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08/42/2006 10:01 19493056166 COLaNIAL PRA PAGE 02/02 <br />~~-err P.OlOfQ12 F-~Zb <br />OT-2t-209S 12:14 FR01lrlEU,AC A ~SSOCtiATES <br />ENDQ~RB~II~hIT N0,14 <br />This enaarserner>t, effective 72~A1 AAfI: Auptast 1, 20iD6 <br />I^OlRL4 a part Qt pnNcy r~n.t tX~~476'f <br />1osued to: CCi~tRECT'[ONAL MAt~tA-GED CART; MEUICAl. CORP. <br />By: LE~INGTUN tNSLlRANC>: CfJMPANY <br />~-aamo~a~ inZsuJ~n E:1vnoR~~n~nrr <br />TFFe Po)EDy3s arnPhded Ss follows: <br />Soctlon H. WHO IS AN 1NfiIJFtED of the HEAI.7NCAl~I: PROI=ESSfONA~ LiABlI,iTY CaVEftAGE pART <br />ie amended by addng the frallawing: <br />$APtTA ANA C!'i'Y JA1L <br />62 CIVIC CLNT~R PLA7_A <br />SANTA ANA, CA B2i02 <br />COUNTY CF MAQERA <br />i 419 RQA13 28 <br />MA[?ERA, CA 93fi~fi <br />' Coverage pravlded under this policy is J;mitezl to MedJcei lhaidettits) vvltr~a prpvidin~ <br />professiptSeJ services rat the rnedlcai cttnio ar whfia in Transpatt ordy, Thlo paliay dose not <br />provl~ls couerega ttr'fslrtg ottt of acts which nncur beyond th9 scope at bumlr-ess of the <br />medlcai clinic. <br />Section 11. W>aO l8 AN INSUREq of thg H]~ILTHCARI" GEN~fIAL L!A>3iUTY CO1{EAA1;E PAR"( Is <br />etttcndsd by adding the falfawlrtg: <br />SANTA ANA CITY JAJL <br />e2 avlc c~tT~i~ la~AZA <br />SANTA AIYA, CA 927Ct2 <br />courln- of MADERA <br />~a.~s >~aap ~s <br />iwai~J~, cA ~~saa <br />Covor~go pWlrideCl under this Pofloy is limited pmf4r~ione:l e~rvboas at rho medJcaJ c1idlC ar <br />vVltiia in trdrtsporc onty. ThLs policy goes nax provide oavarege any l3QCttly 1t:Qury atadlor <br />PrcpartY Qamapa arising out n4 acts which tincur beyond tJ~o scope of EstJslness aflha <br />medical rJlnJe. <br />A6 other terms, Cond~'ions and mx+;lusbns pf the policy remain ur~chan~d. <br />(~) <br />./ ~._ C~ <br />. ~~ G ~ <br />~-- '' ~ /Z <br />required by levy} <br />