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Francine R. 111iWiiy signed by
<br />Francine R. Villareal
<br />Villareal Date: 2020.08.1216:49:28
<br />-07DO'
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE O(MM/00D2/YYYY)
<br />1
<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 NEGATIVELY AMEND, 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Ann Risk Services Northeast, Inc.
<br />NBW York NY Office
<br />Plaza
<br />One Broadwabertyy,
<br />Broadway, suite 3201
<br />CONTACT
<br />NAME:
<br />PHONE (966) 283-7122 FAX (800) 363-0108
<br />(AIM.IL EXp: AIC. Ne.:
<br />EMAIL
<br />ADDRESS:
<br />New
<br />New York NV 10006 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC q
<br />INSURED
<br />INSURERA: Liberty Insurance Corporation
<br />42404
<br />VCA, Inc.
<br />12401 w Olympic Blvd.
<br />INSURER B: Liberty Mutual Fire Ins CO
<br />23035
<br />INSURER C:
<br />Los Angeles CA 90064 USA
<br />INSURER 0:
<br />INSURER E:
<br />INSURER F:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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. Limits shown are as requested
<br />ILot
<br />TYPE OF INSURANCE
<br />INSO
<br />WAD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MWDDIYYYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIALGENERALLIABILITY
<br />CIAIMS-MADE X❑ OCCUR
<br />FR
<br />SIR applies per policy terns
<br />& condl
<br />ions
<br />EACH OCCURRENCE
<br />$2,000,005
<br />DAMAGETOR NTEO
<br />PREMISES Ea occurrence
<br />$1,000, 000
<br />MED EXP(Any one parson)
<br />Excluded
<br />PERSONAL B ADV INJURY
<br />$2,000,005
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />PRO-
<br />X POLICY JECT LOC
<br />GENERALAGGREGATE
<br />$4,000,000
<br />PRODUCTS - COMPIOPAGG
<br />$4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE UABILITY
<br />A52-631-504078-040
<br />01/01/2020
<br />01/01/2021
<br />COMBINED SINGLE LIMIT
<br />Ea amdenl
<br />$2,000,000
<br />BODILY INJURY (Per person)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY(Peraaldent)
<br />PROPERTY DAMAGE
<br />Peraccident
<br />UMBRELLAUA6
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />H
<br />CLAIMSMADE
<br />AGGREGATE
<br />DED I
<br />RETENTION
<br />A
<br />A
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICERrMEMBER N
<br />(Mandatory is NH)
<br />Ifyes,desNm. under
<br />NIA
<br />WA763D 504078620
<br />work Comp ADS
<br />WA763D504078630
<br />work camp WI
<br />01/01/2020
<br />01/01/2020
<br />01/01/2021
<br />01/01/2021
<br />X. I PERSTATUTE I OTH-
<br />ER
<br />EL. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE POLICY LIMB
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />E&O-MPL-XS
<br />E82631504078680
<br />SIR applies per policy terns
<br />06/01/2020
<br />& condi
<br />01/01/2021
<br />ions
<br />Each Vet Incident
<br />Aggregate
<br />$2,000,000
<br />$4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addldonal Remarks Schedule, may be attached If more space Is regeimd)
<br />RE: Ref. NO: 570082860884, 1102 Yorba Regional Animal Hospital, 8290 East Crystal Drive, Anaheim, CA 92807. City of Santa
<br />Ana, its officers, em toyees, agents and representatives are included as Additional Insured in accordance with the policy
<br />provisions of the Genep ral Liability Policy.General Liability policy evidenced herein is Primary and Non -Contributory to other
<br />insurance available to Additional Insured, but only in accordance with the policy's provisions.
<br />Certificate of Insurance shall provide thirty C30) day prior written notice of cancellation. '-
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana CA 92701 USA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />©1988-2015 ACORD COF
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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<br />Ride M�agement Division
<br />REvIEwED & APPROVED 9`f.
<br />�� Risk Management Analyst
<br />
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