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TE U <br />ACORO CERTIFICATE OF LIABILITY INSURANCE OM620o8ITvvY) <br />PRODUCER THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br />Marsh Risk& Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />4695 MacArthur Court, Suite 700 i HOLDER. THIS CERTIFICATE DOES NOT AMENJO, EXTEND OR <br />(949) 399-5800 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License #0437153 <br />Newport Beach, CA 92660 <br />607996-002-002-06-09 <br />INSURED - <br />Westcliff Medical Labs, Inc. <br />Attn: Rodney Brown <br />1821 E. Oyer Road, Suite 100 <br />Santa Ana, CA 92705 <br />INSURERS AFFORDING COVERAGE <br />INSURER A: Travelers Property Casualty Co. Of America <br />INSURER 8: United Stales Fire Insurance Co. <br />INSURER c: Nautilus Insurance Company �i <br />INSURER 0: <br />NAIC # <br />25674 <br />;21113 <br />;17370 <br />COVERAGES 5 <br />THE POLICIINS <br />ES OF URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM EO sABOVE FOR THE POLICY PERIOD INDICATED.LL_LL <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />I MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />u.1 ue V MAvc oCCM Rcni Ircn INV PAIn rl Awc <br />INS@AHD'L <br />LTRIINSRO <br />ryPEOFINSURANCE <br />POUCYNUMBER <br />LILYEA DIYYE <br />DATEIMIWDDWYI <br />POLICY DNYI <br />DATE IAg110DNY} <br />LIMITS <br />A <br />I <br />x COMI.ERCIALGENERALLMBILITY <br />630154DS89A-T)L-08 <br />10/01/08 <br />10101709 <br />EACH OCCURRENCE 1.000.000 <br />DAMAGE TO RENTED.100,000 <br />PREMISE Eaoca .$ <br />MED EXP (Any one PMN) $ 5,000 <br />CLAIMS MADE O OCCUR <br />PERSONALSADVINJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000.DOO <br />GENERALAGGREGATE LIMIT APPLES PER <br />PRODUCTS -COMFgP AMC2,000,000 <br />POLICY dEECT LOC <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />810154D589A-TIL-08 <br />10/01108 <br />10/01109 <br />COMBINED SINGLE LIMNT $ 1OD0OD6 <br />(Ea W66W) <br />_._... <br />BODILY INJURY $ <br />1 <br />ALL OWNED AUTOS <br />SCHEDULEOAUTOS <br />(Pr Person) <br />BODILY INJURY $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />� <br />(Per ow U HA) <br />PROPERTY DAMAGE <br />(Per eccidenl) $ <br />//� <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT$ANY <br />i <br />( <br />ALTO <br />OTHER T14AN EA ACC $ <br />-----_-- - <br />AUTOONLYY: <br />AGO $ <br />1 <br />I <br />_p <br />l EXCESSmMSRELLA LIABILITY <br />`— <br />Lj OCCUR F—i CLAIMSMADE <br />CUP 154D589A-TIL-08 <br />10/01/08 <br />10101109 <br />EACH OCCURRENCE $ 2.000,000 <br />AGGREGATE $ 2,000,000 <br />DEDUCTIBLE <br />--_-- ------ <br />$ <br />It <br />RETENTION S <br />IB j WORXERS COMPENSATION AND <br />EMPLOYERS'UA81U1Y <br />4086946242 <br />12101(07 <br />12%01108 <br />- <br />X WC STAN -I JOTHFIR <br />L EACH ACCIDENT $ 1,000.000 <br />ANY iO ICERrMEMBER EXCLUDED? <br />I <br />.L DISEASE, EA EMPLOYE $ 1,DOOD00 <br />.LDISEASE-POLICY LIMIT Is 1,000,000 <br />Il yes. OeacnEe untler <br />SPE IAL PROVISIONS 11b <br />OTHER <br />C Professional <br />Liability <br />Retro Date: 6113187 <br />PFPt000006P2 <br />10101/08 <br />10101109 <br />Each Claim 2.000,D00 <br />Aggregate Limit 4,000,000 <br />Deductible 5,000 <br />DESCRIPTION OF OPENATIONNILVGATIVNWEHI6LEUIEACLUWVNSawcUm enuortaexen",ce LrrtVHamm. <br />Evidence of Insurance. 10 Day Notice of Cancellation for Non -Payment of Premium. <br />CERTIFICATE HOLDER LOS -00068431610 <br />Westcliff Medical Laboratories, Inc. <br />1821 E. Dyer Road, Ste 100 <br />Santa Ana, CA 92705 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />330 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND <br />ACORD 25 (2001108) 1 0 ACORD CORPORATION 1088 <br />