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08/02/2006 10:01 19493056166 COLONIAL PRA PAGE 01/02 <br />A~~JS~t C~RTiFIGATE C,~F LIA~IL <br />[~R6D000R (949)305-6161 FAX (9a9)30S-fi66 <br />Colonial Western Insurance Agen[y <br />25691 Plaz21 prive, Suite 220 <br />Mission Viejo, CA 92691 <br />INSURED Corrections 1 alanaged <br />x+211 E. La Palma Ave. <br />Anaheim, CA 92807 <br />-~~~~ <br />,~-~j~j",2)"~ <br />an <br />rnvcRd <br />DATE {AI>pI1DD1YYYY) <br />TY INSURA,~CE o$/oi/2oo5 <br />'PHIS CERTIFICATE IS iSSUEp A3 A MATTER DF INFORMATION <br />ONLY AND CONFERS Nd RIGHTS UPON THE CERTIFICATE <br />HaLDER. TH13 CERTIFlCATE DdES NOT AMENd, EXTf:ND aR <br />A~.7ER THE COVERAGE AFFORDFA BY THE POLICIES BELOW. <br /> <br />INSURERS AF1=0RDING COVERAGE NAIL # <br />INSURER A: Lexington Insurance Conlg~any <br />INSURER B: St . Pau ravel ers Ins . Co . <br />INSURER c: Everest Insurance Company <br />INSURER D: <br />INSURER E: <br />~~ GQ <br />THE POLICES OF MSURANCE LISTED 9fl~,Uw HAVE BEEN ISSUEp Tp THE IIVSWRED NAMED ABOVE FOR 7H@ POLICY PERIOD INbICATED. NOTwITksrnNbWG <br />TERM OR CONDITION OF ANY CQNTRACT OR OTWER DOCUMENT WITW RESPECT TD WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />ANY REQUIREMENT <br />, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS QF SUCH <br />MAY PERTAIN <br />, <br />POLICEES. AGGREGATI: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />':IN9R 00' T7PE OF INSURANCE POLICY NUMBER L1CY EFFECTIVE POLICY EXPIRATION LIMITS <br />GENERALL1A81LITY O~Y47'S1 O8/Ol/ZOO6 O8/Ol/2007 EACH OCCURRENCE S j,00~,000 <br />X C.OMMERCtAL GENERAL LIABILITY DAMAGE TO RENTER <br />x ClA1M3 MADE ~ OCCUR MED EXP {ARy 0118 IINr39n} $ 5 <br />A PER80NAi, A AOV INJURY $ ~, r QQQ , <br /> GENERAL AGGREGATE $ 3 , nnn oon <br />t3EN'L AGGREGATELIMIT APPLIES PFR: PRODUCTS • COMFlOP A00 $ ], OQQ 00 <br />POLICY PRO. LOC <br />JECT <br /> AUT OMOBILE LIABILITY b809447H746 0~2~04{ZOOt3 42/Oa/2407 COM8INED$INGLELIMIT § <br /> ANY hUTO (Ea aCCklent) 1 e Q~, p4 <br /> ALL OWNED AUTOS BODILY tNJURY <br /> BDHEAUC.ED AUTOS leer Dgrgon} <br />... <br />B _........._ ._. <br /> <br />X <br />HIRED AUTOS <br />B001LY INJURY ~ <br /> 7( niDN-bwnir_n ni,lTnc {Pwrucddent} _._..... <br /> PROPERTY DAMAGE $ <br /> {Per acddent) <br /> GARAGELIABILTfY AUTOON>wY-GACCIDENT J6 <br /> ANY AUTO OTHER THAN EA ACC $ .. <br />. <br /> AUTO ONLY: AGG . <br />$ <br /> FD[CE881UMBRELLA LIABILITY ~ ~ <br />~ FJ1GH OCCURRENCE 5 <br /> occua ~ ClaMr3 MADE ~ A60REQATE $ _ <br /> S <br /> OF•DUCTIBLE _ $ <br /> RETENTION $ $ <br /> WUH1UCHS r:UMYENBATIt7N AND CA~4414955061 07/Ol,/z006 07f01/2407 7C WC STATU- OTM. <br />..... _ _Tt~RYLIM17,5. t:R,_ <br />, ~ . __ <br /> EMPIAYERB'LIABILm E,I., EACNACCIDENT $ 1 OOO,OO <br />C OFFICERIMEMBER+PEXCLU~~ECUTIVE <br />E.L. DISEASE. EA EMPLOYE. <br />$ ~. r QQa, (}~ <br /> tf yoa, aoawl6...,~dv' <br />SPECIAL PI~OVI810NG 6alow <br />E,L. CIt3EaSE • F'ULIL:Y LIMI I <br />„ 1 400 0 <br /> TH <br />bili <br />~ <br />i 03147&1 08/01/2b06 08/41/2007 Prpf Liability: Slmil/$3n1i1 <br /> a <br />ty <br />ro <br />essional L il <br />$ <br />i1 <br />A aTwagwd Care E&O Liab. 03I~4761 0$/01/2006 08/0]./2007 j <br />3m <br />Managed Care E810: $Inl <br />DESCRIPTION OF OP ATtONS ~dCAY'10H~ VEHIQLE9! CLUSIONS AOOEtl AY ENDOR EMENTlSj~ECIAL PROV1910N8 <br />t <br />~ <br />~ <br />~ <br />prennum. <br />],o Days no <br />lat~on For nan-payment o <br />ice o <br />cance7 <br />ertifieate Bolder i5 an Additional Insured Yor general liability 2tTTGI prUress-ional liability per <br />ndorsement #14 attached. <br />reonelrwTe unr nre returml I wTlnul <br /> SHOULD ANY OF THE ABOVE DEBGRIBED POLICIES 8E CANCELLED 9EFORE THE <br /> EXPIRATION GATE THEREOF, TWE ISSUING INSURER ln(ILr. ENDEAVOR TO 141AIL <br />C~ ty of Santa Ana * 3O <br />LEFT <br /> <br />Santa Ana City Tail , <br />DAYS WRITTEN NOTICE TO THE CERTiF10ATE HOLDER NAMED TO THE <br />'--- <br />T <br />Attent ion • Chris Laugenaur, Contracts UT FlUI.URE T4 Mr+iL SUCH NOTICe SHALL IMPOSE NC 09LIGATtoN OR LIABILITY <br />52 [l Vl C Center Plaza NY KIND UPON TWE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana. CA 92742 AUT E1TREPRE3 ATIYE <br /> Do E <br />ACORD 25 (20a1~08) r`j I ~ 1 9 C~ [""~ q,,, i r ~ ~ f ®ACORD CORPORATION 1988 <br />