HomeMy WebLinkAboutYORBA REGIONAL ANIMAL HOSPITAL-2014INSURANCE ON F�LE N-2014-091
WO Rk( MAY PROC ED
UNTIL INSURANCE EXPIRES
ME111i OF COUNCIL
DAz. jUL 1 6 2014
a:CONSULTANT AGTtEE TIENT
1 ��pC�
�IXylOY Q' THIS AGREEMENT, made and entered into this Ist day of July, 2014 by and between Yorba
�cy„dr. Regional Animal Hospital, it California Corporation, (hereinafter "Consultant"), and the City of Santa
1Ii fpM'�Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of
the State of California (hereinafter "City"),
RECITALS
A, The City desires to retain a consultant having special skill and knowledge in the field of
providing medical services including emergency medical care to police K -9s. Consultant
represents that it is able and willing to provide such services to the City.
B. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this Agreement
will be performed in compliance with such standards as may reasonably be expected from a
professional consulting Firm in the held,
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terns
and conditions hereinafter set forth, the parties agree as follows:
I. SCOPE OF SERVICES
Consultant shall perform those services as needed as set forth in Exhibit A to this Agreement.
2. COMPENSATION
This Agreement shall be for an amount not to exceed twenty-five thousand dollars ($25,000) over
the total three years of the Agreement. The services shalt be provided at the rates set forth in Exhibit A,
3. TERM
This Agreement shall continence on the date first written above and terminate on June 30, 2017,
unless terminated earlier in accordance with Section 12, below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an independent
contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to
create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise
discretion or control over the professional manner in which Consultant performs the services which are
the subject matter of this Agreement; however, the services to be, provided by Consultant shall be
provided in a manner consistent with all applicable standards and regulations governing such services.
Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and
similar taxes relating to employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall maintain and
shall require its subcontractors, if any, to obtain and maintain insurance as described below:
Professional liability insurance, with a combined single limit of not less than $1,000,000 per
claim. The following requirements apply to the insurance to be provided by Consultant pursuant to this
section:
(i) Consultant shall maintain all insurance required above in full force and effect for
the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved in farm by the City Attorney.
(Iii) Certificates and policies shall state that the policies shall not be canceled or
reduced in coverage or changed in any other material aspect without thirty (30)
days prior written notice to the City.
If Consultant 'fails or refuses to produce or maintain the insurance required by this section or fails
or refuses to furnish the City with required proof that insurance has been procured and is in force and paid
for, the City shall have the right, at the City's election, to 'forthwith terminate this Agreement.. Such
termination shall riot effect Consul'tant's right to be paid for its time and materials expended prior to
notification of termination. Consultant waives the right to receive compensation and agrees to indemnify
the City for any work performed prior to approval of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal
injury, including death, and claims for property damage, which may arise from the direct or indirect
operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting
on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any
claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by
reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless
agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief
suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason
of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be
selected by the City, regarding any action by a third party challenging the validity of this Agreement, or
asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to
personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City
may make all reasonable decisions with respect to its representation in any legal proceeding.
CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such information is
reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or
disclose such information except in the performance of this Agreement, and further agrees to exercise the
same degree of care it uses to protect its own infomiation of like importance, but in no event less than
reasonable care. "Confidential information" shall include all nonpublic information. Confidential
information includes not only written information, but also information transferred orally, visually,
electronically, or by other means. Confidential information disclosed to either party by any subsidiary
and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and
nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources;
(b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by
operation of law; or (c) is independently developed by the Consultant without reference to information
disclosed by the City.
S. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct or
indirect, which would conflict in any manner with performance of services specified under this
Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall
be in writing and shall be dectned to be properly given if delivered in person or mailed by first class or
certified mail, postage prepaid, or sent by tclefacsimile or other telegraphic communication in the manner
provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax Number 714- 647-6956
With courtesy copies to:
and
To Consultant:
Santa Ana Police Department
20 Civic Center Plaza (M-96)
P.O. Box 1988
Santa Ana, California 92702
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. BOX 1988
Santa Ana, California 92702
Fax Number 714- 647-6515
Yorba Regional Animal Hospital
Attention: Ms. Liz Flores, Hospital Director
8290 East Crystal Drive
Yorba Linda, California 92807
Fax Number 714-283-1262
A party may change its address by giving notice in writing to the other party. Thereafter, any
communication shall be addressed and transmitted to the new address. If sent by mail, communication
shall be effective or deemed to have been given three (3) days after it has been deposited in the United
States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by
telefacsimile, communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed
as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City
holidays shall be excluded,
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event
of a conflict between the terms of this Agreement and any attachments hereto, the terns of this
Agreement shall prevail. This Agreement may not be modified except by written instrument signed by
the City and by an authorized representative of Consultant. The parties agree that any terms or conditions
of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and
conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement
acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have
been made by any party, or anyone acting on behalf of any party, which are not embodied herein.
it. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written
consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior
written consent shall be considered mull and void. Nothing in this Agreement shalt be construed to limit
the City's ability to have any of the services which are the subject to this Agreement performed by City
personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by either party upon thirty (30) days written notice of
termination. hi such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination, subject
to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver to the
City all work product completed as of such date, and in such case such work product shall be the property of
the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the
City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance specified in
the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual
orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the
recruitment, selection, training, utilization, promotion, termination or other employment related activities.
Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal,
state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the validity,
interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined
and governed by the laws of the State of California. Both parties further agree that Orange County,
California, shall be the venue for any action or proceeding that may be brought or arise out of, in
connection with or by reason of this Agreement.
15. PROFESSIONAL. LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits,
approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by
the .laws and regulations of the United States, the State of California, the City of Santa Ana and all other
governmental agencies. Consultant shall notify, the City immediately and in writing of its inability to
obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be
cause for termination of this Agreement.
16, MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority
and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City
fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such
authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the
body of this Agreement.
IN WLl`NESS WHEREOF, the parties hereto have executed this Agreement the date and year first above
written.
ATTEST: CITY OF SANTA
`—'1i�1/�,r�t .cam• �A11�,//-,r' �``"_%
MARIA D. HUIZAR // DAVID CAVAZOS
Clerk of the Council City Managet
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
LAURA A. ROSSINI
Senior Assistant City Attorney
YORBA REGIONAL ANIMAL HOSPITAL
_IZ 4 10fe.S (Name)
\-\:&YSkcA DrncW (Title)
RECOMMENDED FOR APPROVAL,:
Carlos Rojas
Chief of Police
EXHIBIT r1—Scope of Services and Fees
r115A
Coving care — ../or the flje oJ'yoar pet
8290 East Crystal Drive • Anaheim • CA • 92780 • (714) 921-8700 Phone • (714) 283-'t262 Fax
ConCact: Liz Flores — t(loresyralva:aolcom
Pricing for Veterinary Services
(Includes 25% discount applicable for all working K9's)
1) General Veterinary Services
•:• Basic Health Screen/Exam Consultation (normal bus. Hours)$36.75
•:•
Screen for Internal parasites, inc. Heartworm
$25.12
d•
Complete blood prof le (inc thyroid & urinalysis)
$0 (1 free annually)
•:•
Urinalysis — separate
$38.98
•:•
EKG (inhouse)
$47.66
S
EKG — cardiopet (specialist)
$97.12
❖
Radiographs — Digital 2 views (Xrays)
$149.25
•3
Radiographs additional views
$34.65
:•
Sterilization procedures, inc. anesthesia, IV catheter, IV Fluids, pain injection,
oral pain medications & plastic cone to prevent licking
$311
Parasite control (Revolution) topical antiparasitic for fleas, ticks, Heartworm &
other intestinal parasites $0 (annual supply)
Advanced Canine Dental Care & treatment (inc. Anesthesia, IV catheter, IV
fluids, scaling & polishing of teeth, antibiotic injection & needed dental
radiographs $299
Dental extractions (Maximum costs) $78.75
IV Catheter, set up & fluids $102
2) Emergency veterinary services(we are open 24 hours -7 days a week for ER issues)
After hour rates vary based on time (9am-I ipm $51.75, 1 Ipm-9am $60.75 &
Holidays $99)
•:• Treatment for wounds (broken bones, stab wounds, gun shot)$400- I 000approx
Surgery costs per hour (soft tissue $200/ orthopedic $400)
•3 Hospitalization Overnight
Hospitalization daytime
$46.88
$27.19
3) Physical assessment of canines being considered for purchase $36.75
pp YUKKIl UP IU: AU
A� DATE (MMIOD YYYYI
�. CERTIFICATE OF LIABILITY INSURANCE 07/0212014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must be endorsed. 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
PRODUCER
Ins. Services u—u —
!VAlcE.n.888.762.3143 916-921-2266
,•-•_• _• _•_-' _- -' INSURERA:FIre
INSURED Yorba Regional Animal Hospital I'URER
Steven Dunbar, DVM--
8290 E Crystal Drive wa...
Anaheim, CA 92807 NSURER
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL 5Ua P061CV EPP POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER MMIDOIYYYY MM/DD/YYYY LIMITS
A
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,00
IX
CLAIMS -MAGE X OCCUR
X
AZC5O8959S4
0610112014
06/0112015
PREMISES DAMAGE T(Ed occurrent^ $ 100,00
NED EXP (Any one person) $ 10,00
PERSONAL S ADV INJURY $
GENERAL AGGREGATE $ 2,000,00
GEN1
AGGREGATE LIMIT APPLIES PER:
_
POLICY JECT PRO LOC
...._..E ..
PRODUCTS - COMPIOP AEG $ 1,000,DOO
Emp Ben. $ i,000,D00
OTHER.
AUTOMOBILE
_ _
LIABILITY
COMBINED SINGLE LIMIT $
EA eCCident
BODILY INJURY (Per person) $
ANY AUTO
-�
ALLOWNED - SCHEDULED
AUTOS 1AUTOS
NON -OWNED
HIREDAUTOS ALTOS
BODILY INJURY(Peraaidenl) $
PROPERTY DAMAGE
Peraccldent $
UMBRELLA LIAR _ I OCCUR
EACH OCCURRENCE $
_
AGGREGATE $
EXCESS LIAR CLAIMS -MADE
$
DED I I RETENTION di
A
WORKERS COMPENSATIONPER
ANDEMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
(MandatoryinNH)
NIA
WZP81018740
05/01f2014
0610112015
OTH-
X STATUTE ER
E.L. EACH ACCIDENT $ 1,000,00
-
E.L. DISEASE-EAEMPLOYEES 1,000,00
Ifyas describe under
OES�RIPTION OF OPERATIONS below
I
E.L. DISEASE -POLICY LIMIT $ 1,000,00
A
Prot Liability
AZC80896954
05/01/2014
05/0112015
Occurrent 1,000,00
Aggregate 2,000,00
DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES (ADDED 101, Additional Remarks schedule, may be attached if more space Is required)
Certificate holder is named as additional insured as required by written
contract
30 Days Notice of Cancellation
10 Days NOC for non-payment Atqiti orb
City of Santa Ana
20 Civic Center Plaza, M29
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Arthur
CORPORATION. All dnhts rws:urvcd
ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
1LA-
Additional Insured — Owners, Lessees or Contractors — AB 90 67 12 93
Policy Amendment Section It
Insured: Yorba Regional Animal Hospital
Producer Veterinary Ins Services Co
Schedule
Name of Person(s) or Organization(s)
Policy Number AZC80896954
Effective Date 05/01/14
City of Santa Ana — as required by written contract
20 Civic Center Plaza, M29
Santa Ana, CA 92702
(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 1— WHO IS AN IN- arising out of your work for that insured by or for
SU RED 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
This form must be attached to Change Endorsement when issued atter the policy is written.
One ofthe Fireman's Fund Insurance Companies as named in the polio}.
Saffy B. Nark_
Secretary
QMM
Authorized Agent
A89067 12-93
Conums cappighted Walerial of Insurance Services Onices, Inc., 1984
gwkfraeCe Laaocco
President
Date
07/02/14
YUNHt-1 UH IU: AU
.d►�Rv CERTIFICATE OF LIABILITY INSURANCE
005/14/2015 )
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. 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 endorsements).
PRoOuceR
CA Li ensary IDS. SBr 80 GO.
CA License #OF64180
1400 River Park Drive, #180
Sacramento, CA 95815
Arthur J. Cruz, CIC -VP
NAME: Arthur J. Cruz, CIC -VP
PHONE N 888-762-3143 a)c No,, : 916-921-2266
a Exl:
AI DRESS: acruz@vlsc-ins.com
INSURERUSH AFFORDING COVERAGE NAIC ft
INSURERA: Fireman's Fund Insurance Co.
INSURED Yorba Regional Animal Hospital
Steven Dunbar, DVM
8290 E Crystal Drive
Anaheim, CA 92607
INSURER B:
xsuRERc:
INSURER O:
CLAIM&MAGE I OCCUR
INSURER E :
INSURER F :
A7C80904163
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
)LTR
TYPE OF INSURANCE
AUULSUBH
p
yyyp
POLICY NUMBER
MM/DDIMY
MMIODIYYYY
LIMITS
A
X I COMMERCMLGENERALLWEILITY
EACH OCCURRENCE $ 1,000,000
CLAIM&MAGE I OCCUR
X
A7C80904163
05/01/2015
05/01/2016
DAMAGE TO
PREMISES EaEoccwence $ 100,000
MED EXP (Any one person) $ 10,00
PERSONAL a ACV INJURY $
GENT AGGREGATE LIMIT APPLIES
PLIEPER:
GENERAL AGGREGATE $ 2,000,00
POLICY ❑ PRO- t_LOC
JECT
PRODUCTS-COMP/OP AEG A 1,000,00
Emp Ben. $ 11000,000
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
Be accident
_ __,_
BODILY I NJURY(Par person) $
ANY AUTO
BODILY INJURY (Per accident) $
ALL OWNED SCHEDULED
AUTOS NON -OWNED
HIREDAUTOS AUTOS
PROPERTY DAMAGE $
Peraccident
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE $
AGGREGATE $
BXCE89 LIAB
CLAIMS -MAGE
DEC
RETENTION$
is
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
NIA
2P61026343
06/01/2075
06/01/2016
x STATUTE ER
E.L. EACH ACCIDENT $ 1,000,00
E.L. DISEASE - EA EMPLOYEE $ 1,000,00
II yea, deacnhe under
DEa RIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT I $ 1,000,00
A
Prof Liability
AZC80904163
05/01/2015
05/0112016
Occurrent 1,000,00
Aggregate 2,000,00
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addieonol Remarks 80hedule, may be crashed If mom space is required)
Certificate holder is named as additional Insured as required by written
contract q �y
30Days Notice of Cancellation
10 Days NOC for non-payment
R®4'\ K�
City of Santa Ana
20 Civic Center Plaza, M29
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
. rSoo-cvw n�uruv. urcrwr I van. esu rig n us re8erve D.
ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
Additional Insured — Owners, Lessees or Contractors — AB 90 67 12 93
Policy Amendment Section 11
Insured: Yorba Regional Animal Hospital Policy Number AZC30904163
Producer Veterinary Ins Services Co Effective Date 05/01/15
Schedule
Nance of Persons) or Orgunization(s)
City of Santa Ana — as required by written contract
20 Civic Center Plaza, M29
Santa Ana, CA 92702
(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
This form must be attached to Change Endorsement when issued after the policy is written.
One of the Fireman's Fund Insurance Companies as named in the policy.
Sad (A Nary
Secretary
m
Authorized Agent
AB9067 12-95
Contains copyrighted Material of Issuance Services Offices, Ino„ 1984
91GcfiadZ GaVi=
President
Date
05/14/15
CERTIFICATE OF LIABILITY INSURANCE
gA7eIMMttDvvvYi
03127/2016
THIS CERTIFICATE 15 ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOI ER.. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. T1 IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13E1WEEN. THE ISSUING-: INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE. CERTIFICATE HOLDER,
IMPORTANT:. If the cordficato holder is an ADDITIONAL INSURED, the po[Icy(!e$) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A. statementanthis certificate does not confer rights to the
certificate holder In neu otsuch andorsament s .
PRODUCER
1/eterinary Ins. Services Co.
CA License #OF64180
1400 River Park Drive, #180.
Sacramento, CA 96815
Arthur J. Cruz, OIC -VP
INSURED Yorba Regional Animal Hospital
Steven Dunbar, DVM
WNTACT
ME: Arthur J. Cnaxy CIC -VP
PHO N o .888.762.3143 'AX N . 916.921-2266
E -"L -
ADDRESS: acrUz visc-ine.com
iNSUREMSII AFFORDING COVERAGE
INSURERA.A111anz Global/Fireman's Fund
:INSURER at
NAION
INSURER 6':
A X COMMERC7AI.G@N@RAL LIABILITY
6290 E Crystal Drive
Anaheim, CA 92807
INSURER D:
INSURERS; -
'S.
1,000,000
IN$UREftF:
05101(2017 R I aacc�
-s.
......._
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO
RcvlalVn numrsCK�
THE INSURED NAMED ABOVE FOR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT
TO
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
WHICH THIS
TO
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE: BEEN REDUCED BY PAID CLAIMS.
ALL
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;ILSR TYPEOPINSURJUiCESM
POUCY NUMBER 'MWD
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DESCRIPTION OFOPEPAIION$ t LOCA=Nat VEHICLES. lADDRO1a1, Ad<gtlensl Romaflla 3cNaduis, p1My bu eNaallotl N tnara apa¢gJa toquiradi.
Certificate holderis named as additional Insured as required bywritten
contract
30 Days Notice of Cancellation 110 Days NOC for non-payment
IWAOV60 As To FORM
nenr�cinwrrun,. w
!P? 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
4Mn4GEtJAllV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Santa Ana
ACCORDANCE WITH THE POLICY PROVISIONS.
20 CIVIC Cantor Plaza, M29
A ORIza REPRESERYve
Santa Ana, CA 92702
A ur a. CIC -vP
!P? 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
280379
® DATE (MM/DDIYYYY)
oR0 CERTIFICATE OF LIABILITY INSURANCE 7/5/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
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).
PRODUCER CONTACT Elisabeth Koss
Commercial
InsuranceLines sE-MAIL
X1l 995 PHONE a (q(c
Wels Fargo SerrviceUSA, Inc. - CA Lic#: OD08408 E -M ESS:elsabeth koss@wellsfargo com, No) .855 583 9937
21250 Hawthorne Boulevard, Suite 600 INSURER(S) .............�..mmmmmm NAICk
Torrance, CA 90503-5519 .. ......... .........
INSURERA: First Specialty Insurance Corporation 34916
INSURED
VCA Inc.
12401 W. Olympic Blvd
Los Angeles, CA 90064
N-2014-091,
N-2017-097
E:
COVERAGES CERTIFICATE NUMBER: 12049899 REVISION NLIMRFR- See helnw
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR -....._'ADGLTSUBR .......... ...----- - POLICY EFF '11—POLICY—EX
POLICYEX.....LIMITS
LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MfvVDD/YYYY MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S
CLAIMS FIOCCUR
"PREMI EY'0" tEN1511" ""
-------_-
-MADE
PREMISES Ea occurrence
S
.................................... ...........
MED EXP (Any one person)
S
........PLIESP
PERSONAL &ADV INJURY
S
..-
GEN'POGGRE� LIMIT APPLIES PER:
m
GENERAL AGGREGATE
.-..--
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PRO-
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PRODUCTS -COMP/OP AG
S
I OTHER:
I S
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
S
ANY AUTO
I
UR Y (Per person)
S
OWNED SCHEDULED
AUTOS ONLY AUTOS
.... ....... ..,,... ....
BODILY INJURY (Per accident)
... _._. __
� S
HIRED NON -OWNED
m PROPERTY DAMAGE
S
I� AUTOS ONLY AUTOS ONLY
,- Per accident,m,m.......................................�,
,...,
S
UMBRELLA LIAR
HOCCUR
EACH OCCURRENCE
S
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
S
DED RETENTIONS
I S
WORKERS COMPENSATIONPER
OTH-
AND EMPLOYERS' LIABILITY Y / N
I STATUTE ER
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ANYPROPRIETOR/PARTNER'EXECUTIVE
OFFICER/MEMBEREXCLUDED
NIA
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�.E.L .... , ...... ................... ,,,,,,.
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE S
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT S
A
Prof. Liab.
IRG200092504
04/01/2017
04/01/2018
52,000,000 Each Accident
$4,000,000 Aggregate
$150,000 SIR `
f
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
RE: 1102 VCA Yorba Regional Animal Hospital 8290 East Crystal Drive Anaheim, CA 92807
Consultant agreement with the City of Santa Ana K-9 unit. ApruVeM l r,�7)
>�
CERTIFICATE HOLDER CANCELLATION
Clerk of the City Council SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS,
20 Civic Center Plaza (M-30)
P.O. BOX 1988 AUTHORIZED REPRESENTATIVE
Santa Ana, CA 92702-1988
9�
The ACORD name and logo are registered marks of ACORD @ 1988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)