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COVFRAGFS 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 ACORD. CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 DATE 05/29/2003 PRODUCER 877-559-6769 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie North America, Inc. - Regional cert center 11201 N. Tatum Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EXPIRATION LIMITS Suite 300 Phoenix, Az 85028 INSURERS AFFORDING COVERAGE INSURED Tenet Healthcare Corporation INSURER A: Americen Home Assurance Company 19380-006 INSURER B: 13737 Noel Road Suite 100 Dallas, TX 75240 INSURERC: INSURER D: INSURER E' COVFRAGFS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 4805601 6/1/2003 6/1/2004 EACH OCCURRENCE $Included FIRE DAMAGE (Any one li re) $Excluded X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE lil OCCUR PERSONAL& ADV INJURY $Included GENERALAGGREGATE $ 11 00,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $Included X , POLICY PRO-jECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea amident) BODILY INJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Peramident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANVAUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ �l,F.oR D �>jt7 &/�%')� ) $ $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY �" " - _._.---"'"..�- -- OT WCSTATU- H- T RV IT EL EACH ACCIDENT $ 4t.calk LILT /itA Yt}l. tl�� ELDISEASE-EA EMPLOYEE $ ELDISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS The Certificate Holder has been included as am Additional Insured, but solely as respects to Liability Arising out of the Named Insured's Operations or Premises Owned by or rented by Named insured, excluding Contract or Agreements for Professional Services, and Subject to the Terms and Conditions of the Referenced Policy and as Required by Written Contract. Additional Insured to include: The City of Santa Ana, its officers, employees, agents, volunteers and representatives CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER _ CANCELLATION sxcePt oo ears fP� PPP-Paraent Pf Pre . ACORD 25-S(7/97) Coll:735786 Tpl:175696 Cert:3092064 ® ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL LT16Yb XXDL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE L City of Santa Ana Attn: Clerk of the City Council PRESE 20 Civic Center Plaza (N-3D)RIZEDR Santa Ana, CA 92702-1988 .nVE Y ,� ACORD 25-S(7/97) Coll:735786 Tpl:175696 Cert:3092064 ® ACORD CORPORATION 1988