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08/32/2006 10:01 194930566 COLONIAL PRA • PAGE 01/02 <br />e <br />~~5•'~J~, CERTIFICATE QF LIABILITY II'il$URANCE o$io° iioo <br />raaouCCR (949)305-6161 FAX (949) 305-6166 THIS CERTIFlCATE IS ISSUED A3 A MATTER OF INFORMATiaN <br />Colonial Western Insurance Agency ONLY AND CONFERS No RIGHTS UPON 7'HE CERTiFlC:A1'~ <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Z669I Pl az2l drive, Suite z20 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1Nission Viejo, CA 92691 <br />INSURERS AFFORDING COVERAGE NAIL ~ <br />INSYRE9 Correctional Flanag ~ re Med ca Corporation ~NSURERAo Lexington Insurance Company <br />4211 E. La Palma Ave. INSURERS: St. Pau ravelers Ins. Co. <br />Anaheim, CA 92807 ~' ~~ _ ~ ENSURER c Everest Insurance Company <br />- ~rV ~ ~ INSURER 0~ <br />IN9URER E' <br />THE POLICES OF INSURANCE LISTED BELUw tiavr ~sEEN ISSUED TO ~T-le IIVSURCD NAMHD ABOVE FoIZ 7H8 POLICY PCRIOO INDICATED. NOTVVITUSTANb~NG <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VYI7r( RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />ANY REOUIREAAENT <br />, <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE ?C+lIG1E5 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND cQNO1TION3 OF SUCH <br />POUCtES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA10 CLAIMS. <br />TNBR TYPE OF INSURANCE ...POLICY NUTABER P ICY EFFELTAfE POLICY ExPIRATION IJMRS <br /> GEe(ERALLIABILrTY 014761 os/oi/zoos 08/01/2007 EACH OCCURRENCE : 1,000,oa <br /> X CDMIAERCIAL GENERAL LU481LTTY DAMAGE TO RENTED <br />~ .rnnrn) S SQ (~ <br /> 1( CLAIMS MADE ~ OCCUR MED EXP (Arey one parson) S <br />A PER84NAL A AOV INJURY 5 ~, ~I) , <br /> GENERAL AGGREGATE 5 2 , nnn o0 <br /> OEN~L AGGREGATEUTATT APPUE3 PER: PRODUCTS. CoMProP A03 t 1 000 00 <br /> <br /> POLICY J~ LOC <br /> AUTONIOBILELUIBILIiY 6809447H706 O2/O4~ZOO6 O2/O4/2007 COMBINFASINGLELDAIT $ <br /> ANY AUTO (Ee &CCW9n1} 1 ~ ~~ ~ <br /> ALIOWNED AUTOS BODILY MJURY <br />3 <br /> SCHEDULED AUTOS IMee parpn) <br />B ~ ~~ <br /> X HIRED AUTOS BODILY IN.IURY ~ <br /> X *lok-UxNEq e~~ (P~x,rsldenty <br /> PRAPERTY DAMAGE S <br /> (Pee ecoMelK) <br /> GARAGHLIABILITY AVi00e+t.Y-CAACCIDEIJT >f <br /> ANY AIl7"O OTHER THAC! EA ACC 6 <br /> AUTO ONLY: AGG S <br /> F~(CE881UMBRELLA LIA&1lTY ~ ~ <br />' EACH OCCURRENCE 5 <br /> OCCUR ~ CWMSMADE ~ Afl(3REQATQ ~. S <br /> $ <br /> DEDUCTIBLE ~ $ <br /> RET eRJTK)N $ _ <br /> WUNM1tNC1 {:VMYENSRipN AMD 6120010455061 07/Ol/z006 07/01/2887 X ~gL.TA~" o~ <br /> EMPLOYERS' LUUlILJTY <br />ROPRIETORIPARTNERlD(ECUTTVE <br />E.l, EACN ACGDCNT <br />S 1000,00 <br />C ANY P <br />OFFICF.FLMEMBEREXCLUDE07 Q.L. DISEASE, EAcMPLOYE S 1,000,00 <br /> e yoo, da,a16...~do. <br />SPECUW. PROVISIONS 6alOw <br />E.L D19FASE • wlls;r uMl I <br />3 1 0(10 0 <br /> Tx <br />bili <br />~ <br />i <br />i 0314761 08/01/2006 08/01/2007 Prof Liability: Slmil/S3nlil <br /> a <br />ty <br />ro <br />ess <br />onal L <br />A <br />anwgod [are Eb0 Liab. 0314761 08/41/2006 08/01/2007 Managed Care EglO: ~iTrril/$3mi1 <br />DEBCRIPTIONOF AT10NS LOCATIO VEJIN'LE81 SIONSAOOEDf3YENDOR EYENTlSpEC1ALPROY1810N8 <br />°t~ <br />~ <br />~ i <br />~ <br />1o Days no <br />ce o <br />t at~on non-payment o <br />prennum. <br />cance <br />ert5fieate bolder ll5 an Adgitional Insured for general liability and professional liability per <br />ndorsement M14 attached. <br />f`CbT101B 6TC LAI RCO reurol a w-nnu <br /> SNOULD ANY OF THE ABOY6 CEfJCRIBED POLICIES BE CANCELLED 6F:F~RE THE <br /> <br />~7 ty of Santa Ana EXPIRATKaN OATS TTtERQOF, THE ISSUING INSURER WILL F.NDEAYOR TO MAIL <br />~ <br /> <br />Santa Ana City Jail 3O DAYS WRITTEN NOTICE TO TILE CERTIFICATE MOLDER NAMEDTO7NQ LEFT, <br />~- <br />Attent i on - Chris Laugenaur , Contracts uT FAILURE TO MAIL f3UCN NOTICE SNAIL 9APOSE NO OBLIGATION OR LIABILITY <br />62 CT Vl C Center PT aZa NY KIND UPON THE INSURER, lib A3QNT8 OR RePRESENTATIYES, <br />Santa Ana. CA 92702 A REPRES ATIVE <br /> E <br />ACORO 25 (20A1/OS) ]~ C ~ l 9 ~ ["'~ ~ } (~ ,~ / ®ACORD CORI~RATION 1988 <br />