HomeMy WebLinkAboutDR.SCOTT WELDY, DBA SERRANO ANIMAL AND BIRD HOSPITAL-2017ƒ
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INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATEAUG 3 0 2017
AGREEMENT TO PROVIDE VETERINARY SERVICES
A CID AT THE SANTA ANA ZOO
THIS AGREEMENT is made and entered into this 15th day of August, 2017 by and between
Scott Weldy, DVM, dba Serrano Animal and Bird hospital, (hereinafter "Consultant"), and the
City of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City").
RECITALS
A. On May 25, 2017, the City issued Request for Proposal ("RPP") No. 17-059, by
which it sought proposals from qualified firms for veterinary services for the
Santa Ana Zoo.
B. Consultant submitted a responsive proposal that was selected by the City.
Consultant represents that it is able and willing to provide such services to the
City described in the attached scope of work that is attached to this Agreement
and identified as Exhibit A.
A-2017-191
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performmed by Consultant under
this Agreement will be performed in compliance with such standards as may
reasonably be expected from a professional fine in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform veterinary services for the Santa Ana Zoo as set forth in Exhibit
A, and incorporated by reference to this Agreement. Consultant's proposal is also incorporated by
reference as though fully set forth herein,
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit B and incorporated by reference to this
Agreement. The total amount to be expended for services during the tern of this
Agreement, including any extension period exercised under Section 3, shall not
exceed $549,120. The total annual amount shall not exceed $137,280. This amount
is comprised of the sum of $124,800 and (2) a 10% contingency of up to $12,480
for services, including but not limited to, service fees associated with veterinary
specialist services (i.e. MRI, specialty ultrasound/diagnostics, specialty dental
surgery, and specialty surgery), outside laboratory services, and outside
pharmaceutical services/products (i.e. compounding), as may be retained by
Page 1 of l 1
Consultant, with prior City approval, to assist with providing necessary veterinary
services or performed by Consultant at the sole discretion of City.
b. Payment by City shall be made within forty-five (45) days following receipt of
proper invoice evidencing work performed, subject to City accounting
procedures. Payment need not be made for work which fails to meet the
standards of performance set forth in the Recitals which may reasonably be
expected by City.
3. TERM
This Agreement shall commence on September 1, 2017 and terminate on August 31,
2019, unless terminated earlier in accordance with Section 15, below. The term of this
Agreement may be extended for up to two (2) one year extensions upon a writing executed by
the City Manager and the City Attorney,
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.
S. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared
or caused to be prepared by Consultant under this Agreement ("Documents & Data"),
Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive
and perpetual license for any Documents & Data the subcontractor prepares under this
Agreement. Consultant represents and warrants that Consultant has the legal right to license any
and all Documents & Data. Consultant makes no such representation and warranty in regard to
Documents & Data which were provided to Consultant by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
Page 2 of 11
6. 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:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents,
volunteers and representatives as additional insured(s) and shall include, but not
be limited to protection against claims arising from bodily and personal injury,
including death resulting therefrom and damage to property, resulting from any
act or occurrence arising out of Consultant's operations in the performance of this
Agreement, including, without limitation, acts involving vehicles. The amounts
of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property
damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the
aggregate. Such insurance shall (a) name the CITY, its officers, employees,
agents, volunteers and representatives as additional insured(s); (b) be primary
with respect to insurance or self-insurance programs maintained by the CITY; and
(c) contain standard separation of insureds provisions.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include
coverage for owned, hired and non -owned automobiles.
C. Worker's Compensation Insurance. In accordance with the California Labor Code,
Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to
commencing the performance of the work under this Agreement, Consultant agrees
to obtain and maintain any employer's liability insurance with limits not less than
$1,000,000 per accident.
d. Professional liability (errors and omissions) insurance, with a combined single limit
of not less than $1,000,000 per claim with $2,000,000 in the aggregate.
e. 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 by the City.
(iii) Certificates and policies shall state that the policies shall not be cancelled
or reduced in coverage or changed in any other material aspect, by
Consultant, without thirty (30) days prior written notice to the City.
Page 3 of l I
(iv) Consultant shall supply City with a fully executed additional insured
endorsement.
f. I£ 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 not affect
Consultant'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.
7. INDEMNIFICATION
Consultant agrees to defend, 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 negligent operations of the Consultant or its Consultants, 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. Notwithstanding the foregoing, to the extent Consultant's
set -vices are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the
extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to
the negligence, recklessness, or willful misconduct of the Consultant.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Consultant shall defend and indemnify the City, its officers, agents, representatives, and
employees against any and all liability, including costs, for infringement of any United States'
letters patent, trademark, or copyright infringement, including costs, contained in the work
product or documents provided by Consultant to the City pursuant to this Agreement.
Page 4 of I 1
9. RECORDS
Consultant shall keep records and invoices in connection with the work to be performed
under this Agreement. Consultant shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursements
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Consultant under this Agreement. All such records and
invoices shall be clearly identifiable. Consultant shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Consultant shall allow inspection of
all work, data, documents, proceedings, and activities related to this Agreement for a period of
three (3) years from the date of final payment to Consultant under this Agreement.
10. 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 information 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 (e) is independently developed by the Consultant without
reference to information disclosed by the City.
11. 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 mariner with performance of services specified under
this Agreement.
12. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic
communication in the manner provided in this Section, to the following persons:
Page 5 of 11
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 714- 647-6956
With courtesy copies to:
and
Gerardo Mouet
Executive Director,
Parks, Recreation and
Community Services Agency
City of Santa Ana
20 Civic Center Plaza (M-23)
P.O. Box 1988
Santa Ana, California 92702
Fax 714- 6474211
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
Fax 714- 647-6515
To Consultant: Scott Weldy, DVM
Serrano Animal and Bird Hospital
21771 Lake Forest Dr., Ste. 111
Lake Forest, CA 92630
Fax: 949-855-1070
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 fax, 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.
13. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant regarding the subject matter herein, and supersedes any and all other agreements, oral
or written, between the parties. In the event of a conflict between the terns of this Agreement and
Page 6 of 11
any attachments hereto, the terms 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 terns or conditions of any purchase order or other
instrument that are inconsistent with, or in addition to, the teens and conditions hereof, shall not
bind or obligate Consultant or 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.
14. 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 null and void. Nothing in this Agreement
shall 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.
15. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In 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.
16. NON-DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, relation, sex, marital status,
sexual orientation, age, national origin, ancestry, or disability, as defiled and prohibited by
applicable law, in the recruitment, selection, training, utilization, promotion, termination or other
employment related activities or in correction with any activities under this Agreement.
Consultant affirms that it is an equal opportunity employer and shall comply with all applicable
federal, state and local laws and regulations.
17. 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
Page 7 of I l
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.
18. 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.
19. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below 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.
--Reniainder ofpage intentionally left blank; signature page tofollow—
Page 8 of 11
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
MARIA 0. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: C# . c�-
Laura A. Rossini
Senior Assistant City Attorney
RECOMMENDED FOR APPROVAL:
Gerardo Mouet . .
Executive Director,
Parks, Recreation and
Corntnunity Set -vices Agency
CITY yOF SANTA ANA
C THA J. K TZ
Interim City Manager
SERRANO ANIMAL, AND
BIRD HOSPITAL
ScogWeldy, D
Page 9ofII
EXHIBIT A
SCOPE OF SERVICES
Page 10 of I 1
Exhibit A - Consultant Agreement
with Serrano Animal and Bird Hosptial
Appendix
ATTACHMENT 1
SCOPE OF WORK
CITY OF SANTA ANA
REQUEST FOR PROPOSALS
RFP NO.: 17-059
Introduction and Background:
Santa Ana Zoo
The Santa Ana Zoo at Prentice Park's mission is to instill a passion of the natural world through conservation,
recreation, and education. The Zoo first opened in 1952 on land donated to the City of Santa Ana by a local
businessman, Joseph Edward Prentice. His conditions on the grant deed stated the land must always be a City
park, the park be named Prentice Park, and the City maintain a zoo with at least 50 monkeys. The Zoo is owned
and operated by the City of Santa Ana and gets additional financial support from the zoo society, Friends of
Santa Ana Zoo, a private 5010 non-profit entity. The Zoo is open to the public 10:00 AM to 5:00 PM 362
days a year seven days a week and averages about 250,000 visitors a year.
The Zoo Animal Collection
The Zoo maintains a diverse collection of animals. The Zoo has 80 different species and 270 individual
animals. There is a strong emphasis on primate species. The Zoo's collection includes (but is not limited to)
domestic and wild hoofstock, xenarthrans, carnivores, assorted small mammals, psittacines, birds of prey,
waterfowl, ratites, and various reptiles and amphibians, and invertebrates. The current zoo master plan focuses
on the animals of Central and South America. Despite the emphasis on the Neotropics, the Zoo features
animals from Africa, Asia, Europe and North America.
Veterinary Facilities
The Zoo has an on-site aurnal hospital with surgery, radiography, and recovery rooms. A separate pathology
building is used to perform necropsies. There are two dedicated quarantine facilities for large and small animals.
Description of Work:
1. Contractor's Obligations:
A. Contractor shall be experienced with wild, exotic (meaning non -domesticated) animals including, but
not limited to, primates, ungulates, carnivores, xenarthrans, birds, reptiles, amphibians, and
invertebrates.
B. Contractor shall perform the City's required veterinary services for the Santa Ana Zoo. Contractor
shall be available on a seven-day per week, twenty-four hour basis to perform all emergency and normal
routine veterinary services, including but not be limited to:
1. The contractor shall be on site a minimum of two (2) days a week for a minimum of sixteen
hours weekly at mutually agreed upon intervals;
2. Routine and emergency consultations, as needed, by City personnel;
3. Blood tests and parasite checks;
4. Monitor the effect of prescribed treatments;
5. Establish procedures and practice for disease containment, quarantine, parasite control
City of Santa Ana RFP 17-059
Page 10
vaccination programs, tuberculin testing, dental prophylaxis, routine physicals;
6. Perform periodic reviews of dietary and husbandry techniques;
7. Use proper euthanasia procedures as established in the "AVMA Guidelines for the Euthanasia
of Animals: 2013 Edition", with method of euthanasia not interfering with postmortem
examinations;
8. Perform or have exam performed by another agency at the request of the City, postmortem
examinations as soon as possible an all animals inclusive of wild or feral animals found dead on
the zoo grounds to ascertain the cause of death;
9. Assist with the maintenance of medical records on paper and electronically in Zoological
Information Management System (ZIMS), which shall indicate treatment received, surgical
procedures, anesthesia, any test/lab results, immunization records, etc.;
10. Prepare all necessary and appropriate health certificates required for shipment of animals.
11. Safely perform all examinations and treatments by staying up-to-date on Capture/restraint
techniques for exotic animals as well as flight or fight signals.
12. Administration of all appropriate medications
C. In the event that the primary veterinarian is not available the Contractor shall supply an on-call
veterinarian with equivalent exotic animal experience and expertise of the primary veterinarian.
D. Contractor shall conduct fecal examinations at least annually on all individuals or groups in the
collection, and more frequently on those groups recognized to be most susceptible, to facilitate the
detection and treatment of parasites before clinical signs appear.
E. Contractor must be licensed in California and shall be in practice locally at time of award.
F. Contractor shall arrive on site in response to notification for the need for emergency services within
60 minutes of notification. An emergency is defined as a situation in which in animal is sick or injured
and in need of immediate treatment in order to relieve pain or sustain life.
G. Contractor roust be able to obtain DEA Controlled Substance Certification within 60 days.
H. Radiology: Contractor must be able to read x-rays and run x-ray equipment.
1. Contractor shall be willing to correspond with USDA Officials in regards to a case or scenario
involving an individual or species at the zoo.
J. Contractor shall provide a signature as City's consulting= attending veterinarian, for necessary and
required certificates, license, permits, or other documents.
K. May be required to professionally represent the Santa Ana Zoo on camera, in print, or online with the
media concerning health related conditions and or concerns of any animal within the Zoo's collection.
L. Contractor shall provide an electronic copy of a usage report to the Zoo Curator. The report shall be
sent monthly. The report shall provide complete information on the services rendered and a cost
breakdown of procedures,
M. Contractor shall have knowledge of exotic animal medicine resources such as: St. Louis
Contraception Center, San Diego Zoo Institute for Conservation Research, Cincinnati Zoo Center for
Conservation and Research of Endangered Wildlife CREW, and Primate Testing Labs.
v� City of Santa Ana RFP 17-069
Page 11
N. Contractor shall obtain at his/her cost, medical malpractice insurance.
Reimbursable Expenses (Subject to Prior City Approval)
Specialty tools and supplies not available in the Zoo hospital
- Specialist diagnostic services (i.e. radiograph, dental, surgical consultations)
- After-hours emergency care (Le, animals needing 24 hour care)
- Oft -site clinic visits (i.e. animals taken to contractor's clinic for emergency treatment)
IL City Obligations
In Order to assist Contractor in execution of the Contractor's obligations and to enhance the care of
animals in the collection, the City agrees to do the following:
A. Maintain a pharmaceutical safe for the storage of all controlled drugs and narcotics.
S. Maintain a facility for the use in surgery and/or treatment of the collection with recovery and holding
cages and related equipment as necessary at the Zoo.
C. Provide Contractor with staff support from Zoo personnel.
D. Purchase equipment, biological, drugs, narcotics, pharmaceuticals and/or other medical supplies
upon reasonable request of Consultant, as needed.
E. Provide staff assistance for the capture and treatment of animals.
F. Maintain a copy of the diagnostic and treatment notes at the Zoo.
G. Pay for all outside laboratory expenses incurred as a result of Contractor's supervision of animals in
the collection.
H. Pay for all other expenses necessary for the care of the animal collection when reasonably
recommended by Contractor and approved by the Zoo Manager or their designated representative.
City of Santa Ana RFP 17-059
Page 12
EXHIBIT B
FEE SCHEDULE (OR) RATES AND CHARGES
Page 11 of 11
Exhibit B - Consultant Agreement
with Serrano Animal and Bird Hospital
FEE PROPOSAL
The following fee proposal includes all costs, both direct and indirect, including office
staff, phones, vehicles, mileage and hospitalization/care expenses at Serrano Animal
and Bird Hospital. Predicting anticipated future fee increases are based on collection
growth, cost of living increases, and complexity of zoo function and management.
These variables are difficult, at best, to predict with a single monetary value, and can
range from 3-10% each year. This should be an area of open discussion at each
renewal.
We would invoice a flat fee of $100/hour for 24 hours/week ($2400/week), totaling
$124,800/year.
MATERIALS/SERVICES EXCLUDED FROM PROPOSAL
The proposal will include all veterinary services required to properly maintain the zoo
collection. The fee schedule outlined will cover all services with the exception of:
1. Fees associated with veterinary specialist services (i.e. MRI, specialty
ultrasound/diagnostics, specialty dental surgery, specialty surgeon)
2. Outside laboratory services
3. Outside pharmaceutical services/products (compounding, non -vendor approved
companies)
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PRODUCER 888.762.3143
Veterinary Ins. Services Co.
CA License SOF64180
1400 River park Drive, a1S0omaa
Sacramento, CA 98818
Kathy R. Noe, CPCU, ARM -VP
Omar Dian Thomas
PHONE 888.762.3143 PAX 916.821.2268
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07/01/2017
07101/2018
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ty oi"an°ta°f�na,Tia oCere a anis eRi y p �a"j Se�Nj
Included as additional Insuret�s. 30 Days NOC/10 Days NOC for non-payment�S
• S'�Avia �� Rd"ni��'
SHOULD ANY CF 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..,
Fin S Mgt Svcs Agency
Purchasing Div. AUTHORIZED REPR98ENTAM"
20 Civic Center Plaza M-16 Kathy ly. Noe, PCU,
ftnta.Ana, CA 92701
ACORD 28 (2018103)
0 119OL-20116 ACORD C RPORATIOW All rights reseru6d.
,a "'w" + L1oi1Y peen 1080 ere M913 M91 mamS Or AODRD
Additional Insured — Owners, Lessees or Contractors — AB 90 6712 93
Policy Amendment Section 11
I s r :
Serrano Animal & Bird Hospital
Policy Number
AZC80917400
Prqduce
Veterinary Ins Services Cc
Effective Date
07/01/17
Schedule
Name of Person(s) or Organization(s)
City of Santa Ana, Its officers, agents and employees
26 Civic Center Plaza
Santa Ana, CA 92701
City of Santa Ana, Its officers, agents, employees representatives are included as additional
insureds.
"The insurance provided under this policy is primary and non-contributory with any other
insurance available to the additional insured. This insurance applies .separately to each
insured against whom claim is made or suit is brought except with respect to the company's
limit of liability. The inclusion of any person or organization as an insured shall not affect
any right which such person or organization would have as a claimant ifnot so included."
30 Days Notice of Cancellation/10 Rays Notice of Cancellation for Nonpayment of Premium
(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.
SURER 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.
?his 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.
SAO Na
Secretary
4�
Authoriz Agent t!
AH9067 12.93
Cootaim copyrighted Material or Insurance Services Offices, im ,19S4
(rcfiaere .G &Cco
President
Data..
\'l1'
CC.DAN-4
nn en. nay
CERTIFICATE OF LIABILITY INSURANCE°""""�YYYI
IR.
A
T"RCFMWuesaaa.
X COMME�ALCIENERALL SILRY
ctAlus•uACE ® OCCUR
®71111201
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 in ADDITIONAL INSURED, the pOWN (les) must have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED, subject to the farms and COndiaona of the polity, certain policy may require an endorsement. A statement on
this eerOBeata d not :her H h� to the certi5eato hoIdor in Ileu of such endoeaems s .
PRODUCER 1136.762-3143
Veterinary Im. Services Co
CA License 0OF64180
1400 River pork Drive 8180
Sacramento, CA 0881
Kathy R. Noe, CPCU, ARM -VP
IUACT Ulan Thomas
N• ► ►ase 363.752 3143 816.521.2255
Nc
a, Omas vac• ns.Oom
a
INs A Alilanx Global(Firemen's Fund
IxsuRWo Serrano Animal 6 Bird Hospital
Scot H. Weldy, DVM
21779 Lake Forest Drive 0111
Na . Proferred Empl ars Ins
RIS.QRER a
Lake Forest, CA 32630
E
A-2017-191
INaunER ,
THIS 10 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEG TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATED. NOTWiTHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS
CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POUCISO. LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS.
IR.
A
T"RCFMWuesaaa.
X COMME�ALCIENERALL SILRY
ctAlus•uACE ® OCCUR
x
50
POLICY Rerr.
010112017
07/0112098
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9,000,000
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Ino odea as addaonal Insurstis.
30 Days NOCII0 Days NOC for nonpayment U�v�S
""o-Coe
Pd'�")
City of Santa Ana
Fin rS Mgt Svcs Agency
Purchasing Div.
20 CIVIC Center Placa M•15
r. sae : f...,.
SHOULD ANY OF THE ABOVE 09809I8E0 POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
RaPRaS&nAMlM
erN
�w
e e..R . x x �'.m x, •--..k
Additional Insured Owners, Lessees or Contractors --.A.$ 90 6712 93
Policy Amendment Section II
insured: Serrano Animal&Bird Hospital PoRU-NUdU AZC80917400
Emdum Veterinary Ins Services Cc EPfeetlye pate 07/01/17
Schedule
Name ofPerso®(s) or Organiaatiou(s)
City of Santa Ana, Its officers, agents and employees
26 Civic Center Plaza
Santa Ana, CA 92701
City of Santa Ana, Its officers, agents, employees representatives are included as additional
Insureds.
"The insurance provided under this policy is primary and non-contributory with any other
Insurance available to the additional insured. This insurance applies separately to each
Insured against whom claim Is tirade or suit Is brought except with respect to the company's
limit of liability. The inclusion o/ any person or organization as an insured shall not affect
any right which such person or organization would have as a claimant if not so included. 11
30 Days Notice of Cancellation/10 Days Notice of Cancellation for Nonpayment of Premium
(If no entry appears above, information required to complete this Endorsement will lie shown in the Declarations
as applicable to this Endorsement)
The following Is Added to Part I -- WHO IS AN IN-
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,
This form must be attached to Change Endorsement when Issued after the policy is written.
One of the Flreman's Fund Insurance Compsoles as named in the policy.
,4a rhe xa
Secretary
Authorize �Agcnt rL
AIM67 1299
CMW M eopyai0bW MMUW Of IMUMOee SP VIM Onic., 4w., 1904
�ticfaeaCl�F Ge`fiArco
President
AVMA I p U T Veterinary Professional Liability
Protecting you through it all Insurance Policy
Certificate of Insurance
This policy provides occurrence coverage. Please review the policy carefully.
ITEM 1: Insured by the stock company below and hereinafter called the Compauy
Zurich American Insurance Company
ITEM 2: Named Certificate Holder, member number, SRC, and address
Scott Henry Weldy, DVM
Serrano Animal & Jird Hosp
21771 Lake Forest, Suite I I I
Lake Forest, CA 92630-2782
Master Policy Number:
EOL 5241302 -12
UNPL-Wa�A-CW (07104)
Certificate Number:
VETPROO51077
FOR INFORMATION OR TO FILE A CLAIM
PLEASE CALL (800) 228-7548
ITEM 3; Policy Period
From: 01/01/2017
To: 01101/2018
12:01 am Standard time at the address oPthe Named Ceftiticote Holder
.
ITEM 4: Limits of Liability
Member Name Member No, LRC Class
Each claim - $1,000,000
Scott Weldy . 24154 17 IV
Aggregate $ 3,000,000
ITEM( 5: Premium and coverage sumtnary
I'T'EM 6; Forms Attached at Issuance:
Primary Professional Liability $222.00
U-VPL-100-A CW (07/04); U-VPL-103-A CW (07/04); U -OU -1041-A(03/11); U.
Veterinary License Defense $69.00
VPL•109-13 CA (01/12); U-VPL-102-B CW (06/11); U -OU -319-F (01/09)
ITEM 7: Schedule of Plan Numbers and location(s) for Professional Extension
Endorsement (Animal Bailee) / Embryo and Semen Storage (if purchased):
TOTAL DUE: $291.00
For additional locations, please see the attached page
ITEM 8: Veterinary Professional Liability Regulatory Action License
Coverage endorsement (if purchased):
Limit: $ 25,000
Authorized Signature
Neil R. Hughes, President
HUB Intemational Midwest Limited
Extension Plan Embryo Plan
This Certificate of insurance Is issued off the Master Policy held by the American
Veterinary Medical Association (AVMA) Professional Liability Insurance Trust By
acceptance of this policy the Named Certificate Holder agrees that the statements in
the certificate and the applkation and any ac..h hcras hereto are the Named
CertiBeate Holder's agreements and representations and that this policy embodies all
agreements existing between the Named Certincate holder & the Company or any
of its represethatives relating to this insurance.
Notice to the co npany! Zarich North Americmt-Specialties Claims
Atm: Profesolonel Liability Claim Department
- P.O. Box 307010, Jamaica; NY 11430-7010
AVMA I PLIT T Veterinary Professional Liability
Protecting you through it all Insurance Policy 19
Certificate of Insurance
This policy provides occurrence coverage. Please review the policy care filly. ZURICH
ITEM 1: Insured by the stock company below and hereinafter called the Company
Zurich American Insurance Company U-VPL.103.A-CW (07/04)
ITEM 2: Named Certificate Holder, member number, IRC, and address
Scott Henry Weldy, DVM
Serrano Animal & Bird Hosp
21771 Lake Forest, Suite 111
Lake Forest, CA 92630-2782
Member Name
Scott_ Weldy
Member No, IRC
24154 17
ITEM 5: Premium and coverage summary
Primary Professional Liability
Veterinary License Defense
TOTAL DUE:
$222.00
$69.00
$291.00
ITEM 8: Veterinary Professional Liability Regulatory Action License
Coverage endorsement (if purchased):
Limit: $ 25,000
Authorized Signature
A/
Neil R. Hughes, President
HUB International Midwest Limited
Master Policy Number: Certifleate Number:
EOL 3241302 d2 VETPROD51077
FOR INFORMATION OR TO FILE A CLAIM
PLEASE CALL (800) 228-7548
ITEM 3: Policy Period
From: 01/01/2017
To: 01/01/2018
12:01 am Standard tune at the address ofthe Named Certificate Holder
ITEM 4: Limits of Liability
Class Each claim S 1,000,000
TV Aggregate $ 3,000,000
ITEM 6: Forms Attached at Issuance:
U-VPL-100-A CW (07/04); U-VPL-103-A CW (07/04); U -GU -1041-A (03111); U.
VPL-109-5 CA (01/12); U-VPL-102-B CW (06/11); U -GU -319-F (01/09)
ITEM 7: Schedule of Plan Numbers and locations) for Professional Extension
Endorsement (Animal Bailee) / Embryo and Semen Storage (f purchased);
For additional locations, please see the attached page
LQ adOn Number Address
Extension Plan Em¢Iyo Plan
This Certificate afInsurance Is issued off the Master Policy held by the American
Veterinary Medical Association (AVMA) Professional Liability Insurance Trust. By
acceptance of this policy the Nomad Certificate Holder agrees that the statements in
the certificate and the application and any attachments hereto are the Named
Carlin on to Holder's agreements and representations and that this policy embodies all
agraements existing between the Named Certificate holder & the Company or any
of lis represemmlives relating to this insurance.
Notice to the Company: Zmwh North American-Specianies Claims
Amu Professional Liablity Claim Deportment
P.e. Box 307010, Jamaica, NY 11430-7010