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F2UMBERMhRS <br />CRTtFIC T,, OFiNSUPANCE COERT-000..215-01 <br />,. <br />r <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh Risk & Insurance Services <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />Casualty Department - 23rd Floor <br />777 So. Figueroa Street <br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />Los Angeles, CA 90017 <br />Attn: S. McFARLAND (213) 346-5631 <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />5660 -NODED-EVDNC-03/04 <br />A ACE American Insurance Company <br />INSURED <br />COMPANY <br />TENET HEALTHCARE CORPORATION <br />B <br />DBA: WESTERN MEDICAL CENTER HOSPITAL-SANTA ANA <br />1001 NORTH TUSTIN AVENUE <br />COMPANY <br />SANTA ANA, CA 92705 <br />C <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCEPOLICY <br />NUMBER <br />POLICY EFFECTIVE <br />DATE(MMIDDIYY) <br />POLICY EX PIRATION <br />DATE (MMIDDNY) <br />LIMITS <br />GENERALLIALIUTY <br />GENERAL AGGREGATE <br />i$ <br />PRODUCTS-COMP/OPAGG <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE1-1 OCCUR <br />PERSONAL S ADV INJURY <br />$ <br />EACH OCCURRENCE <br />$ <br />OWNER'S 8 CONTRACTOR'S PROT <br />FIRE DAMAGE (Any we fire) <br />$ <br />MED EXP iArry one erson <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ISA H07851029 <br />06/01/03 <br />06/01/04 <br />COMBINED SINGLE LIMIT <br />$ $1,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />GARAGE <br />LIABILITYr' <br />ANYAUTO <br />/1, Z' r <br />n A <br />U�LYJ <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN AUTO ONLY: <br />EACHACCIDENT <br />$ <br />AGGREGATE <br />$ <br />-^ <br />EXCESS <br />LIABILITY <br />UMBRELLA FORM',IV <br />OTHER THAN UMBRELLA FORM <br />(jrv(>UIr <br />,.DIY' <br />G TiliL`Cnl: <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />TORY LIMITS ER <br />EL EACH ACCIDENT <br />$ <br />THE PROPRIETOR/ INCL <br />PARTNERSIEXECUTIVE <br />EL DISEASE-POLICY LIMIT <br />$ <br />EL DISEASE-EACH EMPLOYEE <br />$ <br />OFFICERS ARE EXCL <br />A <br />TH AUTO PHYSICAL <br />ISA H07851029 <br />06/01/03 <br />06/01/04 <br />DAMAGE <br />COMP/COLLISION <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS <br />RE: Service Provider Agreement. <br />Where required by written contract, The City, its officers, employees, agents, volunteers and respresentatives are included as additional insureds as respects <br />the operations of the Named Insured. <br />CERTIFICATEMOLDER : <br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, <br />THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL .-_fin DAYS WRITTEN NOTICE TO THE <br />City of Santa Ana <br />Clerk of the City Council <br />CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />20 Civic Center Plaza (M-30) <br />LIABILITY OF MY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE <br />Santa Ana, CA 92702-1988 <br />ISSUER OF THIS CERTIFICATE. <br />MARSH USA INC. <br />'IJohn F Wesley <br />MMI 3102)` - VALID AS OF:. 06/01/03 <br />