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05719/2005 11:27 19493056166 COLONIAL PRA PAGE 01/01 <br />.ALCS2,QRP CERTIFICATE OF LIABILITY INSURANCE os~l9iz os <br />PgODULtn (g00)91D-6535 FAX <br />New Colonial Western <br />26691 Pl axa Drive, Suite 220 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Mission Viejo, CA 92891 <br />Don Emory <br />INSURERS AFFORDING COVERAGE <br />NAIC M <br />INSURED Westcl Med cal La orator es, Inc. WEURERA. Zurich-American Insurance Co <br />1821 E. Oyer Road ] <br />1 <br />~ <br />I INSURER R' <br />, <br />, <br />Santa Ana, CII 927DS ~ ~ ` ~ ~` ~ INSVRER C <br /> wcuacR D <br /> INSURER E'. <br />COVERAGES <br />TH E PO LICIES OF INSURANCE LISTED BEL OW HAVE BEEN ISSUED TO THE I NSURED NAMED A BOVE FOR THE PO LICY PERIOD INDICATED, NOTWITHSTANDING <br />AN Y RE QUIREMENT. TERM OR CONDIYION OF ANY CONTRACT OR OTHER D OCUMENT WITH R ESPECT TO WHICH THIS CERTIFICATE MAY eE ISSUED OR <br />M AY PE RTAIN, THE INSURANCE AFFORDE D BY YH E POLICIES DESCRIBED H EREIN IS SUBJ EC7 TO ALL THE TERM S, EXCLUSIONS AND CON DITIONS OF SUCH <br />PO LICI ES. AGGREGATE LIMITS SHOWN MA Y NAYE BEEN REDUCED BY PAID CLAIMS. _ <br />WB DD' TYPB Oi INSUMNCE -OLN:Y NUMBER POLICY EFFECTIVE POLICY EIIPIMn011 LINn B <br /> OENEWLLIABIUTY PPSOO254765 lO/Ol/2004 lO/Dl/2DO5 EACH OCCURRENCE f 1 OOO 000 <br /> X NIMEIFPfICi HFNCRa~ II9PII iIV DAMA(9E IO RENTED <br />.REMI Amvenn}_ S 1, D0~ Q~ <br /> CLAIMS MADE a OCCYq MEO E%P (My One ANON) 3 10.00 <br />A PERBONALf ADV INJURY S 1,000,000 <br /> 4ENEPPL AOOREDATE S (DOD,UD <br /> OEN'L AOOREGATE LIMP APPLIEf PEA' PROOUCTB-COMPIOP A00 S 2 DIIO <br /> POLICY n jE~ n IOC <br /> <br />- _ ___ <br /> ADrOMDaILE UAB1uTY ~1 Pi'P?C~G'~ '~~ "tti TO ,ORM coN9eINEO MNCLE Lxnrt <br />f <br /> ANr AUTO IEe actleew <br /> uL OWNED AUTOS ~ > DODLLY In+U11Y b <br /> <br />~~ 9CNEOULED AUT08 ,,._ <br />~ (Pe,pnml-__ <br />~~ - <br />- <br />~ <br /> HIRED AUTOS I i.J: ~IU V. 'V I}~ (jy <br />' pODILY IWIWY b <br /> <br />Nan.awrveO AU•Da <br />Aahl,,: <br />, lily AItoT^ <br />A' (P.,....In.,.p <br /> <br /> PROPERTY DAMAGE b <br /> (vsr ea9aenq <br /> WMGE LIABILITY AUTD ONLY ~EA ACCIDENT S <br /> <br /> ANY AUTD OTHER THAN EA ACC A <br /> AUTO ONLY: A00 S <br /> EACESBIUMBRELU D1ml7rl PP500254765 lO/01~2004 lO/Ol/ZOOS EACH OCCIWpENCE S 7,000,00 <br /> X OCCW n CWMSMADE AOOREOATE 3 Z ~OJ <br />A b <br /> _ pEDUCTRILE S <br /> <br /> RETENTION f f <br /> WU Biq lu. wN. <br /> YroRRERB COMPENFATNNV AND ToRClIMD: ER <br /> EMPLOr[pF' WBILnY E L. EACH ACCIDENT f <br /> ANY PROPRIETORIPARTNERlE%ECIRIVE <br /> OFFlCEPpAEMBEa E%CWOEDi EL DISP+LSE-FA EMPLOYE f <br /> BY99 O~N+IEe mcs <br />9PE~IP1, PpONElON9 tfnION <br />EL DISEASE-POIICY OMIT <br />S <br /> BPP All <br />~an7 PPS00254765 10/01/2004 10/01/2005 57,129,836 <br />A LeY <br />B 51,000 Dad. <br /> Locations <br />DE RIPTIONO OP HONK LOCAl10N9911..VENIyIRf IFEx~ICLUfNH/f ADDED BT ENDO11uuEM~NTIByECU1l PRQv~fION <br />~~ Day lfot~ce o~ Cancellation for Non-Payment or Premium. Ilse ity of Santa, Ana, it's oFficers. <br />gents and ellployees, are named as additional insureds for General Liability. <br />r O CANGELLA ON <br /> BNWLD ANY W TNB ACRRIE DEBCRRIED IOLICIEB BE GNCEILED BEFOPE THE <br /> E%PIRATN)N GATE THEREOF. ME IBBUINO INSURER Wq.l ENDEAYOq TO MAIL <br />c,-ty of Santa AOB 3R ~o.Ye WMTTEN NOncR TO THE CBRnMATl MOLDER NAKED TO TNB LEFT <br />2O CiViL Center Plaza (M-29) BUT AILYRE TO NML SULK NORCE BNALL IMPOSE NO OBLN)AYNIN OR LMBILnY <br />P.O. Box 1988 OFA YNIND UPDN1NE McUpE0. rn AC:ENO Oq pEPRpENYATNEf. <br />Santa Ana, CA 92702 AUTN REPRESENT <br />ACifRn 75 (7001R1g) FAX: (714)647-6515 y~ / / R9ArnRn CORPDRATION 1p8a <br />