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<br />08/82/2005 10:01 <br />T \ I <br /> <br />19493055155 <br />e <br /> <br />COLONIAL PRA <br /> <br />e <br /> <br />PAGE 01/02 <br /> <br />~~ CERTIFICATE OF LIABILITY INSURANCE \ DATE IMll1/DDNYYY) <br />0&/01/2006 <br />roRODUCIliA (949)30S-6161 FAX (949)~05-61~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Colonial W@stern Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTlflGA r1: <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26691 Plaza Drive, Suite Z20 AL fER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Aission Viejo, CA 92691 <br /> INSURERS AFFORDING COVERAGE NAlC# <br />INSURED Correctional Managed Care Medica1' Corporation Lexington Insurance Company - <br />INSURER A: <br />4211 E. La Palma Ave. fl. ~oS -.)d.J INSURER B: St. Pau~ Travel ers Ins. co. <br />Anaheim, CA 92807 INSURER c: Everest Insurance Company <br /> A-;xo{p-~1 INSURI:R D' <br /> IN$URI:R E: <br /> <br /> ES <br />THe POliCieS OF INSURANce L.ISTeO 6F:::LUVII HAVt:o t$EEN ISSUI;O TO THE IN~UR!O NAMeD ABOVE FOR THE F>OL.ICY peRIOD INDICATEC. NOTWITI-IST^NOING <br />ANY REQUIREMENT, Te~M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THis CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HI;RE1N IS SUBJECT TO ALL THE TERMS. EXCI.USIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATEI.IMITS SHOWN MAY HAVe SEEN REDUCED BY PAlO CLAIMS. <br />'!'l$~ ~~~! .",.. . POLICV EFFECTIVE P~~!fJ EXPlRATIO,.. <br />lYPE Of IN$URANCE POLICY NUMBER LIMITS <br /> GENERAL UABlLITY 0314761 08/01/2006 08/01/2007 EACH OCC~~eNCI: S 1,000,000 <br /> X COMM~RCIAL GENERAL LIABILITY DAMAGE TO RE~m,.o $ _ _ ~_<1,~ <br /> - ~ CLAIMS MADe 0 OCCUR t'i':'I"'IU'T.'I"r!JIl) <br /> MED EXP (Any one ~91"lon) $ S,OOO <br />A - l,OOO,OO(] <br /> PeRSONAl. Il AOV INJURY $ <br /> - <br /> OENI:RALAGGREGATE $ l,Onn,Ooo <br /> - <br /> GeN'L AGGREGATE LIMIT APPLIES peR; I"~OCUCTS . COMPIOP AQO S 1. 000,000 <br /> n .nI"RO. n <br /> POLICY JeeT lOC <br /> AUTOMOBILE LIABILITY 6809447H706 02/04/2006 02/04/2007 cOMelNEO SINGll: LIMIT <br /> f-- S <br /> ANY AUTO (Ea QCCId<lnl) 1,000,000 <br /> - <br /> - ALL OWNED ""UTOS aODlL Y INJUfl.Y <br /> S <br /> SCHEiDULJ;O AUTOS 1I'"6r"",r~cn) <br />B X -"" u_ ., <br /> HIRED AUTOS OOOll Y INJURY <br /> X $ <br /> ~IO~I-()1J11NJ;i:I 41 .Tn<: (1"Ar"""lde~l) <br /> r--- n..... <br /> '-- PROPE~rY DAMAGE S <br /> (Per acclde~t) <br /> GARAGE LIAalLrlV ^UTO ON.. Y - ~ ACCIDENT a <br /> ==J ANY ",I,JTO ~ OTHER THAN E'IACC ~ <br /> .- <br /> F . AUTO ONLY: AGG $ <br /> EXCESalUMBRELLA LIABILITY r J /Le~--ct -/ /Ic eACH OCCURRENCE $ <br /> ~ OCCUR D C~AIMS MAOE I AGGReGATE; $ <br /> $ <br /> R DeCUCTIBlE $ <br /> RI:TI:NTION $ $ <br /> WUfCI\I:.K:J r,;OM,.eNl;lATlQN AND C^200109!iS061 07/01/2.006 07/01/2007 X-L WCSTAlU-ic=TITH. <br /> EMI'l.OVeRS' UABIUTY m _ _TOB:r_UMIL$. l:~, 1'.-- <br />C ANY pROPRleTOR/PARTNERlEXECUTIVE e.~. i:ACI-I ACCIDENT $ 1,000.000 <br /> OFFICEMo1eMBER J:XCLUDE07 E;L OISEASE. EA,EMPLOYEF. $ 1,000,000 <br /> It ,,/00, c:r""Qflbo und'af <br /> SPECIAL PROviSIONS bolo.v e;.L. OII;1E;AsE. f'ULIL;Y L1MII $ I. 000. OOC <br /> ~;~~essional Liability 0314761 08/01/2006 08/01/2007 Prof liability: $lmi11$ 3rllil <br />A ~a"ag~d Car~ E&o Liab. 0314761 08/01/2006 08/01/2007 Managed Care E&O: $lnril/$3mil <br />DEaC~IPTION OF OP~^TION5f LOCA110~ ~\I~r~LJ;lIl ?tCLUSIONS AoDtoll ay J;NDORleMENT I SpECIAL PROVISIONS <br />lO Day~ not ~~ 0 cance at,on or non-payment 0 premnum. <br />ertjticate Holder is an Additional Insured for general 1 iabi' ity <'1m.! p~'ores5';ol1al 1 iabil i1:y pel" <br />ndorsement #14 attached. <br /> <br /> <br /> <br />ION <br />SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED aEiFO~E. THE <br />EXPIRATION DATE TI-ltoREOF, THE ISSUING INSUReR WI.... ~NDEAVOR TO MAIL <br />_:J~L DAYS WRITTEN NOTIce TO THE; CERTlFICA TE HOLDER NAMeD TO tHE LEFT, <br />UT FAlI.URJO TO Il/lAll eUCH NOTICI! SHALL IMPOSE: NO OaUGATION OR LIABILITY <br />NY KIND UPON THE INSURER, IfS AGENTS OR REPRESENTATIVes. <br />~ REPRES A TIVE <br /> <br />City of Santa Ana <br />Sant:a Ana City Jail <br />Attention: Chris Laugenaur, Contracts <br />62 Civic Center Plaza <br />Santa Ana. CA 92702 <br /> <br />ACORD 25 (2001108) <br /> <br /> <br />ol~S-'BI(l.o <br /> <br /> <br />@ACORDCORPORATION1988 <br /> <br />