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DIgItally signed by Tcrl Mr,san
<br />TOrI Pierson pate: 1022.06.2908:1s:23
<br />or.a•
<br />" ®® CERTIFICATE OF LIABILITY INSURANCE
<br />°AT02 42022YYYYYj
<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(les) 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 />New York NY Office
<br />one Liberty Plaza
<br />165 Broadway, Suite 3201
<br />CONTACT
<br />NAME:
<br />(AIC PHONE(866) 283-7122 (aC Noh (800) 363-D105
<br />E-MAIL
<br />ADDRESS:
<br />New York NY 10006 USA
<br />INSURERS) AFFORDING COVERAGE
<br />NAICN
<br />INSURED
<br />INSURER A: Liberty Mutual Fire Ins Co
<br />23035
<br />VCA, Inc.
<br />12401 W c Blvd.
<br />INSURER a: Liberty Insurance Corporation
<br />42404
<br />INSURER C:
<br />Los Angelesles CA 90064 USA
<br />INSURER IN
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES GtrtltriCiit INUlwrdtM: 57UU91bril RFVISUON NIIMRl
<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 />PER
<br />TYPE OF INSURANCE
<br />INSD
<br />WVDI
<br />POLICY NUMBER
<br />POLICY ERE
<br />MMIDDIYVYY
<br />POLICY EXP
<br />Orl
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS` -MADE X❑ OCCUR
<br />EB
<br />SIR applies per policy terms
<br />&condi
<br />inns
<br />EACHOCCURREN
<br />$2, 000, 000
<br />DA RENTEDED
<br />PREMISES Ea.ccunonce
<br />$1, DO0, 000
<br />MED EXP(Any one pore..)
<br />EXCluded
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GENTAGGREGATE
<br />LIMITAPPLIES PER:
<br />PRO -
<br />POLICY JECT I —XI LOC
<br />GENERALAGGREGATE
<br />$4,000,000
<br />PRODUCTS-COMP/OP AEG
<br />$4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />AS2-631-504078-042
<br />01/01/202 2
<br />011011202 3
<br />COMBINED SINGLE LIMIT
<br />...Neal
<br />$2,000,000
<br />BODILY INJURY( Per person)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />AUTAUTOS
<br />OS ONLY
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Per accid.nq
<br />PROPERTY DAMAGE
<br />IPrr accident
<br />UMBRELLALIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED
<br />IRETENTION
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORI PARTNER/ EXECUTIVE
<br />OPFICERIMEMBER EXCLUDED?
<br />(Mandatory In NM
<br />IfV.s, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/A
<br />WA763DS0 78622
<br />work Comp ADS
<br />01 01/2022
<br />Ol Ol 2023
<br />X PERSTATUTE I CTH.
<br />ER
<br />ET. EACH ACCIDENT
<br />$110001000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />E&C-MPL-XS
<br />EB2631504078682
<br />SIR applies per policy ter
<br />02/01/2022
<br />s & condi
<br />Ol/01/2023
<br />ions
<br />Each Vet Incident
<br />Aggregate
<br />$2,000,000
<br />$4,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space Is required)
<br />RE: Ref. NO: 570082860884, 1102 Yorba Regional Animal Hospital, 8290 East Crystal Drive, Anaheim, CA 92807. City of Santa
<br />Ana, its officers, employees, agents and representatives are included as Additional Insured in accordance with the Policy
<br />provisions of the General 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 (30) day prior written notice of cancellation.
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic center Plaza, 4th
<br />Santa Ana CA 92701 USA
<br />ACORD 25 (2016/03)
<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 />Floor
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<br />A£W ED &?rMPROVH r BY:
<br />?Ole peowder
<br />©1988.2015 ACORD COR rsMtM.,r.,penarcnli�lade.
<br />The ACORD name and logo are registered marks of ACORD ,
<br />
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