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�1} Client#:2E.. IVCRE ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 9/11/09Dnrrr) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis Insurance Services of CA, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3536 Concours, Suite 220 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ontario, CA 91764-5594 License #0371719 INSURED Olive Crest Treatment Centers Inc 2130 E. Fourth St., Ste. 200 Santa Ana, CA 92705 IK=w INSURERS AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity 18058 INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSft LTR ADD, NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MWDD LIMITS A GENERAL LIABILITY PHPK464966 09/01/09 09/01/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx] OCCUR DAMAGE TO RENTEDPREMISES (Ea rrencel $1 000 00() MED EXP (Any one person) s20,U00 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s3,000,000 • GEN'LAGGREGATE LIMIT APPLIESPER: PRODUCTS -COMP/OPAGG s3,000,000 POLICY PRO- JECT LOC �^ ® w,c AUTOMOBILE LIABILITY ANY AUTOti�, ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS +t' �" �gF E IDS Sta'v\t PI J ?O�C� S ` �e7 `' PttOC C1m jjj COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO F1 $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY OCCUR FRI CLAIMS MADE PHUB283481 09/01/09 09/01/10 EACH OCCURRENCE $10 00U 000 AGGREGATE $10 00Q 000 DEDUCTIBLE X RETENTION $ 10000 $ WORKERS COMPENSATION AND STATULIMIT- OTH- TWO EMPLOYERS' LIABILITY E.L. EACH ACCIDENT is ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $ SPECIAL PROVISIONS below A OTHER ABUSE PHPK464966 09/01/09 09/01/10 $1,000,000 / $1,000,000 A PROFESSIONAL LIAB PHPK464966 09/01/09 09/01/10 $1,000,000 / $3,000,000 A EE DISHONESTY PHPK464966 09/01/09 09/01/10 $500,000 / $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS THIS CERTIFICATE AMENDS Sr SUPERCEDES CERTIFICATE DATED 09/08/09 RE: Grant Certificate Holder is Additonal Insured per'Additional Insured Endorsement for Commercial General Liability Policy' attached (See Attached Descriptions) City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *Rn DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED A%,v cu ca tcuu I/un) 1 of 3 #S647555/M647173 2DADA 0 ACORD CORPORATION 1988