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Insurance Certificates 2021/22 Village Park Animal HospitalRC38605 il- __ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 6/4/2021 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 NAME: Safehold Special Risk, Inc. (916) 589-8000 PHONE FAX In California,Safehold Special Risk & Insurance Services,lnc. #OG13561 e-a `ft AIc Nn ADDRESS: 10940 White Rock Road, 2nd Floor INSURER 5 AFFORDING COVERAGE NAIC# Rancho Cordova, CA 95670-6076 INSURERA: NOVA Casualty Company 42552 INSURED INSURER B: Village Park Animal Hospital INSURERC: P.O. Box 1711 INSURERD: INSURER E : La Quinta CA 92253 INSURERF: COVERAGES r..FRTIFICATF IUIIMRFR- 15393f309 oovrcrnr.r RnrRN000. c r i ... 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. 17R TYPE OF INSURANCE ADDL SU9RIi. POLIGYEFF. POLICY EXP 1NSD ! POLICY NUMBER MMIDDIYYYY (MWWDDNYYY1 LIMITS A )( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X IB-10000143-06 05/01/2021 05/01/2022 EACH OCCURRENCE 5 z,00g000 D R PREMISES Ea occurrence S 1,000,000 MED EXP (Any one person) S 10,000 . _ PERSONAL &ADV INJURY S 2,000,000 GEN'L GENERAL AGGREGATE S 4,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEC�T E LOC PRODUCTS -COMP/OPAGG $ 4,000,000 S OTHER: AUTOMOBILE LIABILITY COMB I NED SINGLE LJMIT Ge acrSdenl S BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS H BODILY INJURY Per accident ( ) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I PROPERTY DAMAGE Per accident S I Is - A x UMBRELLALIAB X OCCUR UM-10000067-06 05/01/2021 05/01/2022 EACH OCCURRENCE S 1,000.000 AGGREGATE S 1,000,000 EXCESS LIAR CLAIMS -MADE DIED RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED? ❑ NIA PER OTH- STATUTE ER E.L EACH ACCIDENT $ E- DISEASE- EA EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT S I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) ABP01191114 The City of La Quinta is named as Additional Insured with respect to General Liability per the attached endorsement. kIcrc I Ir_IUAI t- nvi_uLK CANCFLLATInN City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 78495 Calle Tampico THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta, CA 92253-2839 AUTHORIZED REPRESENTATIVE I I ne AC:UKL) name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1111111111111111111111111111 111111111111111111111111111111111IPI 111111111111111111 •CYa01AG4/000590/02/03/0/0/0/0• BUSINESSOWNERS C. SECTION II- LIABILITY The following paragraphs amend coverage provided under SECTION II — LIABILITY of the Businessowners Coverage Form. 1. Additional Insured By Contract, Agreement or Permit- Primary and Non -Contributory Paragraph C. Who Is An Insured is amended to include as an insured any person or organization for whom you and such person or organization have agreed in writing in a contract, agreement or permit that such person or organization be added as an additional insured on your policy. The insurance provided to the additional insured is limited as follows: a. That person or organization is only an additional insured with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: (1) Premises you own, rent, lease, or occupy; or (2) Your ongoing operations performed for that insured. (3) In connection with "your work" and included within the "products -completed operations hazard", but only if: (a) The written contract or written agreement requires you to provide such coverage to the additional insured; and (b) This policy provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". b. With respect to the insurance afforded to these additional insureds, the following is added to paragraph D. Liability And Medical Expenses Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: (1) Required by the contract or agreement; or (2) Available under the applicable Limits Of Insurance shown in the Declarations; whichever is less. c. If specifically required by a contract, agreement or permit, coverage provided by this insurance shall be primary and any other insurance available to the additional insured shall be excess and non- contributing. 2. Alienated Premises Paragraph B.1. Exclusions, sub -paragraph k.(2) is replaced with the following: Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 3. Bodily Injury Redefined Paragraph F. Liability and Medical Expenses Definitions, sub -paragraph 3. "Bodily Injury" is replaced with the following: "Bodily injury" means bodily injury, disability, sickness or disease sustained by a person, including death resulting from any of these at any time. "Bodily Injury" includes mental anguish, mental injury, shock, fright or death resulting from "bodily injury", sickness or disease. 4. Broad Form Property Damage — Borrowed Equipment, Customers Goods, Use of Elevators a. The following is added to paragraph B. 1. Exclusions, sub -paragraph k.: Sub -paragraph (4) does not apply to "property damage" to borrowed equipment while at a jobsite and not being used to perform operations. Paragraph (3), (4) and (6) do not apply to "property damage" to "customers goods" while on your premises nor to the use of elevators. b. The following definition is added to paragraph F. Liability and Medical Expenses Definitions: "Customers goods" means property of your customer on your premises for the purpose of being: (1) Worked on; or (2) Used in your manufacturing process. (3) The insurance afforded under this provision is excess over any other valid and collectible property insurance (including deductible) available to the insured whether primary, excess, contingent or on any other basis. 5. Broadened Named Insured For purposes of the coverage provided by this endorsement, C. Who Is An Insured, paragraph 3. is added as follows: All of your subsidiaries, companies, corporations, firms, or organizations, as now or hereafter constituted, qualify as insureds under this policy if: ABPO1191114 Includes Copyrighted Material of Insurance Services Office, Inc. with its permission Page 28 of 32 INSURED 11IIIIVIBIIIIIIIIIIIIIIIIVIII1111IIYIInIIIIIIVIINIIIIIIflIVI111IVII _,__._W SAFEHOLD SPECIAL RISK, INC. (916) 589-8000 IN CALIFORNIA,SAFEHOLD SPECIAL RISK & INSURANCE SERVIC 10940 WHITE ROCK ROAD, 2ND FLOOR RANCHO CORDOVA, CA 95670-6076 CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA, CA 92253-2839 Would you like to receive this certificate via email or fax? We offer expedited delivery to better serve our mutual clients. To update the delivery method for revisions to this certificate and for next year's copy, please enter this information in your browser: https://www.cybersure.com/cybersure/forms/iyoc/cdmu.aspx When prompted, enter this information for security purposes: Client ID: RC38605 Cert ID: 15393609 Passcode: F9D841A1 Follow the instructions and let us know your delivery preference. You'll receive future copies of this certificate via the method you provide. Thank you for helping us provide certificates to you more quickly. xr.rr•+**r,rxx,t,t=+�++***:xwwr,r+++ww,r+,r,r+w*,r+ter*+++*+*,�+.+*++r.+rr.r.�: a .+**,taut+-tra:.rakw�*it***�+w�xa,ri�+++tt+++-t+*t+r