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FRAM CORRECTIONAL MHNRGED CARE MEDICAL CORP. (TUE)DEC 7 2004 13;46/ST.13:46/N0,6366309836 P 2 <br />LEXINGTON INSURANCE COMPANY <br />WILMINGTON, pELAWARE <br />ADMINISTRATIVE OFFICES: 100 SUMMER STREET, BOSTON, MA 02110.2103 <br />IA Capital Stock Insurance Company! <br />HEALTHCARE PROFESSIONAL LIABILITY • CLAIMS MADE AND <br />HEALTHCARE GENERAL LIABIWTY -CLAIMS MADE <br />bECLARATIONS <br />Various proNslons In the Osnerd Policy Provisions end Conditlons and Coversgs Parts restrict coverage. Thsro may bs both <br />owurrence coverages end claims made cowregee in this Poacy. Claims made towrope la limited to Ilabllhy for claims flrot <br />made agdnat an Insured during the policy period or any extended roporting period, If appNcabk. <br />Plsasa read all General Policy Provsions and Conditlona and Covsrsge Parts carefully to determine rights, du6sa, and what Is <br />end whet b not covered. A complete Policy includes the Declarations, General Policy Provisions and Conditions, and the <br />applicable Covsroge Pans, <br />POLICY NUMBER: 0314761 RENEWAL OF NUMBER: 0314781 <br />Item 1. FIRST NAMED INSURED: CORRECTIONAL MANAGED CARE MEDICAL CORP. <br />Item 2. ADDRESS; 2040 S. SANTA CRUZ STREET, rT 100 <br />ANAHEIM, CA 92805 <br />Item 3. lal RETROACTIVE GATE: <br />HEALTHCARE PROFESSIONAL LIABILITY COVERAGE PART: 03/01/1998 <br />HEALTHCARE GENERAL LIABILITY CLAIMS MADE COVERAGE PART: 08!0112002 <br />Ib1 POLICY PERIOD: From; August 1, 2004 To: August 1, 2006 <br />et 12:01 a.m. Standard Time at your mailing address shown above. <br />ICI OPTIONAL EXTENDED REPORTING PERIOD: TBD years for Tep% of the annual premium <br />Item a, DESCRIPTION OF OPERATIONS: OUTSOURCE MEDICAL SERVICE PROVIDER <br />Item 5. LIMITS OF <br />lal Heehhcare Professional Uability <br />Aggregate Limit 83,000,000 <br />Each Medical Incident 81,000,000 <br />Deductible 026,000 <br />Deductible Aggregate None <br />Ibl Heehhcare General Uabilky <br />Aggregate Limk 83,000,000 <br />Each Occurrence Limit 81,000,000 <br />Products/Completed Operations Umk 81,000,000 <br />Personal/Advertising Injury Limit 91,000,000 <br />Fire Damage Limit 850,000 <br />Medical Expense limit 85,000 <br />Deductible 825,000 <br />Oaductible Aggregate None <br />item 8. PREMIUM: <br />item 7. FORMS AND ENDORSEMENTS: Attached at Inception <br />Each Fira <br />Each InJured Person <br />d~~ 2 <br />Item 8. PRODUCER NAME AND ADDRESS: LEMAC & ASSOCIATES, INC. <br />800 CITY PARKWAY WEST, SUITE 410 <br />' ORANGE, CA 92888 <br />By <br />Countersignature pn States Where Applicable) <br />79223110!03) <br />HC0357 <br />Authorised <br />INSUREO'S COPY <br />