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HomeMy WebLinkAboutANTECH DIAGNOSTICS 4 - 2005City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M -30). Call 647 -6520 if you have any questions. The agreement with Antech Diagnostics G 200 COTC Office Use Only _ No. N- 2005 -055 was completed on 6/30/05 and final payment has been made. (List all amendments. Use space below if needed.) fltnandlnent Department: PRCSA fl- 20ps °I10 Phone /Ext.: 5254 Signature: NLxWCAV-0 Date: 717114 Revised 0 8-2310 N-2005-055 'H",.,jt\r.i\:~~ 1(0 ,:\i WORK MAV NO: !] \." CLERK l)[' COUNCIL DATE :j. II -oS STANDARD CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this 15th day of December, 2004 by and between ANTECH Diagnostics, a California Corporation, (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"), RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of veterinary diagnostic laboratory services for the Santa Ana Zoo. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform provide a wide range of diagnostic laboratory services for the Santa Ana Zoo, including blood analysis, urinalysis, cultures, parasitology, and pathology work as set forth in Exhibit A to this Agreement. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. List prices include pick up of samples and delivery of specimen collection/submission materials. The total sum to be expended under this Agreement, shall not exceed $ 10,000.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 2005, unless terminated earlier in accordance with Section 12, below. In order to provide continuous, uninterrupted service, the parties agree that services provided from July 1,2004 through the effective date of this Agreement shall be included within the Scope of Services of this Agreement. The term of this Agreement may be extended upon a writing executed by the Executive Director of the Parks, Recreation and Community Services Agency and the City Attorney. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non-owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. 2 d. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. f. lf Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification oftermination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section I of this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. 3 Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, California 92702-1988 telefacsimile (714) 647-6956 With courtesy copies to: Executive Director Parks, Recreation, and Community Services Agency City of Santa Ana 888 West Santa Ana Blvd., Suite 200 (M-23) Santa Ana, California 92702 telefacsimile (714) 571-4235 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Consultant: Antech Diagnostics I 7672-A Cowan A venue, Suite 200 Irvine, CA 92614 4 telefacsimile (800) 745-4725 Attn: Mr. Bruce Bargmann, Vice President, Controller A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent ofthe City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be 5 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. - CITY OF SANTA ANA: ~~ City Manager ATTEST: PATR,CIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney ~ 'j/ By: / Lati'ra S heed y Assistant City Attorn y BRUCE BARG Vice President Controller Tax ID# ~~- 'i<fEY<;i I 7 -------:1' """V . .c...... DIAGNOST!CS PRICE LIST - 05 Effective February 1, 2005 e. SMALL ANIMAL PROFILES . Canine Profiles SA010 Canine Superchem . . . . . . . . . . . . . . . . . . . . . . 35.00 SA020 Superchem/CBC .......................39.00 SA025 Vet Screen .....,....................... 28.50 SA030 Vet Screen / CBC ....................... 32.50 SA040 Pre-Op Screen. . . . . . . . . . . . . . . . . . . . . . . . . . 21.75 SA050 Pre-Op Screen / CBC ................... 25.75 SA060 Mini Screen.. . .. .. ... .. ... .. .......... . 17.25 SA070 Mini Screen / CBC . . . . . . . . . . . . . . . . . . . . . . 21.25 SA080 Senior Comprehensive Plus . . . . . . . . . . . . . . 68.25 SAD90 Senior Comprehensive .................. 55.50 SAlDO Canine Comprehensive (01) ............. 48.50 SA110 Total Body Function Plus. . . . . . . . . . . . . . . . 49.50 SA120 Total Body Function .................... 44.00 SA130 Canine Heartworm Program Plus. . . . . . . . . 18.50 SA140 Canine Heartworm Program. . . . . . . . . . . . . 14.50 SA150 Canine Vaccine Titer .................... 31.00 SA160 Canine Maldigestion Profile. . . . . . . . . . . . . . 68.50 SA170 Canine Autoinunune Profile ............. 58.00 lESS Any Profile less CBC . . . . . . . . . . . . . . . . . . . . - 4.00 . . Feline Profiles SA010 Feline Superchem . . . . . . . . . . . . . . . . . . . . . . . 35.00 SA020 Superchem/CBC .......................39.00 SA025 Vet Screen ..................,.......... 28.50 SA030 Vet Screen / CBC .......................32.50 SA040 Pre-Op Screen.. .. . .. .. . .. . . .. .. .. .. .. . . 21.75 SA050 Pre-Op Screen / CBC ................... 25.75 SA060 Mini Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . 17.25 SA070 Mini Screen / CBC...................... 21.25 SA180 Feline Total Health Plus .................68.25 SA190 Feline Total Health Check. . .. ........ " ..62.75 SA200 Feline Comprehensive Plus (Cll ......... .62.00 SA210 Feline Comprehensive. . . . . . . . . . . . . . . . . . . 61.50 SA220 Cat Scan Plus .......................... 54.00 SA230 Cat Scan.. .. .. . .. .. . .. .. . .. .. .. .. .. .. .. 47.25 SA235 Hyperthyroid Feline .................... 55.50 SA120 Total Body Function .................... 44.00 SA240 Feline Heartworm Program Plus. . . . . . . . . . 30.00 SA250 Feline Heartworm Program. . . . . . . . . . . . . . 17.25 SA260 Feline Retroviral . . . . . . . . . . . . . . . . . . . . . . . . 22.00 SA265 Feline Serology 1 ....................... 36.50 SA270 Feline Serology 2 ....................... 55.25 S16581 Feline Vaccine Titer ............ See Sendout List SA275 Feline Maldigestion Prolile ..............81.25 SA280 Feline Autoinunune Profile .............. 54.00 lESS Any Prolileless CBC . . . . . . . . . . . . . . . . . . . . - 4.00 . Diagnostic Profiles SA290 Coagulation Profile 1 . . . . . . . . . . . . . . . . . . . . 55.25 SA30Q Coaguli;ltion P10::~: ~ . . . . . . . . . . . . . . . . . 51.15 SA310 Renal Profile ........................... 29.25 SA320 liverProfile ........................... 50.50 TJ40 Electrolyte Profile. . . . . . . . . . . . . . . . . . . . . . . 24.25 RECHECK RecheckProlilc ....................26.50 S16900 Comprehensive Ehrlichia Profile. ........ 120.75t SA6545Tick PCR Multiplex ..................... 65.00 t SA330 Tick Serology 1 ......................... 49.25 SA340 Fungal Serology ........................ 58.25 SA350 Fecal Pathogens Profile . . . . . . . . . . . . . . . . . . 70.75 . . Endocrinology Profiles SA360 Thyroid Profile 1 . . . . . . . . . . . . . . . . . . . . 28.25 SA370 Thyroid Profile 2 ....................... 37.75 SA380 Thyroid Profile 3 ....................... 55.00 SA390 Thyroid Profile 4 ....................... 48.75 SA400 Thyroid Profile 5 ....................... 63.25 SA4lD Thyroid Profile 6 .......................75.75 SA420 Thyroid Profile 7 ....................... 62.50 SA430 T3 Suppression Test. . . . . . . . . . . . . . . . . . .. . 55.25 SA44(} Hyperthyroid Monitoring Profile ......... 26.00 . Add-On Tests ADD01 Amylase.............................. 6.75 ADDD2 Amylase and lipase .................. 11.50 ADD03 CBC / Differential .................... 12.25 ADD04 Coccidioidmycosis, screen and titer ..... 21.75 ADD05 Ehrlichia canis ....................... 24.00 ADDD6 FeU'; Elisa . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 ADD07 FelV, Elisa and FIV, Elisa ..............18.75 ADD08 FCV (Feline Corona Virus) ... . . . . . . . . . . 20.00 ADDD9 FeV /FIV, Elisa ...... .. . .. . .. .. .. . .. . . 32.00 ADDlO FIP Specific Elisa .....................25.75 ADD15 FIV, Elisa ............................ 14.50 ADD20 PIA (Hemobartonella) .. . . . . . . . . . . . . . . . . 6.75 ADD30 Fibrinogen, Semi-quantitative .. . . . . . . . . . 8.00 ADD40 Fibrinogen, Quantitative. . . . . . . . . . . . . . . 13.50 ADD50 Free T4 (ED) """"'"'''''''''''''' 28.25 ADD60 Free T4 (RIA) ........................ 17.00 ADD70 HeartwormAntigen ...................6.75 ADD80 Heartworm Microfilaria (Knoll's) .... . . . 11.50 ADD90 Lipase................................ 6.75 ADD130 Protein Electrophoresis . . . . . . . . . . . . . . . . 35.75 ADDl4D Reticulocyte Count ....................8.50 ADD150 T3 AutoAntibody. . . . . . . . . . . . . . . . . . . . . 24.00 ADD160 T3, tolal ............................ .13.50 ADD170 T3 and T4, lotal ...................... 21.50 ADDl80 T4AutoAntibody..................... 24.00 ADD190 T4, tolal ............................. 12.50 ADD200 cTSH................................ 29.25 ADD2lD Urine Culture & MIC ................. 34.50 ADD220 Urinalysis............................ 9.50 ADD230 Urine Protein/Creatinine Ratio. . . . . . . . . 22.75 . LARGE ANIMAL TESTING . Equine Profiles LOlD Basic Equine Screen. . . . . . . . . . . . . . . . . . . . . 28.50 LO?O Equine Compre'hensivf' ph,C' . . . . . . .57.50 L030 Equlne Comprehensive. . . . . . . . . . . . . . . . . . 44.:>0 l040 Equine Screen/CBC Plus Fibrinogen. . . . . .41.25 L050 EquineScreen/CBC..................... 32.50 L060 Equine Training Profile. . . . . . . . . . . . . . . . . . 22.75 L070 Equine Inflammatory Profile ............. 27.25 l080 Ruminant Profile ....................... 46.25 lESS Any Profile, less CBC . . . . . . . . . . . . . . . . . . . . -4.00 t Indicates Send Out Testin:<;, price subiect to chan~e. . Ask your Sales Representative about Senior Care & Wel/ness Profiles . 1 Rev. 2004 !~;Il e'~ ,'I: ',<;; -~t~ t Indicates Send Out Testing, price subject to cJumge. _ ~ \^ ~ .. Ask your Sales Representative ab:ut Senior Care & We/lness profile~ev~200",&.ii'~, . Individual Tests 516110 Blue Tongue. . . . . . . . . . . . .. . . . . . . . . . . . Call Lab 516119 Botulism Assay ...................... Call Lab 516425 Bovine IgG .......................... Call Lab 516145 Caprine Encephalitis.. .. ... . .. . . . . . . . . Call Lab 516105 Equine Blood Typing. . . . . . . . . . . . . . . . . .Call Lab 516275 Equine Encephalitis. . . . . . . . . .. .' " .. . . Call Lab 57591 Equine Herpes .......................CallLab L090 Equine Immunoglobulin. . . . . . . . .. . ..' .. . 39.50 L110 Equine Infectiou, Anemia (Coggins, AGID) 17.2S L120 Equine Infectious Anemia (Coggins, 5TAT) 27.50 516285 Equine Viral Arteritis .......... See Sendout List 516300 Estrone 5ulfate ................ See Sendout List L130 Foal IgG .. . .. .. . .. . .. .. . .. . .. .. .. .. .. .. 31.00 516335 Follicle 5timulating Hormone. . . . . . . . . . Call Lab 516520 Leutinizing Hormone. . . . . . . . . . . . . . . . . Call Lab 516430 Llama IgG . . . . . . . . . . . . . . . . . . . . . . . . . .. Call Lab 516555 Neonatal Isoerythrolysis .............. Call Lab 516270 Potomac Horse Fever ...................59.25 L140 Progesterone........................... 40.75 516660 Pseudorabies ........................ Call Lab 516680 Q-Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Call Lab 516770 Tetanus Toxin Assay .................. Call Lab . AVIAN AND EXOTIC TESTING . Avian Profiles AE010 Comprehensive Avian Chemistry. . . . . . . . . 35.75 AE020 Comprehensive Avian Profile ............ 38.75 AE030 Comprehensive Avian Post-Purchase. . . . . 176.00 AE040 5tandard Avian Chemistry. . . . . . . . . . . . . . . 28.25 AE050 5tandard Avian Profile... .. .... ...... .. .31.25 AE060 Mini Avian Post-Purchase ............... 78.75 AE070 Diarrhea Profile ........................ 90.00 AE080 Feather Picker Profile .................. 163.50 AE090 Hepatic Profile ........................ 117.75 AE100 Mini Hepatic Profile ....................20.00 AE110 PU/PDProfile .........................73.50 AE120 MiniPU/PDProfile..................... 20.00 AE130 Regurgitation Profile. . . . . . . . . . . . . . . . . . . 132.25 AE140 Respiratory Profile .................... .116.25 LE55AE Any profiles less CBC .................. -3.00 . Reptilian Profiles AE150 Comprehensive Reptilian Chemistry ...... 32.75 AE160 Comprehensive Reptilian Profile .........35.75 AE170 5tandard Reptilian Chemistry. . . . . . . . . . . . 27.00 AE180 5tandard Reptilian Profile ...............30.00 . Mammalian Profiles AE190 Comprehensive Mammalian Chemistry_ . . . 38.25 AE200 Comprehensive Mammalian Profile. .. ... .41.25 AE210 5tandard Mammalian Chemistry ......... 29.50 AE220 5tandard Mammalian Profile. . . . . . . . . . . . .32.50 AE230 Geriatric/Weak Ferret Profile ............ 67.25 AE240 Rabbit Neurologic Profile . . . . . . . . . . . . . . . 102.00 AE250 Rabbit Respiratory Profile ...............98.75 516878 Rabbit 5erology Profile. . . . . . . . . . . . . . . . Call Lab . Individual Tests 517116 Adrenal Androgen Profile ...... See Sendout List 516025 Aleutian Mink Disease.. ..' ... .' ... ." Call Lab 516011 Aspergillus ............................ 32.50t AE260 Bile Acid .... ,,'9,. 516880 CAR-Bacillus...................... ..:'.22 AE270 CBC/Differenti~i . . . . . . . . . . . . . . . . . . . . . Call,La 516670 Chlamydia Antibody: : : : : : : : : : : s~; S;"do.1?-:. ' AE280 CWamydia Antigen (feces) . . . . . . . ,,"n. 516874 Chlamydia Antigen (FA) . . . . . . . . . . . .. ',.36. . 516788 CWamydia PCR ..............: S;; 'Se~do' 56.. 516322 Distemper Antibody. . . . . . . . . . . C~:l Lj 516877 Encephalitozoon. . . . . . . . . . . . . . . 'Se~'S~doutt" ' T80S Ova & Paraslte w/Centrifugation ....., Call/f}. T~l 0 Fecal Occult Blood. .................... iI~ T820 GlardlaAntigen ........................27.25 T470 Insulin - Glucose Pair ................... 45: AE290 Lead Level........................... ..42.7' 516789 Mycoplasma PCR . . . . . . . . . . . . . . . . . . " CallrAli 516552 Mycoplasma (Tortoise) . . .. . . . . . . . . . . .. Call tab 516600 Pasteurella.................... See SendouiLii 516085 PBFD (DNA Probe) ............ See Sendout Lis T400 Platelet Count. . . . . . . . . . . . . . . . . . . . . ... .. 14.50 516625 Polyoma Virus ................ See Sendout tis, AE300 Protein Electrophoresis . . . . . . . . . . . . . . . . . . 44.00: T425 Reticulocyte Count .....................12.7. 516820 Salmonella Titer/Typhoid............. Call La 516095 5exing. . . . . . . . . . . . . . . . . . . . . . . . See Sendout Lis FBX 5kin Biopsy ....... . . . .. . . . .. . . .. .. . .. . . 49.7 T495 T4.. . .. .. .. . .. . .. .. .. .. . .. .. .. .. .. .. .. 185 516875 Toxoplasmosis Titer (Rabbit) . . . . . . . . . . . Call La~ 516792 Toxoplasmosis Titer (Zoo Animals) See Sendout Lis 516876 Treponema Antibody ................. Call Lab T760 Urinalysis.. . . . . .. . . . .. . . . . . . . . .. . . . . . . 1350 516735 CrystallograpWc 5tone Analysis. . . . . . . . ..64.75 516012 Zinc Assay. . . . . . . . . . . . . . . . . .. . See Sendout Lis! . CYTOLOGY/PATHOLOGY/ MICROBIOLOGY . C:ytology CYTO Cytology (1 Site)....................... 44.75 BONE Bone Marrow ......................... 44.75 FLUA Fluid Analysis with Cytology ........... 47.75' C5F C5F Analysis with Cytology ............ 46.25 ," BUFFY BuffyCoat........................... .28.75 . Pathology FBX Full Written Biopsy..................... 49.75 Additional sites ....................... .14.00 DERM Dermatopathology plus Consultation. . . . . 92.00 'BONEBX Bone Biopsies ....................... 10.00 'DlGIT Digits, Limbs. . . . . .. . .. . . .. . . . . . . .. . .. . .. .. .. 21.75 'CBE Comprehensive Surgical Margin Evaluation .. 42.75 Immunohistochemical Stains Tumor Antigen . 56.50 lnununohistochernical Stains lnunune Skin Disease . 56.50 Histochemical Stains... .... ..' .. . ..... Call Lab "STAT STAT Charge. . . . . . . . . . . . . . . . . . . . . . . . . . 20.00 'PLUCK Pluck Necropsy ....................... 35.75 'NCPA NCPA. . . . . . . .. .....................21.75 *In addition to the FBX price . Microbiology MOIO Acid Fast 5taln ......................... 29.25 M020 Aerobic Culture and Sensitivity .......... 34.00 M030 Anaerobic Culture. . . . . . . . . . . . . . . . . . . . . . 39.50 M040 Aerobic Culture and Sensitivity & Anaerobic Culture ...................... 52.75 . MOoO Aerobic Culture and Sensitivity & Fungal Culture. . . . . . . . . . . . . . . . . . . . . . . . . 60.75 M060 Blood Culture.. .. ... .. .. . . ..... .. . .. . .. 39.50 S16001 Cat Scratch Fever Culture ............. Call Lab M070 Culture ID .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 28.50 M080 Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . 36.25 M090 Gram Stain ............................ 20.00 M100 Mycobacterium Culture .................42.75 M110 Mycoplasma Culture. . . . . . . . . . . . . . . . . .. .59.25 M120 Salmonella Culture ..................... 52.75 S16715 Salmonella Typing. . . . . . . . . . . . . . . . . . . . Call Lab M130 Urine Culture & MlC ................... 42.75 M140 Culture & MIC ......................... 42.75 M125/M160 Fecal Culture. . . . . . . . . . . . . . . . . . . . . . 42.75 S16840 Viral Isolation Culture ................ Call Lab . INDIVIDUAL TEST LISTING . ChemislI:y TOlO Albumin............................. .11.00 T020 Alkaline Phosphatase ...................11.00 T030 ALT (SGPT) ........................... 11.00 T040 Amylase............................. .11.00 T050 Amylase and Lipase. . . . . . . . . . . . . . . . . . . . 17.25 T060 AST (SGOTl ........................... 11.00 T070 Bilirubin, direct. . . . . . . . . . . . . . . . . . . . . . . . 11.00 T080 Bilirubin, indirect ...................... 11.00 T090 Bilirubin, total. .. .. . .. . .. .. .. .. .. . .. . .. 11.00 TlOO Blood Urea Nitrogen (BUN) .............11.00 T110 Calcium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 S18537 Calcium, ionized. . . . . . . . . . . . . . . . . . . . . . . 28.00 T115 Carbon Dioxide. . . . . . . . . . . . . . . . . . . . . . . . 11.00 S16155 Camitine ........................... Call Lab Tl20 Chloride. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 Tl25 Cholesterol........................... .11.00 Tl30 CPK . .. .. .. . .. .. .. . .. .. .. .. .. . .. .. .. .. 11.00 Tl35 Creatinine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 T140 Electrolyte Profile. . . . . . . . . . . . . . . . . . . . . . 24.25 T145 GGT. .. .. . .. .. . .. .. . .. . .. .. .. .. . .. . .. . 11.00 T150 Glucose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 T155 Iron ..................................17.25 Tl60 Lactic Dehydrogenase (LDH) . . . . . . . . . . . . 11.00 Tl65 Lipase. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 Tl70 Magnesium. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 T175 Osmolality. . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 Tl80 Phosphorus. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 T185 Potassium. . . . . . . . .. . . . . . . . . .. . . . . . . . . . 11.00 Tl90 Protein, Total. . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 T195 Sodium. ." ... ........ ..... ., .. .' . . .. . 11.00 T200 Sodium and Potassium .................17.25 516755 Taurine ..................... See Sendout List T205 Triglycerides.. .. .. .. .. .. .. .. .. .. .. .. .. 11.00 T210 Uric Acid .............................11.00 S16845 Vitamin A .......................... Call Lab S16850 Vitamin E . . . . . . . . . . . . . . . . . . . . See Sendout List . . . Special Chemistries T215 Alk Phos Isoenzyme .................... 31.25 T220 Bile Acid, pre and post .................. 35.00 T225 BileAcid,resling .......................22.25 T23C Canine Trypsin-like unmW1on:aco.vity(~LIJ .47.':;0 T235 Cholinesterase......................... 31.50 S16195 Cobalamine and Folate. . . . . . . . . . . . . . . . . . 52.75 T240 Electrophoresis Serum, Protein ........... 44.00 T245 Electrophoresis, Urine Protein. . . . . . . . . . . . 44.00 S16800 Feline Trypsin-like Immunoreactivity (TLD .' .54.25+ S16485 LDHIsoenzyme ....................... 33.00 T250 Sorbitol Dehydrogenase ................. 17.25 . Urine Chemistries T255 Amylase, urine ......................... 11.00 T260 Calcium, urine ......................... 11.00 T265 Chloride, urine ......................... 11.00 T270 Creatinine, urine. . . . . . . . . . . . . . . . . . . . . . . . 11.00 T275 Glucose, urine . . . . . . . . . . . . . . . . . . . . . . . . . . 11.00 T280 Magnesium, urine ...................... 11.00 T285 Phosphorus, urine ...................... 11.00 T290 Potassium, urine. . . . . . . . . . . . . . . . . . . . . . . . 11.00 T295 Protein, urine .......................... 11.50 T300 Sodium, urine.. . .. . . .. .. .. . .. .. .. .. .. .. 11.00 1305 Urea Nitrogen, urine. . . . . . . . . . . . . . . . . . . . 11.00 T310 Uric Acid, Creatinine Ratio ..............42.75 . Hematology & Coa~ulation T315 "Blood Typing, Canine (DEA 1.1 only) .....47.00 T320 Blood Typing, Feline. . . . . . . . . . . . . . . . . . . .49.75 T325 Buffy Coat Examination ................. 28.75 T330 CBC/Differential...................... .16.75 T335 CBC, Only .. .. .. .. . .. . .. .. .. .. . .. .. .. .. 12.25 T340 Cross Match ...........................38.25 T345 Cross Match, additional donor ........... 24.00 1350 D-Dimer............................... 27.00 T355 Differential only. .. .. .. .. . .. .. .. .. .. . .. . 12.00 T360 EosinophilCount....................... 16.50 516290 Erythropoietin Count ................ Call Lab T365 Fibrinogen, quantitative. .. . . . . . . . . . . . . . . 16.75 T370 Fibrinogen, semi-quantitative .............9.00 T375 Hematocrit. . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.25 T380 Hemobartonella. . . . . . . . . . . . . . . . . . . . . . . . 12.50 T385 Hemoglobin........................... 12.25 T390 Microfilaria, Knoll's. . . . . . . . . . . . . . . . . . . . . 16.50 T395 Partial Thromboplastin Time (PTT) ....... 16.00 1400 PlateletCount........................ ..14.50 1405 Protein, plasma. . . . . . . . . . . . . . . . . . . . . . . . . 10.25 T410 Prothrombin Tune (IT) .' . . . . . . . . . . . . . . . . 14.25 H15 PT /PTT ............................... 25.75 516675 Pyruvate Kinase . . . . . . . . . . . . . . . . . . . .' Call Lab H20 Red Blood Cell Count ................... 12.25 T425 Reticulocyte Count ..................... 12.75 517123 Von Willebrands Factor ................. 50.25 + T430 White Blood Cell Count.. .. ..... .. ... ...12.25 . Endocrioology T435 ACTH (Endogenous Level) .............. 63.75 T440 ACTH Response Test (pre and post) . . . . . . . 42.75 T445 Cortisol, resting ........................ 30.25 T450 Dexamethasone Suppression Test (3 ,amples) . . 55.25 AdditionaL samples . . . . . . . . . . . . . . . . . . . . . . . 12.50 516295 Estradiol .............................. 46.25 + T455 Free T3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.75 T460 Free T4, ED ............................ 36.00 T465 Free H, RIA ........................... 20.25 516345 Fruc\osamine .......................... 25.00 H70 Insulin-Glucose Comparison . . . . . . . . . . . . . 45.25 516595 Parathyroid Hormone/Ionized Calcium. . . 69.25 516596 Parathyroid HOlll\one Related Protein (Pm, rp) See Sendaut List T475 Progesterone. . . . . . . . . . . . . . . . . . . . . . . . . . . 40.75 T~8G T3... . . . . . . . . . . . . . . . . . . . . . 1~.lJ0 T485 T3 Autoantibody ....................... 27.00 T490 T3 5uppression Test. . . . . . . . . . . . . . . . . . . . . 55.25 T495 T4. . .... .. ." . . . . . . . . . . . . . . . . . . . . . . . . . 18.50 T500 T4Autoantibody....................... 27.00 T505 Thyroglobulin Autoantibody. . . . . . . . . . . . . 25.75 516760 Testosterone ........................... 42.75 T510 cT5H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. 32.25 t Indicates Send Out Testing, price subject to change. . Ask your Sales Representative about Senior Care & Wellness Profiles · 3 Rev. 2004 . Serology/Immunology 516005 Acetylcholine Receptor Antibody See Sendaut List TS15 Antinuclear Antibodies (ANA) .. . . . . . . . . 30.00 516060 Aspergillus Antibody .................. 2850 516070 Babesia canis ................ See Sendout List 516075 Babesia gibsoni .............. See Sendau! List 516001 Bartonella Culture. . . . . . . . . . . . . . . . . . . Call Lab 51315 Bartonella PCR . . . . . . . . . . . . . . . See Sendau! List 516890 Bartonella 5erology . . . . . . . . . . . . . . . . . . Call Lab T520 Bladder Tumor Antigen ................ 42.75 T52S Blastomyces. . . . . .' . . .. . . . . . . . . . . . . . . . 39.75 516131 Brucella, confirmation . . . . . . .. See Sendout List T530 Brucella canis screen . . . , . . . . . . . . . . . . . . . 24.75 516112 Calici Virus antibody .. . . . . . ., See Sendau! List 516135 Calici Virus antigen ................. Call Lab 516207 Calici Vrrus Culture ................. Call Lab 516009 Chlamydia antibody . . . . . . . . . . See Sendaut Lis! 516874 Chlamydia, direct FA ..................5650 T535 Coccidioides . . . . . . . . . . . . . . . . . . . . . . . . . . 3050 T540 Coombs ..............,...............28.25 T54S Corona VlruS ......................... 31.75 T550 Cryptococcus Antigen..,. .. .. .. . .... .. . 39.50 T555 Distemper, antibody ................... 31.75 516250 Distemper, antigen ....,............... 38.00 T560 Distemper Vaccine Titer ,............... 28.00 T565 Distemper IParvovirus Vaccine . . . . . . . . . . 31.00 T570 Ehrlichia canis ........................ 3750 T575 Ehrlichia PCR . . .. .. . . . . . . . . . . . . . . . . . . . 53.25t 516265 Ehrlichia platys titer ................ Call Lab 516872 Ehrlichia equi titer.. . . . . . . . . . . . . . . . . . . . 59.25 516270 Ehrlichia risticii .......................59.25 T580 FeLV, Elisa. . . . . . . . . . . . .. .. . .. . . . . . . . . . 12.75 T585 FeLY, IFA . . . . . . . . . . . . . . . . . . . . . . . . , . . . . 3050 T590 FeLV, PCR . . . . . . . . . . . . . . .. ... .. . . . . . . .38.00t T593 FCV Exposure Titer..... ... '" .. .' .....1150 T595 FCV (Feline Corona Virus) . . . . . . . . . . . . . . 28.50 T600 FIP PCR .' " .' ..... ...,. .. .' .. ..... .' .64.25t T605 PIP Specific Elisa ......,............... 37.25 T610 FIV.. .. .. .. .. .......... .. .. .. . .. .. .. . 19.00 516865 FIVWestern Blot...................... 6550 T615 Heartworm Antigen (canine) . . . . . . . . . . . . . 7.00 T620 Heartworm Antigen (feline) ............. 7.00 T625 Heartworm Antibody (feline) ........... 24.25 T630 Heartworm Combo (feline) ............. 27.75 T635 Heartworm Microfilaria , . . . . . . . . . . . . . . . 1650 516385 Herpes, antibody. . . . . . . . . . . . . . . . . . . . Call Lab 516400 Herpes, Conjuctival Smear .... See Sendaut Lis! T640 Histoplasma Antibody .,............... 39.75 516405 Histoplasma titer.................... Call Lab T645 IgA(canine).......................... 30.00 T650 IgG (canine) .......................... 30.00 T655 IgM (canine) .......................... 30.00 T660 19A, IgG, IgM (canine) ................. 53.75 T16510 Leptospirosis ......................... 44.25t T670 Lyme IgG ............................ 22.75 516836 Lyme Western Blot . . . . . . . . . . . . . . . . . . .' 72.75 ::.. ~,j35 Ma",ticatory Muscle Myositis (2M AB) See Sendout LIst I 516580 Panleukopenia IgG, IgM ............... 31.75 516053 Panleukopenia Vaccine TIter ............28.00 T690 Parvovirus Antibody. . . , . . . . . . . . . . . . . . . 31.75 T695 Parvovirus Antigen . . . . . . . . . . . . . . . . . . . . 30.00 T700 Parvovirus AB & AG . . . , . . . . . . . . . . . . . . . 38.25 58710 Parvovirus PCR . . . . . . . . . . . . . . . . . . . .. Call Lab T705 Parvovirus Vaccine Titer ................ 28.00 516685 Rabies Antibody. . . . . . . . . . . . . . See Sendaut List (export to New Zealand & Australia) 517108 Rabies....................... See Sendaut List (export to Hawaii and all other destinations) . T710 Rheumatoid Factor. . . . . . . . . . . . . . . . . . . . . 25.00 T7I5 Rocky Mountain Spotted Fever .......... 2650 57004 Rocky Mountain Spotted Fever, PCR See Sendaut Lis! 516770 Tetanns Antitoxin. . . . . . . . . . . . . . . . . . . . Call Lab T720 or T725 Toxoplasmosis, IgG, IgM . . . . . . . . . . . . . . . . 34.00 518708 Toxoplasmosis PCR . . . . . . . . . . . . . . . . . . Call Lab . Toxicology and Therapeutic Drugs 516055 Arsenic............................. Call Lab T730. BromIde ..............................4650 516200 Cocaine............................ Call Lab 516210 Copper ...................... See Sendau! List T735 Digoxin ....... . ..... .. .... .. . . .. . . ... . 32.50 516245 DiIantin......................,........ 48.25 516305 EthyleneGlycol........................ 89.25 516330 Fluoride . . . . . . . . . . . . . . . . . . . . . . . . . . . . Call Lab 516415 Ibuprofen...........,............... Call Lab T745 Lead Level. . . . . . . . . . . . . . . . . . . , . . . . . . . . 4450 516540 Metaldehyde........,............... Call Lab 516565 Non-Steroidal Anti-Jnflammatary Drug Screen See Sendout List 516610 Organophosphates...,............... Call Lab 516615 Phenabutazone...................... Call Lab T750 Phenobarbital......................... 29.75 T755 Phenobarbital, pre and post ............. 43.25 516040 Anticoagulant 5creen . . . . . . . . . . See Sendaut List 516730 Selenium .................... See Sendau! List 516745 Strychnine ................... See Sendaut List 516830 Vanadium.......................... Call Lab_ 516040 Warfarin..................... See Sendaut List" 516870 Zinc, serum .................. See Sendaut List . UrineIFecal Analy.islParasitology T760 Urinalysis Complete .................... 1350 T765 Urinalysis Clearance Ratio .. . . . . . . . . . . . . . 33.50 516735 Crystallographic Stone Analysis ......... 64.75t T770 Urine Cortisol:Creatinine Ratio. . . . . . . . . . . 37.50 T775 Urine Protein:Creatinine Ratio. . . . . . . . . . . . 27.75 T780 Urine Protein Quantitation . . . . . . . . . . . . . . . 2950 T785 Baermaun. . . . . . , . . . . . . . . . . . . . . . . . . . . . . 3950 T16007 Clostridium Perfringens Enterotoxin ...... 42.75 T790 Crytosporidium/Giardia.. . . . . . . . . . . . . . . 5750 T795 Ectoparasite Exam ...................... 2850 T800 Fecal Fat and Fiber. . . . . . . . . . . . . . . . . . . . . . 18.75 T805 Ova & Parasite w ICentrifugation ....... Call Lab T806 Ova & Parasite w/Centrifugation & Smear .. .29.25 T810 Fecal Occult Blood . . . . . . . . . . . . . . . . . . . . . . 21.25 T815 Fecal Trypsin. . .. . . . . . . . . . . . . . . . . . . . . . . . 18.25 T820 Giardia ................................27.25 T825 Parasite Identification. . . . . . . . . . . . . . . . . . .52.75t T830 Urine Microalbumin Assay (ERD) . . . . . . . . . 11.95 T83.: ~rir..c Ivficroalbum::n .'\.:;so'ty (ERD) (heilex) .. b.YS" * The above cost of $5.95 is for customers who opt to have the Urine Microalbumin Assay (ERD) automatically added as a part of all routine. Urines that are sent into the laboratory. Please ask your sales rep or customer seruice for details. Effective April 1, 2005. ..-=- t Indicates Send Out Testing, price subject to change. A'wlT.C~ DIAGNO.TIC' . Ask your Sales Representative about Senior Care & Wellness Profiles . 4 Rev. 2004 . . . TEST NUMBER "\'"':'-''' " ,<,.,-, , SA010 SA020 5..\025 SA030 SA040 SA050 SA060 SA070 SA120 RECHECK 5'\170 SA171 SA290 SA300 SA330 SA340 SA310 SA320 T140 1620 85351 85460 85818 8,<;504 85424 85425 .tt8 _ ....~~-........:. """... . ~~.....- DIAGNOSTICS QUICK REFERENCE GUIDE WESTERN REGION GENERAL PROFILES Effective February 1, 2005 TEST NAME / TEST CONTENTS SPECIMEN PRICE \">,'- ".-'- ,;-, c,. ,~,''';:'\'2f''';:? '".' Superchem,: :' __ ',_,' _",_',_ ,'-\." .,>. "':','::~,-,:' -'''-:. ':'" ,'\ _:: ': :,'_,: _.'_, " Albumin, Alk Phos, AL T, Amylase, AST, BUN, CPK, Creatinine, GGT, Globulin, Glucose, Lipase, Magnesium, Osmolality, Phosphorus, Potassium, Sodium, Total Bilirubin, Total PrQtein, Triglyceride . ,"'\-,-""-,' -.,. '.< "\', , """."'".' '. '., ,. ",,- "'"-'-'<<''' -".""" "- -, .,\,." '''''''''''-'.'_1''_'''''''' "~,-",,c,":O''''"''-''-'' -,'. ',_,'.""" Supercbem, CBC ' ''''-,;.'",-,''''':'',''\"''','',.'- '0,:1,','" ;'".:'")\" Vet Screen: " ' , Albumin, Alk Phos, AL T, BUN, Calcium, Chloride, Cholesterol, CPK, Creatinine, Globulin, Glucose, Phosphorus, Potassium, Sodium, Total Bilirubin, Total Protein Vet S~;~~n1CBC ' , "" , " '-",'- ":'" ':~J~"" '" !>.'''''"~'', ',,~ ",""~"" ,"~",\ ,- \' :,",~ '39,60' . . \ '>28:50."':': (S, L) (5) 32.50 21.75 . 2S,75 17.25 21.25 44.00 26.50 (S,L) " Pre Op Screen: A1~, Alk PIlos: AL T; BuN, Creatinine, Globu1in, Glucose, T ota! Protein (S) ,~r"',, ,y'" ;,' " Pre Op ScreenlCBC (S, L) ,,' "" '---' "."" '-"'" Mini Screen: ALT, BUN, Glucose, Total Protein (S) Mu;i Scr~enlCBC (S, L) T~t~1 Body F';"cti~~; 'Super~h~m; CBC,'T4 (5, L) " '''':''''''_''--'','''"" ,'- ,,'" ," _"':' -' .' "'::":-,-',',':' _' ," "',:"'" ,_ ':-" ,'''_::' ,~_" ,,' '~' ".' -'," .'",:,:,,0', _,': -_ "",_~,,,<- 'Y', ':',' '_', _' ,'" .-:" ,''''~'' " . .' Recheck Profile: 'Sup~rche~;CBC (pre~;'us sa~ple ~ust have been ' (S, L) submitted within the last 30 days) DIAGNOSTIC PROFILES , ,,- ,;",' '-"""''';,''''~',.' ,"', "'T" '," ' --,"'-"" -,'" ,_.""........, - '-,"'" Canine Autoimmune Profile: CBC, Coo~bs, RA, ANA, 'Pit Ct ,. ,,"--- ,-,' ,-', ...' --':'" '"'.,, ''''''':', ""'^"",' Autoimmune Profile 2: Coombs, ANA, Pit Ct Coagulation Profile 1:' CBC, Pit Ct, PT, PIT, Fib; ri~Dimer, PI~s~a Protein ", . . ,-', ",c',"" "", -.', ",-- , Coagulation Profile 2: Pit Ct, PT, PTT, Fib, D-Dimer, Plasma Protein Tick Serology: Ehrlichi~, Lyme, RMSF Fungal Se~logyt '~'p~rgill~s, Blasto~yce~'~:'-C~~cidi~id~~;:'Hi~t~iJl~'~~a c' '''', ' ,'c', ,-:\:".'; ",:.-,::,':',':' :"","'":,,,:''-;'-_''' .',,_..,, ,',,: Renal Profile: Albumin, BUN, Calcium, Creatinine, Globulin, Phosphorus, Potassium, Sodium, Total Protein, CBC, Urinalysis '. ,,, ".r . :_"!,' ,'" ": :,--, :-'",','''c,'''''_'" .~l\,' ,", ." -- :::";,~' ":,"-- :-, ',' -,,' '''d':, ' , ,<-' ,'_, ... Liver Profile: Albumin, 'Alk Phos, AL T, AST, BUN, GGT, Globulin, Glucose, Total Bilirubin, Total Protein, CBC, Pre AND Post Bile Acids Electrolyte Profil~: S~di;"", Potassi~;'chioride, C02 (S,L) 58,00 (5, L) 48.25 (B,L) 55,25 (B,L) 51.25 (S) 49,25 , (5) 58.25 (S,L,U) 29.25 ""'..,'. (2S,L) 50.50 (5) 24,25 (S,L,U) 53.75 (S,L,U) 65.00 (S,L,U) 57,00 (S,L,U) 72,00 (S.L,U) 67.50 (S,L) 16.79 (S,L) 20.99 (S, L) 55.50 (S,L) 48.50 (S,L) 18.50 (5, L) 45.25 Rev. 12104 "')': WELLNESS/SENIOR PROFILES Senior Profile 1: Superchem,CBC,T4,UA Senior Profile 2: Superchem,CBC,T4~UA, FT4ED Senior Canine Profile w/HW: Superchem,CBC,T4,UA,HW Senior Comp wlHW,UA: Superchem,CBC,T4,UA, FT4ED,HW Feline Senior Profile: Superchem,CBC,T4,UA,Fel HW Canine Wellness Profile: Chem,CBC,HW Feline Wellness Profile: Chem,CBC,Fel, HW CANINE PROFILES SA090 Senior Comprehensive: Supercnem, CBC, T4, FT4 (ED) SAI00 (01) Canine Comprehensive: Superchem, CBC, T4, FT4 (RlA), T3 SA130 Canine Heartworm Program Plus: Mini Screen, CBe, HW AG SA500 Superchem I CBC I Lyme .Indicates Send Out Testing, For a complete list of all tests, please refer to the Antech Services Directory. price subject to change. _ 1 _ ---.---........., .,.... . .s; ...,."..".... OrAGNOSTICS - TEST NUMBER SA190 SA200 (Cl) $1\210 SA460 SA260 , SA265 T495 T480 T460 T465 T5l0 ~-\" " ADD02 <,," ADD03 ADD06 4;."",_ ,"\"';.': ADDIS ':':"',,,.>.,-, ADD70 ",~.- x CYTO BONE FLUA T',>;"---"-'" CSF BUFFY TEST NAME I TEST CONTENTS F~line Total Health Che~k: Superchem, CBC, T4, FeL V, FIV, FCV, Toxoplasmosis IgG, IgM Feline' Comprehensive Plus: Supen.:hem, eBe, T4, Ff4 (RIA), T3, PeL'/, TIV, l'':V Feline' Comprehensive: Superchem, CBC, FeL V, FIV, FCV, Toxoplasmosis IgG, IgM Superchem ! CBC ! FeL V ! FIV ! FCV , ," \ ~ Feline Retroviral: FeL V, FIV FELINE PROFILES SPECIMEN . COST (S, L) 62.75 (S, L) 62.00 ','"'," 61:50" (S,L) . "\,'1, '," (S, L) 56.75 (S) '22.00 """-">,," (S) 36.50 " , c"'-' '''\'.'';'' ..i,'" Feline Serology 1: FeL V, FIV, FCV ''''''''-Y,'''"",-\""",-,- T4 (S) (S) (S) (S) (5) 18.50 18.00 36.00 20.25 32.25 T3 FT4(ED) FT4(RlA) ,\.)'\ cTSH Amylase & Lipa,'e CBC, differential ,C"" ""_,, " FeLV, Elisa . FIV, Elisa ).,,-. Heartworm, AG THYROID PROFILES SA360 Thyroid Profile 1: T3 and T4 (S) (S) 28.25 37.75 55.00 SA370 Thyroid Profile 2: T4, FT4 (ED) SA380 Thyroid Profile 3: T4, FT4(Eo), ~TSH "C' (in' SA390 ~....\"",<' .t. .' (S) 48.75 63.25 '38.60 . Thyroid Profile 4: cTSH, FT4 (ED) " I ';'S;'" """,""":. """":',^", SA400 Thyroid Profile 5: . , T4,FT4(ED),cTSj:' Thyr~gl~~,;,Ji;).~\.w."'",,, "w,,'. 'SA4Iil' ThyroidProfile.: T4,TSH'" ...... ,,,. '''. '(S)'" ADD-ON TESTS (S) 11.50 '>'. -;c.' "ADD140 t-!'R~&tl62Yf&;"C'6~~(\0;1~}~f~\\r\;~:"'(Lr;;:"~'; "'{\T~"'~S'\"'\8~56:' (L) (S) (S) ADD160 ",,>~:,.' "i3; 12.25 8.00 >')\00190" "~:";'~T4:~'TgfM\~'~:,~~\<'P"!\1.f,0:,<;";"'~~~~'S:;.K'':'"~~:':~lsY -,^,~,::' ,\,".'"': f',y 1'2.5.'0'" "'-i'4:sB\' ('Y",;~r>:,~>'rADD'2'OtJ:"':\".--r:~tsH~:~~;\fj~f;r>~\~~:~4~~0:'!!J'w\:"\S)~;"?rMr~\~" ","~"":" :"~' ";,~ '\-1: 29.25 (S) ";; ':-;- <-> -':t' .' ~\ '''''<';.:.0::'\\,:,::\ "'_, 6.75 ADD220 CYTOLOGY / PATHOLOGY / MICROBIOLOGY ',"\"0'" "i"" ":,'" Cytology Additional Sites Bone Marrow , Fluid Analysis with Cytology CSF Analysis ~th Cytology BuffY Coat Examination Full Written Biopsy ,.~i' " "',,' '/")\':'\"''1'/''''\'' , ''''I' "'':,'" ~"" '-Y'?''''n":r''^i~-,,r"',:;'O> ,,' "', ",..,~, ,,,_~i~.~~,~~enBiop~~ 'eo','" 'Additional Sites (Tissue) '-"'._':'~'DERM ",--" ," "b~~~~t~p;t'h~logy pi~s 'c~'~~tiit'~ti~~,., "." "',: - ',' .~\-' ,::,"'}',"'~":c7'.:' -"" '" , .,,, ,.--(,,-(\,,:-!~,:,-: "",,,,, ,",' " ., "-",,,:~.~, Yri~~~~)"'-l"'" ** Additional charges apply on other services related to Pathology, please see the Services Directory for details. .Il1dicates Send Out Testing, price subject to change. Rcv.12/0~ '''< '" '\~"'\ ' FBX "!'"' ,'~',y, ". MBX \""., ",'~ ,,;-:.. ", ''',''''.-' ",' 23.00 (St 0; iT) , 44.75 : . ,'" ;-,'h"'-'" ''-{,"'~-""," "'''>''-' "(Fi~i;n;.; RTir-h "'4l25 ' ">7.' -"'''"''''''''('LTi'' 'i""-J'."C'" :'^"'~"28.75 ~"':~-(' , ~ ~ '.--:""',',~"':'-':""': '~'" ' -q' ",,,,v,~~. :'''"f.\'-' '-">~-':..- ',"" '," ",\"'''':''~'',''',':''\ . ',"c'" ' ('i:i~s;'~)' " 49:75' ";:'~~(ii~~~;r~~":" -'-, '~';44~7?~:Y~'" . 14.00 "'92.01)"'" For a complete list of all tests, please refer to the Antech Services Directory. -2 - ___.__~1aA.:. "... . ,.;;;;...,,,..-- DIAGNOSTICS . e . " ,. ,~~,ru~ "g1,:l~g&,~f1_\.JUS ....", "",., ,,-- '''-'0 '.'fY',""'",:,; !H"'~":-\''': . ACTti Res!,,?ns, (2 sal!lple~)..:. -', ".' , i,: .,:_,!}_~:qW.8.~~-~:..,Rf,~~l~.~. '}':':' ' .,.,",. '''-'.:'-.<'"' " T445 .' Cortisol, R,e~ting . . ". T450 Dexametha~i:m~ ,. ',' -,"":." "^\ _'1":: ~':":''''~:1,:, '\':,~i',,"\ ,. .,,". ",-," \ .",.,.- .... ,516295 ..Estr~diol.. ., .,. "', ..".. S16~4:? \"'.\0. :''l'';','''~_~~T,.~9~,~,~!;l,~-,,,,,, .,\" :':'<-":i""\'::~~'""~"Y'''\':''' t'::",.")",,,,,,:,,, '''~',-:Y; T470 .' Insulin-Gh.icose' "Indicates Send Out Testing, price subject to clumge. For a complete list of all tests, please refer to the Ant\>ch Services Directory. .3. TEST NUMBER M020 M030 M040 M060 M070 M080 M090 M125 M130 T215 T030 T050 T220 T225 'T100 T110 T150 T230 516800 T240 T330 T331 T350 .. ",,'^"O\.. 1370 T390 1400 '," T410 T395 T415 T425 , 517123 1'435 "0;,'- ~'h',. 1440 CYTOLOGY / PATHOLOGY / MICROBIOLOGY (cant'd.) TEST NAME / TEST CONTENTS SPECIMEN COST MICROBIOLOGY: Aerobic C&S An~~robic' criiiU'~~ Aerobic C&5 / Anaerobic Cult Blood Culture Culture 10 Fungal Cul~~ , G;'~~' Stain . ' Fecal Culture . U,fue CultUre &: MlC . (C) 34,00 'eci"'" . ''''''39:50 ' (C) . 52:75 ""T"(liclij ,"" 3950 (C) 2850 (C) 36.25 it o~ Ak Prieds~ear) 20.00 " . .' (Fj . 42,75 'eu &c) . 42,75 , ~".,,,. ",,'. ",'-" ,,"","il -""," ,-,,\,. ,,"'.''-- (..,,, ;-"'~";',":' 'J;,:'-,".' ' "l",- w"y"~' "''''>''c-'W':''',~,\'' "; ,-,.,', CHEMISTRY / SPECIAL CHEMISTRY All.: Phos Isoenzyme . ALT (5GPT) ~ylase / Lipase Bile Acid, Pre & Po~t . ,"..y."","~',,""': "C:,'~ Bile Add, Resting BUN .. Calcium Ghicose (5) '(5) . (5) "'(25)" (5)' ' (5) (5) "(5) (5) (5) .. (5) 31.25 't.> 'ltX5Q"'" 17.25' ".... '35.00" ", 22.25 11.00 . '11.00 1 too ..... '4750 54.25* 44,00 ':,,^"\<,,-,. "-"i"",,,,-,:,,,,"">' ',:"\- """, ''':,\'\j'.' ',"': \'" cTLI (canine) ill! (feline) Protein Electrophoresis ',"\',- _',;,^,,;"" "\'." ..,-:',"'<" ,,"','<'''''''' HEMATOLOGY & COAGULATION CBC I Differ~ntiai' ..,~:, ," ( ',,-,,>>., ;": ''':- ',,' ..'- ',-,,- ,,- :',,:":,''-' ,~' " CBC w j Path Review D~~~; " _"\"! ':~',"'" '0 , '.\"" (iT . 16,75 "-'''.'V "t';.:-" ;,:,W, ;-:":T:'''' '-"",I' ~?i'1 ~;!':/ ~,,,,,)\:;, ,.~'~:, ..",~':: \ ....~" ,,-"\if"~~" \'-,,',' P' . ,'- _ ", " '1%I:,0',";1'!" :~'~~:~i"''!h"'(~H!\''':,i?::''!f.l~(i'':<:i.i~ ~,.-,~.,:.,,.,-,;,.,,,,,,,,~,:-, '": p,>,;,,:;,-:~ ': "~". ,,' . "" ':.:-' }b~~,~'~~'~~~',~" ,:".., , '.',' _:':',,^:"':':,::.:~,'" Microfilan.:i, Kriotts ' ,"",\"",:,"~"-,:JfW':'~-'~1:"~:''-:- "'" ",-,-;,--,\:'.,:'" ",',-,""'-'-" ""~""",,,; ", ""-::Pi~t~l;tc~~~t ",,, ".','''',~, -/"'~::,:":,,,,~..,,:-'t':,"~''f!i'.r'__:''>:'l':'':'',\''!F'?~~''';~",-", '~;'~:~\-~"k'~,'i1:~'; ,",' ,";:\ -'l:''1'~''>~'',J'''' , '''C.,_'&'\'' "'~'\"":":"~':""~(rri~;'li') ''':!:Y':'{'-;:(~'' -,' """" -"'~' '" \' o',v""" "\-"''>'' ,', ., ,--, "',,'~''', ' """,.'-,,'" "'"1'~i:25''' ." ....1~:OO 25.75 ..' 12.75 '. .. 50.25' "-,:'""',y"' "_~,,:1' ::",' ",' 1:,"'~"__" "",,'I" ,"f',",. (B) (ill "'.", "'(B) ",.N,'_'.."!,, " (L) (Fullfi)' PT "'.~, ' .., PIT PT i PIT , R~:tiCUloc'yte count Vo~ Willebrands ,~,':'''C '" <<..;'''-,< ,,:,',"-";'."; \'e1,"',":' """:,'''''-'''-'''1,,, \":;'7""""''-;'/ :'~'~':,{'f.,;,~';' "'-l!I '\^,,'I",<'-, """''':'''-'~'.''''-" . "'<ii""-- ;r"','\<~"," -'-"" '",""" ','.J" ",:",W:':;">;:~ ,".t'~:~' ,'-" '." ~',' Wi_':::' \''',''':' ENDOCRINOLOGY ""'\""F"-" (AP) 6~.7:i '--""""~", '\''',1',&""";,,, )~, '_'1":" ;,,!:,,~f~' ",!,' ,"', "~'" (25) 42.75 ,---" ", .", "-"~, ",,, . .. .. (S).. , .. " .}2.50...... . (5)', ,,' 30.25 (35) . 55.25 ",\ l' "..:'"/ __:'W::' '''C;\'t~'',".',:':)f",~:.';tsr''''':~'':'':5 "~,\t:\~:c:46,' "':~5";^"">-" -- ,',' '^ -, ~ ,'~<,/" ):r/:,"'e.t ~''. ~," ;i",:,:,"-'>,f',,~,!';,:':. ",' ',":",:..,'~.".:.(~,),::.,:.:, ..2.,,?~q9 'v' ",' '-',,"1' ':,'\ :' \0\'f!f":-' -"". ":""f ',..... ',.': \N~;':;-r:\':'\'~\:': .. .'C,'~"'" , (5\ 45.25 '''-~'- ~,)"" "';"'", ''',,',,'",''", "Ot'_\'l.""~:"" '","li " ..:"~ w~-'''''-''''' , '''\'_,"",~'''C' .\.;" . Rev. 11104 . ..-._._--~ .1"'. . ..............- DIAG"NOSTICS TEST NUMBER ENDOCRINOLOGY (cont'd.) TEST NAME I TEST CONTENTS SPECIMEN COST . SEROLOGY I IMMUNOLOGY T535 Coccidio;d~s "..,..',....-......'.....,.-.. 516865 T620 T625 . T630 T16510 T670 . 516836 T695 . T705 . T720 T760 . Sllm5' T770 T775 T790 T805 T806 T820 (5t) 30.50 (5) 37.25 FIV Western Blot Canine HW AG, Feline '. 'Hw AB, Feline HWAG / AB:Feline Leptospirosis' LymelgG Lyme Western Blot Patvbvh-tts"l-\i Parvovirus Vaccine Titer Toxoplasmosis IgG / IgM (5) (5) (5) (5) (5) (5) URINALYSIS I FECAL ANALYSIS I PARASITE "lJ~~aly'sis . Urine Calculi Analysis Urine Cortisol/ Creatinine Ratio Urine'Protein /Creatitifue Ratio Cryptosporidium / Giardia Ova & Parasite w /Centrifugation Ova'& Parasite w/Centrifugation'& Smear Giardia 65.50 7.00 7.00 24.25 27.75 44.25* e 72.75 30.00 28.00 34.00 (U) 13.50 (Stone) 64.75* (U) 37.50 (U) 27.75 (F) 57.50 (F) 24.75 (F) 29.25 (n 27.25 (5) 46.50 (5) 32.50 . (G) 44.50 (5) 29.75 Rev. 12/04 TOXICOLOGY & THERAPEUTIC DRUGS T730 Bromide T735 Digoxin T745 Lead Level T750 Phenobarbital .Indicates Send Out Testing, price su.bject to change. For a complete list of all tests, please refer to the Antech Services Directory. -4- .' . ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOIYYYY) 03/30/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Commercial Lines ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ABD Insurance & Financial Services HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21250 Hawthorne Blvd., Suile 600 Torrance, CA 90503-4110 INSURERS AFFORDING COVERAGE NAIC# INSURED IV ;:(.CV7C'T INSURER A Discover PropertY & CasuallY Companv 36463 VCA Anlech, Inc. __" eelf- ::P INSURER B: 12401 W. Olympic Blvd INSURER c: Los Angeles, CA 90064 INSURER 0: INSURER E" Cllenl#' 17566 VETERCTRS COVERAGES 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. I.'" ~~~~ Pp.L!SY EfFECTIVE POLlCY!';;XPIRATlON LTR TYPE Of' INSURANCE POLICY NUMBER LIMITS A ~NERAL LIABILITY D003QOO058 04101/05 04101/06 EACH OCCURRENCE .1 000 000 x. nMERCIAl GENERAL LIABILITY DAMAGE TO RENTED .1 000 000 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) . - PERSONAL & ADV INJURY .1 000 000 - GENERAL AGGREGATE .10000000 ~'L AGG~nE LIMIT APnS PER" PRODUCTS - COMP/OP AGG .2 000 000 X POLICY ~~..;: LOC SIR 150 000 ~TOMOBILE LIABILITY COMBINEO SINGLE. LIMIT . - A.NY A.UTO (Eaaccident) - All OWNED AUTOS BOOIl Y INJURY . ~ SCHEDULED AUTOS (Per person) ~ HIRED AUTOS BODll Y INJURY (Peraccidenl) . ~ NON-OWNED AUTOS I-- PROPERTY DAMAGE . (Pefaccident) RRAGE UABIUTY PROVED fl S TO fa," ... AUTO ONLY - EA ACCIDENT . ANY AUTO I OTHER THAN EA ACC . !j 1: ., AUTO ONLY: AGG $ OESSIUMBRELLA LIABILITY - y'\7~ <~ u. EACH OCCURRENCE . OCCUR 0 CLAIMS MA.OE UhliCl Sti t Sh~tcty AGGREGATE . t\S::>ISti.llU C' ty AlL\:';l;':;\ . R DEGUCTIBLE . RETENrlON . . WORKERS COMPENSATION AND I we STATU: I IOIbl- EMPLOYERS' LIABILITY' ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ ~~Etl~~S~~bci'~~~~~s Blow E_L. DISEASE - POUCY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICL.ES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS Re: Antech Diagnostics, 17672 - A Cowan Avenue, Suite 200, Irvine, CA 92714. Certificate Holder is named as Additional Insured as respects General Liabilily, per Ihe CG20261185 endorsemenlattached. CERTIFICATE HOLDER CANCELLATION City of Sanla Ana, Attorney's Office (Mail Slalion 29) 20 Civic Center Plaza Sanla Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL E~IL ---30.-.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~__UbJQlQX _~JIJUIIOlJD(J( ACORD 25 (2001/08) 1 of 2 #M664778 --t.- VETERCTRS JWA @ ACORD CORPORATION 1988 ..., IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGA liON IS WAIVED, sUbject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001/08) 2 of 2 #M664718 . POLICY NUMBER: D003Q00058 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana, Attorney's Office (Mail Station 29) 20 Civic Center Plaza Santa Ana, CA 92701 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your operations or premises owned by or rented to you. Re: Antech Diagnostics, 17672 - A Cowan Avenue, Suite 200, Irvine, CA 92714. Certificate Holder is named as Additional Insured as respects General Liability, per the CG20261185 endorsement attached. "c)v",,) AS TO FORM ---:Z22?::.? .2 / C ',:ltlJ~. .'}[;It Sheedy :'>I:>l<.\ ',I C'.\ y~1tornc) CG 20 26 11 85 . ACORDm CERTIFICATE OF LIABILITY INSURANCE J DATE (MMJDDNYYY) 03/28/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Commercial Lines ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ABD Insurance & Financial Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21250 Hawthorne Blvd., Suite 600 Torrance, CA 90503-4110 INSURERS AFFORDING COVERAGE NAIC# INSURED A--~ro5 -17 0 INSURER A: Discover Property & Casualty Company VCA Antech, Inc. INSURER B 12401 W. Olympic Blvd tJ - d-.tP5 ' 655 INSURER c: Los Angeles, CA 90064 INSURER 0: 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. IrT:SRR N~~' TYPE OF INSURANCE POLICY NUMBER PD~l:}~1:~i~8~~r A ~N.RAL LIABILITY D003Q00071 04/01/06 ,x COMMERCIA.L GENERAL LIABILITY I CLAIMS MADE ~ OCCUR Clienl#' 17566 VETERCTRS COVERAGES Pg~fl/f.t~~~,gN 04101/07 EACH OCCURRENCE I g~~~~~~9F~~~_~'~r?"n""\ MED EXP (Anyone person) I-- I-- ~'L AGGRE~E LIMIT AP~S PER I XlpOUCYI 1,j~T liLaC ~TOMOBILE LIABILITY f-- ANY AUTO I----- ALL OWNED AUTOS I----- SCHEDULED AUTOS f-- HIRED AUTOS _ NON-OWNED AUTOS - PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OP AGG SIR COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY {Per accident) PROPERTY DAMAGE (Per accident) ~AGE LIABILITY I ANY AUTO AUTO ONLY - EAACCIDENT OTHER THAN AUTO ONLY: $ EA ACC $ $ $ $ $ $ $ ~ESS/UMBRELLA LIABILITY ------' OCCUR D CLAIMS MADE I DEDUCTIBLE I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER EACH OCCURRENCE AGGREGATE I T~fvS,T~~~~ I IOJ~ EL EACH ACCIDENT $ E.L DISEASE - EA EMPLOYE $ EL DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS { LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Antech Diagnostics, 17672 - A Cowan Avenue, Suite 200, Irvine, CA 92714. Certificate Holder is named as Additional Insured as respects General Liability, per the CG20261185 endorsement attached. LIMITS $1 000 000 $1 000 000 $ $1 000 000 $10000 000 $2 000 000 $150000 $ $ $ $ AGG ~ry (b- CERTIFICATE HOLDER CANCELLATION r Non_ !of City of Santa Ana, Attorney's Office (Mail Station 29) 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 ENJI~IL ---3Q..... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BlJIDJt)(~ ""'- -~ 5~T~~ ACORD 25 (2001/08) 1 of 2 #M803388 VETERCTRS ~xxx S9C @ ACORD CORPORATION 1988 L 12., IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ~ /. j/jj) ?C3- ACORD 25-5 (2001/08) 2 of2 #M803388 . POLICY NUMBER: D003Q00071 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana, Attorney's Office (Mail Station 29) 20 Civic Center Plaza Santa Ana, CA 92701 (If no entry appears above, information required to compiete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but oniy with respect to liability arising out of your operations or premises owned by or rented to you. Re: Antech Diagnostics, 17672 - A Cowan Avenue, Suite 200, Irvine, CA 92714. Certificate Holder is named as Additional Insured as respects General Liability, per the CG20261185 endorsement attached. ~') ; )/.2 ' ..- --..-..- CG 20 26 11 85