial call ecuM
D Call-Sultwall alql1alinale zoological andi0i 1witian expits arid Z<Ki stal'to jaAke
recommendations regardiaL, the nutritional and medical needs of the collectiori
I Visit the Zoo facilities and examine the animal's health and s"anitatioll Oil aVellrage
I "' hoim., per vvx%,�k
Assist the Z'urator in eszahlishint- arid maoitairifflu complete rnedica.] history
records for each an] mal in the -collectioll,
CT Approw the doailcd wpurl of meJ1cal trc�ttrrii:nt adminvilercd and otbcr wrvi�;,ems
jvrfbrmted at each, vi-4it as prep ared hiv, Zoo staff err by [lie vetemmrLaiijaridsign
the zoo �ei: visit Iona fior flie Zoo files.
H EN eTclse his best professional judgerrierit and practice and make his best effiom to
riainta'In the 5wrilmal4 and far'lit'e.s ,end adv'sv Z(Ki staff m m;-t'nt(-nance ufsamc
,w & to insure the Irwtg, conditions; rx)-ssible 1`61 lbe collection
Provide telephone COn'SUlt3tion. advice aild prescnption instruvions on a
reasoriabl�' LUnlinlited basis, either %vith staffor other vetennarlans ernplayed by
CITY
NMI& a signature as CITY's consult 1 ng,,'attendi ng veterinarian, for necessany
and required certificates, I i cen was or permM.
K Advise on ordcnng -mcdl c 1 n c. suppl Ws or i witrurnent,,;
L. Obtain at his cost, medical malpractice insurance.
11 UITY OBLICATIONS
hi order toa,.,-:gist CONTRACTOK III execluEjoll of his responsibilities tinder this
agreement and to enhance the care of the ani inal,- t n the collection. the 0 T)a orees to do
Ihc folimAIR",
A Maintain a pharmaceutical sate fo- the storaye of all controlled drugE- and
narcotics.
B MalntaM a f4willry fQT thi� LIS,-In the s,mTry and'ur trvalmv-ni offfiv call r damn
�vjlli rl-cov--ry and holdim, caue,.� and r.-JaLed equtpjiteni &; neces.sarx at the &,)o
CFrovide CON'TRACTOR �,vtth staff suppart frorn Zoo Tvrsojinel.
D
'aid"01 Other tnedjcal SLLIqiltes upon jeasaiiable i,--L)u--�a of CONTRACTOR
I E. Provide, rtatTassistance for the capture and, treatment of antinals.
Pro-u1v stafftrcatmcnt ofsp"I=ns on tcl�phonc (IT uTittim instrui:t1o'ns.- from
CONTRACTOR.
6 Provide additional �,vten'narians. where advisable for ernergelicies, and. as
necessary', as back-up for the- services listed herein
"ete'1111317JUJISL We M01%, ernplov. for the CON] RACTOR'S reviev, or use.
Pay, for all outside laboratory e\penses Incurred as a result of CONNTRACTOR's
mpQrvmon cifanimalsthi: collet -win
I Pay all other egv�nses nece-ssan,, for the care of the collection when reasonably
recommended by CONTRACTOR and approved by the Execut1w Director of the
Plarks, Recreation and Comm tin 1-ty Services A:gency or h I s designated
reps-cscirviativec,
11L COMPENSAITION
CONTRAUOR agrees to perform the professional services as set forth herein and CITY
agrcc.s xt pay CONTRACTOR f6t ill such scrv1i;c5 at the rate~ of $65,000 fiir uv0vc
rwriffis for 12 hours, I"., week at Ehezw, There will be additional charge:.at flie norinal
clMic rate for animals taken to Di% Weldy's place of bLG)jie--,s and for ennetgene'%- calls to
the zcKi after hMirs Contract amount not to eweed S68AK'I.(KKm,-hich includes $3,000
cx3norigency f6j- materials-, supplies and laboratory fees incurred by CONTRACTOR to
treat 7,00 specimms on an =rg4:ncv bx-sis (jrvtkcn to CONTRA CTOR'S'hornc hos-pital
Cot treatinent.
EXHIBITIli
A-DMIIQN,'Al. VNISE."RU) F.\'DQ-R'TM1-11N'T
FOR CONIMERCIAL GENERAL LIABILITY POLICY
111151irance CompanY
This endorsement modifies SUCh 911SUfaiwe as is afford 1� , the prow Isionw of Poliev
relatint-, to the follt it]
I Th v City or" S,,,in ta Ana, -'(1 Cis ic: C.,vn tr,-r Plaza, Sunta Ana. Califon ,,t 01- 7() 1 , It's
411 el tip. loy&es' aL'e11t' Vol wi tee"r-s. wid I ;epresierltatj ves, are n wited as additional insuo eds
"additional i iiEiureds.") with regard to I tabi I jt; wd defense. of suits arising from the ql:v.rations
wid uses, performed by or an %half of the named 111SLIfed.
2 With m�lwct to Oal rns ani!'Viin v, t)ut of the operations and uses puformcd by or on
belral r (& [fie ij aaked ms ui ed, S UCh I ILSUIAEILaS I S, Jfforded [w Ili i s JXFI LC)' is pri rnaiNl and is tiot
additional to or contri butin e With am other insurance carries bs� or for the benefit'of the
addillomd in-swreds,
I This: i tics -,��!paruuly to cacli insurcd against whom cluirn, I i- insunmcx� app i made or
�Ult ts brou�'1111. exi:ept %vlth lespect LO t1w INILILS of habl.111V 'Fhe 111C I U,1011 Of WIN`
peersktj) or uA 1-gall I tion as wi insured shall nor afTeu wit, nLht which such Person Or orgMizalloll
,would have as a cl all mani if not so 'Incl tided.
4 With rc,.Pcct to tKaddltlonal insurcch, this insurancv, ,,hall not be cancelled, or
ataferially ieduced in covetq !e or ha uts except after thirty (30)days wiawn notLc,:! has been
given to the CIAA of the Cowicil, CM, of Santa Aim. 20 Ctvic Center Plaza. Sarita Ana-
Cahfoni I a 9: 70 1,
4,Cumpletlon of the follutwing, including countcrsigputurc, iv, ruquircd to puke this im(Wnsc-ment
effective)
Effectille . this endoTsenient form asa part of
Policy * ' Issucd to
Nauked Insured
COLInteTSIgned bry
B
Aijthuri74,,d RcpresentatiVe
91G6A69183 TO: V-1-- `w
AUG-C9-a 07: 36 FR13t't: CUMR
I .AC08P CERTIFICATE OF LIABILITY INSURANCE
F"' . d, `F
OATH tARIAMOfWYYY)
Vebar#.nazy TAB. S+Arvices Co.
CA xric*"* 00F64180
1400 Ttiver Park 10rivs, #100
&aarwwMto CA. 95Et1S
Phonon 888-762-3143 rax:016-922-2266
A-2008-243
2T3.772. sstPoC.A s26 v�` 1Z
ISSUED AS A MATTER
NO IINGHTS UPON THE
:ICATE DOE B NOT AME
INSURERS AFFOIRDWOCOVERAGE NAIC _
INSURER A��Mro�nan `� fitnl 2nwrrnon COS,., . —� ,�,
TMC POLES OF INSURANCE LISTEO BELOW NAVE MEN ISSUED TO THE INSURED NAMED ASOVE FOR, SHE PGUCY PSRIOD INDICATED. NOYWITN9TAN01Nt3
ICI
ANY FIEOUIRGMENT TERM OR CONDITION OF ANY OONTRAOT OR OTHER OOOUMCNT WITH RESPECT Tb wMtGH THIS CERTIflCATE MAY BE ISSUED OR
MAY PGRTAIN. TNB INSURANCE AFFOIWO BY THE POLOW94 DPOCRIBED HEREIN IS SURJMT TO ALL TME,%RM9, TKOLUstONS AND 0NDtTIAN8 OF SUCH
POUCIES. A66 W&n LIMITS SHOWN MAY MAVE NO REDUCED 8Y PAID CLAIMS
It OP IIIlANOC POLICYNUMWR DA D dA� N LAIITB +—
dENGRALLIA91.ITY EACWOCrwRReNC[ s 1 C00�L000
A X H COMWW'ALGENGRALLLAalay $H4"C80829158 07/01/08 07/01/09 s 3,DOL000 -
CLAW MAOF �S� OCCUR MED WP w one Ig -n E 10,.000
P6R8ONAL t AOV tNlIJRY S _
. GeNERA� l A=REGATE s2,000,000
•lM A00W1DATE UNIT ApPL@9 PER PRODUCTS • COMP/OR A00 i 1 e OQ0 r 000
AUTOIAObILII LIAMLIYY
COMPANED 2INGLe Lw
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07/01/09
tFaaalaem) -_
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AUTO ONLY • EA ACCIOGNT
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AGGREGATE
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All QYTR9' GUINILITt
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07/01j04
c.L.sacnAccroFnY
e1,Ob0,000
ANY PIIOPRMTORfPARSNERIExT;CUTIVL'
OFFICERso-m1CRCYCLUDCD?
F,L.OISGSF_.EAEMPLOYEE
A OOO,000
Q%Ae.I1i.°eNe na�inFul c � - .
E.L. oiiAsE • POLICYLtMrt
� 1, 000.000-7
The cmrti.FiCats holder is nanoad as odditiona1 i.nav od,
ZO-day not~ dd a£ eancellatiOML £lSZ MOn-payment.
**Carti.£fcate holder, Conti-nues; ropsenvMta'tivea
City of Santa Aaa 6 't:hai,r
=ecpeetti" 099:Lcers , awloynca
agente , volunteers and**
&88 want Santa A" Blvd #200
sArtllt Ana CA 92701.
26
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�+�rirRg� BNOIILD ANY WINE ASOW DOW-INIACD POLI M9 ft CANCE WGD SMft THIS XXPIRATIOI
DATA THpUOF, THE ISSUING 1NSURCR WILLOWICIM1130134114WIL 30 DAYS WRITTEN
NOTICE TO T%F CQRTIFIRAYC MOLDER NAM® TO THIN 46". PUT km
WOW NO ORL"Y*N OR UAMLRY OF AMY KIND UPON TMQ INSURER ITS ACMMTS OR
Fax from : 08/29/08 16:42 pg: 1
AU8-29-2008 08:47 FROM:CUMA
9166469183 TO:7145714209 P.3/3
Additional Insured -- Owners, Lessees or Contractors — AB 90 67 12 93
Policy Amendment Section 11
Insured Serrano Animal & Bird Hospital Policy Number $1-14AZ('80829158
Schott H. Weldy, DVM
Producer Veterinary Ins Services Co Effective Date 07/01/2008
Schedule
Name of Person(s) or Organization(s)
City of Santa Ana and their respective officers, employees, agents, volunteers and representatives
Primary Insurance - It is agreed that such insurance as afforded by this policy. for the henef t of the
additional insured shall be primary insurance cis respects any claim, loss or liability arising directly or
indirectly from the insureds operations and any other insurance inainle ined by the culditional insured
shall be non-contributory with the insurance provided hereunder.
(If no entry appears above, information required to complete this Endorsement will be shown in the Declarations
as applicable to this Endorsement)
The following is Added to Part I WHO IS AN rN-
SURED in the Business Liability Section of this policy
5. The person or organization shown in the Schedule
is also an insured, but only with respects to liability
arising out of your work. for that insured by or for
YOU.
All other terms and conditions of the policy apply.
'Phis firm must be attached to Change I:ndorStincnt when issued after the policy is writ ten.
One of the Fireman's Fund Insurance Companies w named in the policy.
Secretary President
AR9067 12.93
Cnmaiag copynghted Maurisl of Inxur,�na Sernces O$ices, Inc . 19114
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00/29/00 09:46
Pg: 3
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ABC MultiCover - AS 91 89 08 07
This endorsement modifies insurance provided under the following:
American Business Coverage
Your policy is broadened and clarified a.% follows:
1. Non Employment Discrimination Liability
Unless Personal Injury or Advertising Injury is
excluded from this.• policy:
A. Section ITT - Definitions, Item 17. personal
Injury is amended to include:
f. Discrimination
B. Section III - Definitions, Item 2. Advertising
Injury is amended to include:
e. Discrimination
C. Section III - Definitions is amended to in-
clude:
30. Discrimination means the unlawful treat-
ment of individuals haled on. race, color,
ethnic origin, gender, religion, age, or
sexual preference.
D- Section Il - Liability Coverage, Part IL Ex-
clusions, Item Lp Personal Injury or Adver-
tising Injury is amended to include_
(11) Arising out of discrimination directly or
indirectly related to the past employ-
ment, employment or prospective em-
ployment of any person or class of
persons by any insured; or
(12) Arising out of discrimination directly or
indirectly related to the sale, rental, lease
or sub -lease or prospective sale, rental,
lease or sub -lease of any dwelling,
permanent lodging, or premises by or at
the direction of any insured; or
(13) Arising out of discrimination, if insurance
thereof is prohibited by law; or
(14) Fines, penalties, specific performance, or
injunctions levied or imposed by a go-
vernmental entity, or governmental code,
law, or statute because of discrimination.
2. Blanket Additional Insured
Section U - Liability Coverage, Part I. Who Is An
Insured, Item 2. is amended to include:
f. Any person or organization that you are re-
quired by a written insured contract to include
as an insured, subject to all oi' the following
provisions:
(1) Coverage is limited to their liability aris-
ing out of:
(a) the ownership, maintenance or use
of that part. of the premises, or land
owned by, rented to, or leased to
you; or
(h) your ongoing operations performed
lilr that. insured; or
(c) that insured's financial control of
you; or
(d) the maintenance, operation or use
by you of equipment leased to you
by such person(s) or organization(s);
or
This Donn must be attached to Changc Knd0mcnicnt when issued after the policy is written.
OLU3 Of the bireman's fiind TnYarlmco Companies as named in the policy
Stx1r ary
A139189 R-07
President
Page 1 of 6
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(e) a slate or political subdivision per-
mit issued to you_
(2) Coverage does not apply to any occur-
rence or offense:
(a) which took place before the exe-
cution of, or subsequent to the
completion or expiration of, the
written insured contract, or
(b) which takes place after you cease to
be a tenant in that premises.
(3) With respect to architects, engineers, or
surveyors, coverage does not apply to
Bodily Injury, Property Damage, Per-
sonal lniury or Advertising Injury arising
out of the rendering or the failure to
render any professional services by or for
you including:
(a) The preparing, approving, or failing
to prepare or approvee maps, draw-
ings, opinions, reports, surveys,
change orders, designs or specifica-
tions; and
(b) Supervisory, inspection, or engi-
neering services.
If an Additional Insumd endorsement is attached
to this lx)liey that specifically names a person or
organisation as an insured, then this coverage does
not apply to that person or organization.
3_ Blanket Additional Insured for Vendors
Unless the Products -Completed Operations Haz-
ard is excluded from this policy, Section U - Li-
ability Coverage, Part I. Who is an Insured Item
2. is amended to include:
g. Any vendor but only with respect to Bodily
injury or Property Damage arising out of your
products which are distributed or sold in the
regular course of the vendor's business, sub-
ject to the following additional exclusions:
L The insurance afforded the vendor does
not apply to:
a. Bodily Injury or Property Damage
for which the vendor is obligated to
pay damages by reason of the
AR91 R9 kk.07
assumption of liability in a contract
or agreement. This exclusion does
not apply to liability For damages
that the vendor would have in the
absence of the contract or agree-
ment;
b. Any express warranty unauthorized
by you;
c. Any physical or chemical change in
the product made intentionally by
the vendor;
d. Repackaging, unless unpacked solely
for the purpose of inspection, dem-
onstration, testing, or the substi-
tution of parts under instructions
from the manufacturer, and then re-
packaged in the original container.
e. Any failure to make such in-
spections. adjustments, tests or ser-
vicing as the vendor has agreed to
make or normally undertakes to
make in the usual course of busi-
ness, in connection with the distrib-
ution or sale of the products;
f. Demonstration, installation, servic-
ing or repair operations, except such
operations performed at the vendor's
premises in connection with the sale
of the product;
g. Products which, after distribution
or sale by you, have been labeled or
relabeled or used as a container; part
or ingredient of any other thing or
substance by or for the vendor.
2. This insurance does not apply to any in-
sured person or organization, from
whom you have acquired such products,
or any ingredient, part or container, en-
tering into, accompanying or containing
such products.
If an Additional Insured - Vendors endorsement
is attached to this policy that spcciFicallynames a
person or organization as an insured, then this
coverage does not apply to that person or organ-
ization.
Page 2 of 6
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4. Blanket Waiver of Subrogation
Section 11 - Liability Coverage, Part K. Liability
and Medical Payments General Conditions, is
amended to include:
6. Transfer of Rights of Recovery Against Oth-
ers to us .and Blanket Waiver of Subrogation
a. If the insured has rights to recover all or
part of any payment we have made under
this Coverage Part, those rights are
transferred to us. The insured must do
nothing after loss to impair those rights.
At our request, the insured will bring suit
or transfer those rights to us and help us
enforce them.
b. if required by a written insured contract,
we waive any right of recovery we may
have against any person or organization
because of payments we snake for injury
or damage arising out of your operations
Or your work for that person or organ-
ization.
5. Broadened Named Insured
Section 11 - Liability Coverage, Part 1. Who Is An
Insured, Item 4. is replaced with-
4. All of your subsidiaries, companies, corpo-
rations, firms, or organizations, as now or
hereafter constituted, qualify as Named In-
sured under this policy if:
(a) you have the resptmsihility of placing in-
Surance for each such entity; and
(b) coverage for the entity is not otherwise
more specifically provided; and
(c) the entity is incorporated or organized
under the laws of the United States of
America.
Buteach entity is insured only while you
own, during the policy period, a controlling
interest in such entity of greater than 50% of
the stock or assets. However:
(a) Coverage under this provision is afforded
only until tlhe end of the policy period,
or the 12 month anniversary of the policy
inception date, whichever is earlier;
(h) Coverage C does not apply to bodily in-
jury or Property damage that occurred
AB9189 B-M
before you acquired or formed the or-
ganization;
(c) Coverage C does not apply to personal
injury or advertising injury arising out of
an ofl+ nse comrnitted before you ac-
quired or formed the organization.
6. Medical Payments
Unless Coverage D. Medical Payments is excluded
from this policy:
A. Section II - Liability Coverage, Part H. Ex-
clusions, Item 2.f. is replaced with:
f. Included within the products -completed
operations hazard. However, this exclu-
sion does not apply to expenses for den-
tal services.
B. Section 11 - Liability Coverage, Part G. Cov-
erage, Item 2., is amended to include:
C. Coverage D. Medical Payments is pri-
mary and not contributing with any
other insurance, even if that other insur-
ance is primary also-
7. Tenant's Legal l..iability
A. Section III - Liability Coverage, Part J. Li-
ability and Medical Payments Limits of In-
surance, Item 3. is replaced with:
3- The most we will pay under Coverage C
- Liability for damages because of prop-
erty damage to premises while rented to
you, temporarily occupied by you with
the permission of the owner, or managed
by you under a written agreement with
the owner:
a. arising out of any Covered Cause of
Loss shall be the greater of_
(1) $1,000,000;or
(2) The Tenant's Legal Liability
limit shown in the Declarations.
8. Chartered Aircraft
Section It - Liability Coverage, Coverage C, Part
H. Exclusions, Item I.g. is amended to include:
(5) An aircraft in which you have no ownership
interest and that you have chartered with
crew.
Page 3 of 6
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9. Coverage Territory Broadened
Section III - Definitions, Item 5.a. is replaced with:
a. The United States of America (including its
territories and possessions), Puerto Rico, Ca-
nada. .Bermuda, the Bahamas, the Cayman
Islands and the British Virgin islands.
10. Broadened Advertising Injury
Unless Advertising injury is excluded from this
policy:
A. Section III - Definitions, Item 2_ is replaced
with:
2. Advertising Injjury means injury arising
out of one or more of the following of-
fenses:
a. Oral, written, televised or videotaped
publication of material that slanders
Or libels a person or organization or
disparages a person's or organiza-
tion's goods, products or services;
b. Oral, written, televised or videotaped
publication of material that violates
a person's right of privacy;
c. Misappropriation of advertising
ideas or style of doing business; or
d. Infringement of trademark, copy-
right, title or slogan.
B. Section 11 - Liability Coverage, Coverage C,
Part H. Exclusions, Items I _p.(I) and (2) are
replaced with:
(1) Arising out of oral, written, televised or
videotaped publication of material, if
done by or at the direction of the insured
with knowledge of its falsity;
(2) Arising out of oral, written, televised or
videotaped publication of material whose
first. publication took place before the
beginning of the policy period;
11. Broadened Personal Injury
Unless Personal Injury is excluded from this pol-
icy, Section HI - Property, Liability and Medical
AB91R9 R-07
Payments Definitions, Items 17,b„ d. and e. are
replaced with-
b. Malicious prosecution or abuse of process;
d. Oral, written, televised or videotaped publica-
tion of material that slanders or libels a person
or organi/Ation ur disparage~ a person's or
organization'-, goods, products or services;
e. Oral, written, televised or videotaped publica-
tion of material that violates a penon's right
of privacy;
12. Broadened Personal or Advenising Injury
Unless Personal injury or Advertising injury is
excluded from this policy, Section 11 - Liability
Coverage, Coverage C, Part 11. Exclusions, Item
i,p,(4) Exclusions is deleted in its entirety.
13. Fellow Employees Coverage
Section 11 - Liability Coverage, Part I. Who Is an
Insured. Item 2.a.(1) is amended as follows:
(1) Personal Injury to you or to a co -employee
while in the course of his or her employment,
or the spouse, child, fetus, embryo, parent,
brother, sister or any member of the house-
hold of that employee or co -employee as a
consequence of such Personal Injury, or for
any obligation to share damages with or repay
someone else who must pay damages because
of the injury; or
14. Mental Anguish Is Included in Bodily fn_jury
Section iii - Definitions, Item 4. is replaced with:
4. Bodily injury means bodily injury, sickness or
disease sustained by a person. It includes
death or mental anguish which result at any
time from such physical harm, physical sick-
ness or physical disease. Mental anguish me-
ans any type of mental or emotional illness
or disease_
t5. Unintentional Failure to Disclose Hazards
Section 11 - Liability Coverage, Part K. Liability
and Medical Payments General Conditions, is
aimended to illClude:
Page 4 of 6
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6. Unintentional Failure to Disclose Hazards
If you unintentionally fail to disclose any ha-
zard, existing at the inception date of your
policy, we will not deny coverage under this
Coverage Fortn because of such failure.
However, this provision does not affect our b
right to collect additional premium or exercise
Our right of cancellation or non -renewal,
16, Supplementary Payments, Increase Limits
Section 11 - Liability Coverage, Part G. Coverage,
Items I.e. (2) and (4) are replaced with:
(2) The cost of hail bonds required because of
accidents or traffic law violations arising out
of the use of any vehicle to which the. Bodily
Injury Liability Coverage applies. We do not
have to furnish these bonds.
(4) All reasonable expenses incurred by the in-
sured at our request to assist us in the inves-
tigation or defense of the claim or suit
including substantiated loss of earnings up to
$500 a day because of time off work.
IT Per Location Aggregate
A- Section Ill - iiability Coverage, Part J. Limits
of insurance, Item 4. is amended to include:
The Aggregate Limit of insurance applies se-
paratoly to each location owned by you,
rented to you, or occupied by you with the
permission of the owner.
D. Section III • Property, Liability and Medical
Payments Ueflultions, is amended to include:
31- Location means premises involving the
same or connecting lots, or premises
whose connection is interrupted only by
a street, roadway, waterway or right-of-
way of railroad.
18. Amended Duties in the Event of an Occurrence,
Offense Claim or Suit
Section 11 - Liability Coverage, Part K. Liability
and Medical Payment." General Conditions, Items
2.a. and b, are replaced with:
a. In the event of an occurrence, offense, claim,
Of suit, you must promptly notify us- Your
duty to promptly notify us is effective when
your executive officers, partners, members, or
AE9189 8-07
legal representatives are aware of the General
Liability occurrence, offense, claim. or suit.
Knowledge of an occurrence, offense, claim,
or salt by other employee(s) does not imply
you also have such knowledge_
To the extent possible, notice to us should
include:
(1) How, when and where the occurrence or
offense took place;
(2) The names, addresses, and telephone
numbers of any injured persons and wit-
nesses; and
(3) The nature and location of any injury or
damage arising out of the occurrence, of-
fense, claim, or suit.
19. Common Policy Conditions (AB UU 09 A 01 87),
Part 11. Other Insurance, Item 2. is replaced with:
2. Coverage C - Liability
If other valid and collectible insurance is
available to any insured for a loss we cover
under Coverage C of this Coverage Part our
obligations are limited as follows:
a. The insurance provided under this policy
is primary if you are required by a written
insured contract to include any person
or organization as an insured, but only
with respect to that insured's liability
arising out of the ownership, mainte-
nance, or use of that part of the premises
owned by or rented to you, or your work
for that insured by or for you. Any other
insurance available to that person or or-
ganitation is excess and noncontributory
with this insurance, or;
b. Except for the circumstance described in
2.a., above, the insurance provided under
this policy is excess over any other li-
ability insurance available to any insured
whether such other insurance is written
as primary, excess, contingent or any
other basis, An exception applies when
any insured specifically has purcltased
execss insurance to apply in execs., of the
limits of insurance shown in the Decla-
rations of this Coverage Part for Cover-
age C.
Page 5 ol, 6
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20. Damage to Invitees' Automobiles from Falling
Trees or Tree Limbs - Limited Coverage
The policy applies to direct physical damage to
automobiles owned by invitees subject to all of the
following:
1. Provided such damage originates from prem-
ises owned, managed, leased or rented by an
insured;
2. Coverage applies only to invitees of an in-
sured or an insured'stenant.
3_ Such damage is directly caused by
wind -driven falling trees or tree limhs;
4. The most we will pay for any one loss is the
lesser of the actual cash value of the damaged
automobile as of the time of the loss; or the
cost of repairing ur replacing the damaged
automobile with another automobile of like
As9189 8-07
kind and quality; suhject. to a limit cif $25,0(K)
in any one policy period. and
S. This coverage is not subject to the General
Liahility General Aggregate. Limit.
21. Expected or Intended Injury - Amendment to Ex -
elusion
SECTION I. - 2. EXCLUSIONS a. Expected or
Intended Injury, is replaced by the following:
a. Expected or Intended Injury
Bodily injury or property damage expected or
intended from the standpoint of the insured.
This exclusion does not apply to Midily injury
or property damage resulting from the use of
reasonable force to protect persons or prop-
erty,
All other terms and conditions of the policy apply.
Page 6 of 6
Fax from : 9166469183 08/29/08 11:04 pg: 6
r ,
P ID MC DATE (MMY)
P
*MD CERTIFICATE OF LIABILITY INSURANCE Sa_1 082a 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Veterinary X ns . Services Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA License #OF64180 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1400 River Park Drive, #180 � ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
W�� y
Sacramento CA 95815 A ' y3
Phox%e:888-762-3143 Fax:916-921-2266 INSURERS AFFORDING COVERAGE NAIC
INSUAEO INSURER A' rtr*I-m-n Fund Znnvrnncn Co.
INSURER B
Serrano Atximal, & Bird Hospital
Scott H. Weldy, DVM INSURER C.
21771 Lake Forest Drive #111 __.
Lake Forest CA92630 INSVRER D
INSURER F_:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE RFFN ISSUED TOTHE INSURED NAMED AROVE FOR THH POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNF,NT WITH RESPECT TO WHICH THIS CF-RTIFICATE MAY RF 1$q1 ED OP
MAY PERTAIN, THE INSURANCE_ AFFORDED BY TI'IF_ POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
LTR R TYPE OF INSURANCE POLICY NUMRBR 1 'pgTr' INMrDDA'YI DATE IyMRjp/yYI LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
; 1 , 000 , 000
A
X
COMMERCIAL GENERAL LIABILITY
8H4AEC80829158
07�01%0$
07�01/09
PRA S(I: uroneel._
100,000 x
CLAIMS MADE I X OCCUR
M£D FXP (Arty one pereen)
S10,000
_
PERSONAL R AOV INJURY
7
GENERAL AGGREGATE
x 2, 000, 000
GL•N'L AGGREGATE LIMIT APPLIES PER:
�_... ,.
MODUCTS - COMPIOP AGC
.. ..._.._
31,000,000
..
�....... PRO-
X POLICY ' JECT LOC
AUTOM080.E
LIABILITY
COMBINED SINGLE LIMIT
$ 1 00O 000
A
ANY AUTO
8H4AZC80829158
07/01/08
I 07/01/09
(EAeecident)
r ,
ALL OWNED AUTO$
SOOILY INJURY
SCHEDULED AUTOS
(Per pendn)
X,
HIRED AUTOF,
GIDDILY INJURY
4
NON -OWNED AUTOS
(PIV fteltldnl)
--_- -_-
PROPERTY DAMAGE
(Pnr neeldmi)
6ARA6fi WABIUTY
AUTO ONLY . EA ACCIDENT
3
ANY AUTO
OTHER TIAAN EA ACC
-x
AUTO ONI.Y: AGG
BXCESSNMBRP..LLA LIANUTY
FACH 0 1.URRf. NCR
d 1 , 000 , 000
A
, OCCUR I I CLAIMS MADE
S6I4AZC80829158
07/01/08
07/01/09
AGGREGATE
; 2, 000, 000
—_. DEDUCTIBLE
I
A RETENTION ;
__ .... _.__... ...
...... ..
;
WORKORS COMPENSATION AMID
'S
x TVVQ LIMITEft
R
A
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNF_R/EXFCUTIVE
8H4WZP80963200
07/01/00
07/01/09
__.....__.__._ _ _.._
E.i.. EACH ACCIDENT
_._ .. _..
;1 000 000
[L
OFFICERIRII:MEER EXCLUnF.n7
N
F.I., pl$F.n$E . EA £MPLOYEB
_._.--��.....
x 1 OOO O00
Yel, dosembe under
SPECIAL PROVISIONS
___._.._._...—.__.__—__._—.
_..__{!._,........_.
below
E.L. DISEASE -POLICY LIMIT
; 1, 00O 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES r EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
The certificate holder is named as additional insured. J
10-day notice of cancellation for non--paymant. � �!
**Certificate holder continues: representatives
CRGTYGIC ATC urY1 Man
CITYS" SHOULD ANY Or THE AOOVE DUCRIRCD 15000F,$ QE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL EMAIL 30 DAYS WRITTEN
City of Santa Ana b, their NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 94RQppD SWALL
respective officers, employees
agents, volunteers and** UPOW NO OBLIGATION OR LL4AILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
880 WASt Santa Ana Blvd #200 REPRESENTATNEB.
Santa Asa CA 92701 AUT/IORIZEDREPRE3 ,�
i
ICath R. Noe L`
ACORD 25 (2001108) ® ACORD CORPORATION 99RR
Fax from 09/08/08 14:30 Pg: 2
Additional Insulred — Owners, Lessees or Contractors -- AB 90 67 12 93
Policy Amendment Section 11
Insured Serrano Animal & Bird Hospital Policy Number 8H4AZC80829158
Schott H. Weldy, DVM
Producer Veterinary Ins Services Co Effective Date 07/01/2008
Schedule
Name of Person(s) or OrgaoiTation(s)
City of Santa Ana and their respective officers, employees, agents, volunteers and representatives
Primary Insurance: ]t is agreed that such insurance as afforded by this Policy for the benefit of the
additional insured shall be primary insurance at respects any claim, loss or liability arising directly or
indirectlyfrom the in.sured's operations and any other insurance maintained by the additional insured
shall be non- contributory with the insurance provided hereunder.
(if no entry appears above, information required to complete this Endorsement will be shown in the Declarations
as applicable to this Endorsement)
The following is Added to Part I — WHO IS AN IN- arising out of your work for that insured by or for
SURED in the Business Liability Section of this policy you.
5. The person or organization shown in the Schedule All other terms and conditions of the policy apply.
is also an insured, but only with respects to liability
Phis form must be attachal to Change Endorsement when issued after the policy is written.
One of the Fireroan's Fund Insurance Companies as named in the policy.
Scorctary
AS9067 12.93
Ctnrtnint; coflyrigtrtcd MnlerinI of Iotenraticc Smvleae Orrtcce_ Inc.. 1994
Fax from
President
09/08/08 14:38 Pg: 3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
(2004ro8)
Fax from 09/08/08 14:39 Pg: 4
JAN-01-1396 06:22 P.02i02
Spoiuorcd by A V M A veterinary Professional Liability
Insurance Policy
Certificate of Insurance Z U Ri C H
This policy providoa occurrence coverage, plesse review the policy carefully.
ITEM 1: Insured by the stock company below and hereinafter called the
F L I T Company Zurich American Insurance Company U-VPL-103-A-Cw(07,'07)
ITEM 2: Named Certificate Holder, member number, IRC, and address
Scott Henry Weldy, DVM
c/o Serrano Animal & Bird Hosp
21771 Lake Forest, Suite 11 l
Lake Forest, CA 92630-2782
Iltlttitltltll11 tell tlltttttltllt►tllttltttltlltttltttllttlitl
Master Policy Number: I Certificate Number:
EOL 5241302-03 36548
I FOR INFORMATION OR TO FILE A CLAIM
PLEASE CALL (900) 229-7548
ITEM 3: Policy Period Fran: 1 /01 /2008 To: 1/01/2009
12:01 am Standard time at the address ofthe Named Certificate Holder as
stated heroin
ITEM 4: Limits of Liability
Member Namn Member No. iRC Class Each claim $1,000,000
W ELDY SCOTT HENRY DR 24154 17 IV Aggregate $ 3,000,000
ITEM 5: Premitun and coveragc surmnary
Liability $ 246.00
TOTAL DUE: $ 246.00
p.�.a
ITEMS: Veterinary
purchawd): limit: S
Authorizod Signmurc
Fax from
ITEM 6: Forms Attached at Issuance: U-VPL-103-A CW (07107), U-VPL-I00-A CW (07104),
U-VPL-109-A CA (09/04)
ITEM 7: Schedule of Plan Numbers and location(s) for
Veter nmy Professional Bailee ExUrtsion Endorsemztu (if p=hased):
k or additional locations, please see the attached page
Ent (if
Plan Number
This Ccrtiftoate ofirtaunau:e is ismtod offlhe Master Policy held by the Arnarlcan Vattainary,
Medical Association (A. V.M.A) Profoulonml Liability lummoe Trust, ay kLco lac of this
Policy tho Named Certificate Holder agrees that the statements in the certificate and the
appti"ion and any attachments hereto are the Nmnwd Cerlifieate Holder's agreements and
reprosotitations and that this policy embodies All agraentents cdsting between the Named
Certificate holder A the Company or any of its rcprosenttttivtra relating to this instrruncc.
Notice to the Company; Zurich North American-Spacialties Ctaitna
Ann: Prafeasional Liability Claim DarnMijetlt
T TOTAL P.02
99/03/09 11:19 Pg: 2
21ST CENTURY 818 7041407 09/02 '08 18:13 N0.611 01/03
0 21st Century Insurance
21st.com 1-800-211-SAVE
PLEASE DELIVER TO: Robert Carol
REGARDING POLICY #: AP 3772950 CUSTOMER NAME: Scott Weldy
# OF PAGES INCLUDING THIS ONE: 3
FROM: Carlos Ramirez
E-MAIL: Carlos. Ramirez@21st.com
FAX #: (818) 704-1407
TELEPHONE: 1-800-443-3100 Ext, 6120
COMMENTS:
IF TWS TRANSMISSION IS UNCLP.AR OR rNCOMPLF_rE, PLEASE CALL BACK AS SOON AS POSSIflLE TO HAVE IT SENT AGAIN.
THIS r•ACSIMILE IS INTFNDFD SOLELY FOR THE PERSONAL. AND FXC4USIVE USE. OF THE ADDRESSF.F_(S) NAMED ABOVE- IT MAY
CONTAIN CONFIDENTIAL AND/OR LEGALLY PRIVILEGED INFORMATION AND AS SUCK IS INTENDED TO 116MAIN ABSOLUTELY
CONFIDENTIAL AND PROTECTED FROM DISCLOSURE UNDF,R APPLICABLE LAW. PLEASE BE ADVISF,'D THAT ANY USE, REVIEW',
TRANSMISSION, DISCLOSURE. COPYING, SELLING, DISSEMINATION, PUPLICATION, DISTRIBUTION OR ANY ACTION TAKEN OR NO'r
TAKEN BY OTHER THAN THE INTENDED RECI.PI$NT OF 'THIS FACSIMILE, OR IN RL•I.LANCF ON THE tNFORMATION IT CONTAINS, IS
UNAUTHORIZED AND PROHLBITFA. IF YOU HAVE RECEIVED Tms FACSIMILE IN ERROR AND ARE NEaHER THE INTENDED RFCI.YIF;N'r($)
NOR HIS/14 R AGENT, PLEASE NOTIFY THIS OF"FICG IMMEDIATELY AND DEMOY THE DOCUMF,N'r$. THANK YOU.
VISIT OUR WEB SITE AT:
21 St.com
FAX SENT TO (telephone #): 1-714-571-4209
Fax from : 818 7041407 09/02/08 18:26 Pg: 1
21ST CENTURY 818 7041407 09/02 '08 18:13 N0.611 02/03
21st Century Insurance Page 1 of 2
21st.com 1-800-211-SAVE PERSONAL AUTO Renewal
POLICY DECLARATION EFFECTIVE 04/30/2008
Named Insured and Mailing Address
Marie V Weldy
$Cott Weldy
22671 Revere Rd
El Toro, CA 92630
Policy NO: 3772950
Policy Period: From: 04/30/2006
To: 10/31/2008 12:01 AM Pacific Time
Vehic
e(s) and'brive s
Veh
ear
MakolModel
Vehicle 10.NuMber
Use
Vehicle DiscounWComMQ' hW.
Zip
Mlfea e
1
'1961
CoNv volvo 644
A61289410
P
MCD
92630
1.000
2
�m
000GE DAKOTA QUA
157HL48X126531895
W
MCD
92630
51000
3
1000
VOLKSWAGEN NEW BEETLE
3VwDD21C0YM49s180
W
MCD
92630
10.000
4
k02
DODGE DURANGO SL
184HS58N32F122987
W
M_CD
92630
12,000
Veh
+ _
Rated Driver
Yoars:
License
TlCkafs
Chargeable Accidents
"r9
_
brlvertllt:counts
1
koben Weldy
Jennifer
02
0
MXP
2
Weldy
oa
0
GDo
3
Mario V Wcidy
33
1
MXP
4
colt weldy
34
0
Goo
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VC 10 rRVvI wrw vvr7CrCC M r-MCIVIIVM MILL M LIMI I Vr LIMUILI IT PV'Ct 0NUVVN r-UM I HL GVVtKA0t.
Coverage
LJmIt cf Liability
Rrerrriurrl
Veh 1
Veh 2
Veh 3
Veh
4
A.
In01
dily Injury Liability
ee $0.90 per vehicle fraud fee
$ 100, 000 each person
$ 300,000 each accident
$
213
$
119
$
116
$
64
S.
o e Damage Liability
$ 100, 000 each accident
$
179
$
145
$
154
$
93
C. Medical
Payments
$ 5, 000 each person
$
94
$
73
$
107
$
30
D. 6lodil
ninsured Motorist
In'
$ 100,000 each person
$ 300,00 each accident
$
83
$
62
$
87
$
22
DAI
IAGE TO YOUR VEHICLE
Veh 1
Veh 2
Veh 3
Veh 4
$
is
$
75
$
71
$
42
AcW*f
Cash Value Less Deductible
Dad.
Ded,
Ded.
Ded.
E. Coin
rehenslve
$ 0
$ 100
$ 100
$ 100
F. dollision
$ 100
$ 100
$ 100
$ 100
$
93
$
399
$
438
$
202
Uninsured
D1.
Motorist
O e Damage
DED WAIVE
DED WANE
IDEDWAIVE
DED WANE
$
3
$
2
$
3
$
2
G.
wing & Labor
$ 5o each disablement
Included
Included
Included
I Included
H. Rental
Reimbursement
per day: $
max
$
$
$
$
J. Additional
The
included
Add
Equipment
Past $1000 is automatically
with Coverage E or F.
oral coverage is optional.
Included $1, 000 $1, 000 $1, 000 $1, 000
Additional $ 0 $ 0 $ 0 $ 0
Total $1 000 $1,000 $1 000 $1 000
$S
If the installment
Total Premium Per Vehicle
bill plan is used, a service Charge may apply.
$
680
Is
$ 875 ,
$
975
$
455
Total Promlum $
I Endortement(s)/Agreement(s) Applicable:
TCU-� (06104) TCU511CA (05/05)
Loss Payee (LP), Additional Insured (AI), Evidence of Insurance (EI) Drivers Not Rated
Veh 2 LP Bank Of The West /J
Veh 3 LP VW Credit CIO Pdp
THE FbLLOWfND FEt(S) M74't' APPC:Y
LAtE s5iltr PAYMENT 11RNED(MSF') $t0v0F} �(---->1� 03131/2008
:Ci1Nt:;55diNt� IF1:jTAt.tNIE1kT:B1tXLihlk$.iiititAtGI.` `�.00 President
WHEN ATTACHED TO THE. PERSONAL AUTO POLICY, THESE DECLARATION$ COMPLETE THE POLICY AND REPRESENT
THE CURRENT STATUS OF YOUR COVERAGES AND LIMITS OF LIABILITY.
Visit 21 st.com to mako policy changes, pay your premium, and more_ Register online today! For Customer Care call 1(BW)443.3100,
TCu11CA (oWs) 21 st Century Insurance Company, 6301 Owensmouth Ave., Woodland Hills, CA 91367
Fax from : 818 7041407 09/02/08 10:27 Pg: 2
21ST CENTURY 818 7041407 09/02 '08 18:13 NO.611 03/03
21st Century Insurance Page 2 of 2
21st.com 1-800-211-SAVE PERSONAL AUTO Renewal
POLICY DECLARATION EFFECTIVE 04/30/2008
Named Insured and Mailing Address
Mane V Weldy
Scott Weldy
22671 Revere Rd
El Toro, CA 92630
Policy No: 3772950
Policy Period: From: 04/30/2008
To: 10/31/2008 12:01 AM Pacific Time
Vehi
ew.
and Drive a
Veh
ear
MakeNadel
Vehicle iD;Mmber
U* 6
Veh' Uiscaur!00i*mM*nti
Zi
Miles a
5
1957
CIaFVR%ET CAMARO
124377059395
P
MCD ADDITIONALVEH
92630
2,000
Veh
I Rated:Driver
Year's
Licensed
Tac4ft
CtiatgeabNe ACCid0i*
Driver DWoounts
COVERAGE
15 PROVIDED WHERE A PREMIUM AND A LIMIT
OF LIABILITY ARE SHOWN FOR THE COVERAGE.
Coverage
Urn of'Llability
V M
A. Bodily
krclu�as$0.90
Injury Liability
pervehicle fraud fee
$ 1.00, 000 each person
$ 300,000 each accident
$ 26
$
$
$
B. Oropery
DamB a Liablli
$ ioo 000 each accident
$ 35
$
$
$
C.
edical Payments
$ 5,000 each eerson
$ 13
$
$
$
Uninsured
Motorist
$ 100,000 each person
Ded.
Motorist
J. Additional
Equipment
Included $ $
$
$
7helfirst
$1000 is automatically
Additional $ $
$
$
inc�ded
with coverage E or F.
Additional
oovera a is o tlonal.
Total $ $
S
$
$
$
$
$
Total Premium Per Vehicle
$ 91
$
1
$
If the
installment bill plan is used, a service charge may apply.
Total Premium $ 3,077
Endor�ament(s)/Agreement(s) Applicable:
Loss Payee (LP), Additional Insured (AI), Evidence of Insurance (EI) Drivers Not Rated
THE PbLe ovrlihta l e biAy y
LATE a' IcV31AI�i�ReTurt t b ivsF� _...._. �70;9F �- ' --� 03/31/2008
11N L ' Si1rl�I� 1N 'I'ai1 EN`I, 9Yf. 4,'rAm sER1/tc9&, A Presldent
WHEN ATTACHEO TO THE PERSONAL AUTO POLICY, THESE DECLARATIONS COMPLETE THE POLICY AND REPRESENT
THE CURRENT STATUS OF YOUR COVERAGES AND LIMITS OF LIABILITY.
Visit 21 st.com to make policy changes, pay your premium, and more. Register online todayl For Customer Care call 1(WO)443-3100.
TOV410A (W05) 21at Century Insurance Company, 6301 Owensmouth Ave., Woodland Hills, CA 91367
Fax from : 818 7041407 09/02/08 18:27 Pg: 3
JAN-01-1996 06:22
P.01102
A v M A Hub International Midwest Limited
AVMA PUT
P.O. Box 1629
Chicago, IL 60690-1629
Phone: 800-228-PLIT (7548)
Fax: 888-PLIT FAX (754-8329)
Fax -on -Demand: 888-740-PLIT (7548)
P L I .t---------- _ .
To: Karla
Fax: 1-714-571-4209
Phone: page;
Re: Current Certificate CC:
Urgent x For Review O Please Corrrnent Please Reply D Please Rocyele
*Comments:
Lakreshia Richards
Program Representative
Hub International Midwest Limited
lakres .richards hubinternational.com
Fax From 09/03/08 11:19 Pg: 1