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Home My WebLink AboutANTECH DIAGNOSTICS 5 - 2006G2D10 AGREEMENT TERMINATION Please complete this form when the attached agreement is no lcngdf eflecT a 55 Return form to the Sr. Deputy Clerk of the Council (M -30). Call C411'5239 if you have.au questions.',. The agreement with 141V7EC'11 &gno—s�lCS No. AIo2004-(X was completed on l and final payment has been made. Department: -? VA Signature: r i7l(V�fs�l Date: City of Santa Ana Revised 8 -7 -03 Clerk of the Council INSURANCE NOT ON FILE N -2006 -064 WORK MAY Of PROCEED CLERK OF COUNCIL STANDARD CONSULTANT AGREEMENT DATE:''s'0� THIS AGREEMENT, made and entered into this day of, 2006 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 Slate 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 diagnostic laboratory services for the Santa Ana Zoo, including blood analysis, urinalysis, cultures, parasitology, and pathology work as requested by the Santa Ana Zoo veterinarian. 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 $3,000.00 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 upon expenditure of allocated funds. 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 tinder this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. 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. b. 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 workers 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. c. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. d. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: Of Consultant shall maintain all insurance required above in full force and elTect for the entire period covered by this Agreement. (it) 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. 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 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indenmify City fully, including reasonable costs and attorney's fees, for any injuries or damages to Citv in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if hilly set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: PATRICIA F. HE.ALy Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney gy. zz Lau a Sheedv Assistant City Attorney RECOMMENDED FOR APPROVAL: A ARDO M ET Executivc Dircc or Parks. Recreation, and Community Services Agency City of Santa Ana CITY OF SANTA A: DAVI N. REAM City Manager CONSULT in- BRUCE BARGMANN Vice President Controller Tax ID# ( L?t:'i1u81 wwi -rA='/+u ii i v i c v QUICK REFERENCE GUIDE D I A G N O S T I C S PROFILES TEST SPECIMEN PRICE SA060 Mmi Screen: ALT, BUN, Glucose Total Piotem .,, cs en CBC 5A040 : P�r e (/ Albumin, Alk Phus ALT, BUN C reannine Globulin, Glucose, Total Pmteiu SA050 Pre Op Sctten CBC RECHECK ' Reeheek Profile: Vet Soieen, CBS.' (p!ewsous sample must Have been '(S-, LT) =28.00 submitted vuhm the last 30 days) _. _ SA310 ,. ...., T... -. _.._ ...,� _- _ - Renal Profile: Albumm,BUt�, Calcium, Creatimne,Globuhn; A .. _._ S; 19', 11 (� ) .._ ,: 30.75 '_.. Phnsphoms, Potassium, Sodium, Total Protein CBC, Urmalysis �__ . _ -(S _ , _ SA080 ----- - ,._ m _ .,.. . Senior Comprehensive Plus Srtpeicliem CBC, T4, FT4 (ED) rTSI LT) 71.75 SA090 Senior Comprehensive Ps ofile tioperchem CBC T4 FT4 (ED� (S� LT) 58 50 SA010 Superchem: _� -' ,� ,� `., .. - •(S). 3,7.00 Albumin, Alk Phos, ALT Amylase, AST, BUN, Calcium Chloride, Cholesterol, CPK, Creatinine, GOT, Glubulin, Glucosc, LDH, Lipase, Magnesium, Osmolality, Phosphorus, Potassium, Sodium, Total Bilimbm, Total Protein I riglycende _ -�-.. ..— _.. _ SA020 _.._____ -- _. -. -_.. __ -_. �.. - Supercheny CBC (S, LI) 41.00 SA490 Superchem, CBC, FeL[�FI� - (S; Ll) 5075 ,.•5975 _�, __ SA4fi() - -_:- _ _._— � Superchem, CBC FeL�;FIV,FCV (S. LT) SA500 Superchem; CBC Lyme IgG =�7'^ S 4450 Superchem, CBC Special Thymido Superchem, CBC T3 14, FC4 (PD) TGAA, cTSH (S, LT) SPECIMEN KEY: S =Serum LT °Lavender Top Tube SL= Slides BT =Blue Top'lube C= Culturette Tissue = Tissue in 10% Forinalin F =Fecal U =Urine wwirAll=,00+� iAVNW i c v D I A G N O S 7 1 C S TEST NUMBER TEST NAME / TEST CONTENTS SPECINTEN PRICE Sodium; Total RiOmbin, Total Protein ADD -ON TESTS (5) DD20 r "��'FI�iiYi obartonella)' � 91111 m Ag (S) 7.00 Iectrophoresis (S) --- -_ _._ -,.. 37.75 v[c Count (LT) 9.00 DD20 r "��'FI�iiYi obartonella)' (LT) 1 7.25 ' ADI)190 `_T4 (S� - 13.25 - -' G°`"'ADD11P"" '``FIP70 EELISA'TTT "(S)' CSF 27.75 _- ADD200 "-cTSH (S) 311.75. ADD15 ' -'FN, ELISA "� (S) ''15.25 `ADD220 Urmalysts (U) 10.00 "AbD50'" Free T4 (ED) (S) 2975 ADD210 ' Unne Culture M[C (RU) 3625 A5D60 ` Free T4 (R[A)" (�) , "18.00 T ' AD)230 Unnc Pro[cin Creatiniue Ratio (U) 24.00 ADD260 " Fmctosnmine (S) 18.00 (RU) 45.00 CYTOLOGY / HISTOPATHOLOGY / MICROBIOLOGY CYTOLOGY HISTOPATHOLOGY of necropsy site) (Tissue) 54.011 nlogists) (Tissue) 20.0 lose sampin in various stages of processing) (Tissue) 26.25 r other mineralized and /or calnlied tissues (Tissue) 10.50 BTOPSU 1}one Marrow - - (SL or LI) 50.00 B[IFFY $uffyCoat Fzammahon (LT) 70.25 CSF CSP Adalysts with Cytology - (Fluid in RT /LT) 4875 CYTO C Colo Y gY (SL or LT) SO.OU ' [ LUA '^'�"'"� m. Fluid Aualysls -with- Cytology Fluid (Fluid) 50.25 HISTOPATHOLOGY of necropsy site) (Tissue) 54.011 nlogists) (Tissue) 20.0 lose sampin in various stages of processing) (Tissue) 26.25 r other mineralized and /or calnlied tissues (Tissue) 10.50 BTOPSU Cancellation FeeQOis fee wdl be npplie BUN LBX Additional Poa that applies to one sam -_ _ CBE - r_,___ .._ a prep ati- Cnmplefc Border Eva(uahon (pieparatio DERM Special Dean Pith Service with a board MBX additional tangenuel margin sections) (Tissue) 45.00 _ _ red Pathologist and Dermatologist (Tissue) 96.75 re a Pathologists special attention) (Tissue) 23.00 I or necropsy cite)- (Tissue) 50.00 f _.. Cot evaluation and sectioning cu _ (Tissue) 45.00 - :tit back to the submi4lmg practice - 1 week) (Tissue) 26.25 will be resulted within 1 -2 working days) (Tissue) 21.00 MICROBIOLOGY 11020 ._7 ___._. __-.___ ....__.__ Aerobic Culture and Sensmvny (C) 35.75 re. -^ MII40 F� - .._._._.- Aerobia Culture and Sensitivity pus Anaerobic Culture (2C) 55.50 91030 ' Anaernhic Culture - . (C) _____ pyre 4150 M060 -. Blood Cndfixe "' ___. .. _:_ ._:.__ ____ ____ (2BCR) - -41x0 Culture ID Only (nu urine) -° `" - (C) _ -_ 70.60 :. _._ �� M160`�� -- .-- __._ -�. -__ -- -._-.- ._. -.,'__ Fecal C�tltura 2nd Sen'sitrnty prey -' (F) 45.00 _- __..._.FV MII81A" _.,.-�.. -, _ - Fungal Culmre r '_�.. (C) __- ..21.00 '38.25 ,_..�,._......�....�.- '' M000 - ..- .-.,,, .-- -.- °"_.., __._ -•- _, T.._ -. ` Cram's Stain = _, ._._ ( C nr Dried Smear) -0 Urine Culture MIC (RU) 45.00 wwirA�i+ALt iiiv i c vrr D I A G N O S T I C 5 PRICE LIST ■ PROFILES Total Body Function.-..........._...__.._...__.- SA 170 Canine Autuinnumte Profile _.__... .... ._- ___..._._61.00 Total Body Function phis .... .. ..........................52.00 SA100 Canine Comprehensive(DI) ... ..........................51.00 Vat Screen ............................... ..........................30.25 SA140 Canine Heartworm Program ......................... ....15.50 SA130 Canine Heaztworm Program Plus 19.50 SA160 Canine Maldigestion Profile ... .......................... 72.00 SA150 Canine Vaccine Titer ............... .......................... 32.75 SA220 Cal Scan Plus ..__.____... ..__.___.._.. .... ........ .56.75 SA290 Coagulation Profile 1.... _ ........ ..........................58.25 .....21.00 SA300 Coagulation Profile 2 .................... ......... __... . 54.25 *S16900 Comprehensive Ehrlichia Profile.._..., ........... L27.00 T140 Electrolyte Profile ............. .................. 25.50 SA350 Fecal Pathogens Profile .. ...... ......... ...... ......_.__. 74.50 SA280 Feline Aumimmune Profile_............................ 56.75 SA200 Feline Comp (Cl ) ... ............ .............. ........ .... 65.25 SA230 Feline Comprehensive ...... ._......._.......__._.__..49.15 AE270CBC .......................... ....... .._.._......._...____ SA210 Feline Comprehensive Plus ............. _.. ...... .... .. 64.75 SA250 Feline Heartworm Program ... ... ............. _., ..... .. 18.25 SA240 Feline Heartwonn Program Plus _._._.__........ 31.50 SA275 Feline Maldigestion Profile ............................... 85.50 SA260 Feline Retroviral ..... ............. .....................- -... 2325 SA265 Feline Serology l..__.__ _.__............_ .............. 38.50 5.42711 Feline Serology 2 ............... ............................... 58.25 SA 190 Feline Total Health Check ............_._....__._. -660(1 SA180 Feline Total l health Plus ..... ............................... 7L75 *516581 Feline Vaccine Ti ter ................. ..........................65.75 S.A340 Fungal Pro[iile .... .... ..__ _ .... _...__...._.._.._._..._6125 SA235 hyperthyroid Feline. ..................... ........... 58.50 SA440 Hyperthyroid Monitoring Profile ...................... 27.50 SA320 Liver Profile..._. ..___._......._ ......._ ..................53.25 S.A060 Mini Screen. ... .. .. ... .................... 18.50 SA070 Mini Screen/ CBC ...... ._ ............. .... ........._......27.50 SA040 Pie -Op Sneen..... _ ....... .... .... ....- ...... ... . 2125 SA050 Pre -Op Screen / CBC._._ ... ............................... 27.25 RECHECK Recheck Profile.. .... ......... . . .1.1. 28.00 SA310 Renal Profile.__ ........ ................... I ........ ........... . 30.75 S.A090 Senior Comprehensive ....... . ._ ... ......... _........... 55.50 SA080 Senior Comprehensive Plus ____.. ..... 71.75 SA010Superchem ............................ _............,...._.._....37.00 SA020 SupercbemiCBC........._ .............. .._...........__...41.00 SA430 T3 Suppression Test. _........... .__ .......................58.25 SA360 'Thyroid Profile I .... ................ .......................... 29.75 SA370 Thyroid Profile 2._.. ... ....... ..........._.._..__._....3975 SA380 Thyroid Profile 3..._........ .. ............................... 57.75 SA390 Thyroid Profile 4 .... _............ ................. ......... .51.25 SA400 Thyroid Profile 5 ......... 66.50 SA410 Thyroid Profile 6 ..................... .......................... 79.75 SA420 Thyroid Profile 7 ..... ......... ....... ............ ..... _.... 6575 SA330 Tick Serolugy l... ...... __. _._.. ......__ ..................51.75 *SA6545 Tick Serology Multiplex .......................... .._.... 68.25 " Indicates send Gilt test SA120 Total Body Function.-..........._...__.._...__.- _.._46.25 SA110 Total Body Function phis .... .. ..........................52.00 48.75 SA025 Vat Screen ............................... ..........................30.25 ADD07 FeLV/FlV, ELISA .... __..... _,.._...- .................19.75 SA030 Vet Screen / CBC ..... . ..__...__..........._.....___.. 34.25 • Add -On Tests ADD04 Coccidioidmycosis...__.___.. ......._....._..... .... ...23.00 ADD05 Ehrlichia cani.s. . ............... ..........................25.25 48.75 ADD06 FeLV, ELISA ..................... ....... .... ...............__... 8.50 ADD07 FeLV/FlV, ELISA .... __..... _,.._...- .................19.75 34.75 ADD20 FIA(I lemohartonella) .......... .. ....._....., ......... ..... .7.25 ADDIO FIP 7b, ELISA.. ..... ............................ ...___..... -2725 ADD15 FIV, ELISA .......__...._.. .__ ............................ 15.25 ADD50 Free 14 (ED) ... ......... ._. ........ .... .. ....................... 29.75 ADD60 Free T4 (RIA). ..... ..... ............ __.. 1800 ADD260 Fru ctcsaniine_ ... _......_ . ....... ................. _.I.,...... 18.00 ADD250 Giardia ........ __ .......... ._. ....... ..... ............_...,...._.. 9.00 ADD70 Hemovorm Antigen..._..... ...____._.._.........._.._.7.00 .....21.00 ADD130 Protein Rlectrophoresis ...... ............................... 37.75 ADD140 Reticulocyte Count. 9.00 ADD190 T4 ......... ........ ........... .... __.__.._..._............. ._.... 13.25 ADD200cTSH . _ _ ... ............................... .......................... 30.75 ADD220 Urinalysis ............... ............ _.. 10.00 ADD210 Urine Culture MIC._..__.__.. __ ........................36.25 ...66.00 ADD230 Urine Protein Creatinine Ratio ................... ..... 2400 ■ AVIAN AND EXOTIC TESTING *517116 Adrenal Androgen Profile (Ferrer) .................. 152.25 *516025 Aleutian Disease ......... ...__.. ......_.._........._.... 48.75 *516011 Aspergil his Ah'I'itcr( Avian )..._........_.._._._,.,.34.25 *585358 Aspergillus Ag (Avian) ................................... 34.75 *585359 Aspergillus Profile ( Avian).__......_ ........... . -.... 93.00 AE010 Avian Comprehensive Chemistry ........ .. .......... 37.75 AE030 Avian Comprehensive Pos t- Puichase__. _._._ 18500 AE020 Avian Comprehensive Profile ......................... 40.75 AF070 Avian Diarrhea Profile ............ ..........................94.50 AE080 Avian Feather Picker Profile...__.........._._..... 17175 AE090 Avian Hepatic Profilc ....................... ...._......... 123.75 AE100 Avian Mini Hepatic Profile ........... _.,...___ .....21.00 AE060 Avian Mini Post- Purchase____.___ _._..._........ 82.75 AEI20 Avian Mini PU/PD Profile.....__.. ....... 2100 AEHO Avian PU/PD Profile .......... ...........__.......__.....7725 AE130 Avian Regurgitation Profilc ............................ 139.00 AE140 Avian Respiratory Profile ..... ...................._.....12225 *516095 Avian Sexing ........ _........ .. .... ____....._...... ...66.00 AE040 Avian Standard Chemistry.. ......... ....... 30.00 AE050 Avian Standard Profile .................. ..........__.....33,00 AE260 Bile Acids ... .. ..........................23.50 *516880 CAR - Bacillus Titer ................. ..........................43.50 AE270CBC .......................... ....... .._.._......._...____ 18.25 III A /T'C' /% U D I A G N O S T I C S AVIAN AND EXOTIC TES'T'ING (continued) • Cytology `S16671 Chlamydophila Ab Titer BgG) ..........................34.75 BONE A1?280 Chlamydophila Ag(Elisa) ....... ..........................38.00 DUFFY - 516874 Chlamydophila Antigen FA _ .... ......._.........._._59.50 CSF -516788 Chlauydophila DNA Probe (Blood) ................. 40.75 *516672 Chlamydophila DNA Probe (Swab) ................. 37.50 - 585206 Chlamydophila Profile . ........_ ..... ... 10250 "St6670 Clamydophila Titer EBA ......__......_.._. ....... 43.50 *S16322 DistemperAnfihody(Fearet) ............... .......... ... 41.50 *SI6S01 Distemper PCR ...................... ......................... .55.50 "S 16877 Encephalitozoon Cuniculi...... .... 48-75 T810 Fecal Occult Blood._... . - ... . .....__ ...................22.50 Oram's Stain_........_.._ ....... ............................... AE230 Geriatric Weak Ferret Profile ...... ..................... 70.75 T820 Giardia Antigen ....................... ..........................28.75 Mycoplasma Culture.......... _ . .......................:.._6225 T470 Insulin - Glucose Pair ......._....__.._...._....__._ 47.75 AE290 Lead Level.___....___._ .......... ..........................45.00 Salmonella Typing _..__.. _ .........................50.00 AE190 Mammalian Comprehensive Chemis try ........... 40.50 AE210 Mammalian Standard Chemistry ....................1.31 25 AE220 Mammalian Standard Profile ..._ ... ..1 .............1. 3425 tSI6552 Mycoplasma (Reptile / Turtle) ... ........ .. - ..... ..... 69.00 *SI6789 Mycoplasma PCR ................... ..........................41.50 ACTH (Endogenous Level) ... ..... ........ ....,........67.00 T805 Ova & Parasite w /Centrifugation -_ -- .__....__14.75 ....... .................... .... ................. *S16600 PasLimella Ab IgG Titer (Rabbits) ................... 38.75 *'S16601 Pasteurclla DNA (Rabbits) ...... ..........................37.50 'SS5209 Pastemella Profile ( Rabbits ) .................. .... .___ 53.75 *S16085 PBFD(DNA Probe)___.... ._.._..._... ................. 55.50 "S16628 Polyoma Ab__- ......._ ............... ..........................32.00 *516625 Polyoma(DNA Probe - Blood ) .........................40.75 *S16626 Polyoma (DNA Probe - Swab, Feces) ... 40.15 *S85188 Polymma Panel.__.._..._ ........... ..........................64.75 AE300 Protein Elect rophoresis..... ......_ ........................ 46.25 AE240 Rabbit Neurologic Profile ...... ......................... 107.25 AE250 Rabbit Respiratory Profile. __......_ ................103.75 *S16878 Rabbit Serology Profile .............. .............__.....1 66.00 *S]6875 Rabbit Toxoplasmosis Ab ....... ..........................52.25 AE150 Reptilian Comprehensive Chemishy ....___.__. 34.75 AE160 Reptilian Comprehensive profile... ......... 37.75 AE170 Reptilian Standard Chemistry .......... ................ 28.50 AFIND Reptilian Standard Profile ....... ..........................31.50 AE310 Reticulocyte Count (Avian, Exotics) ____. -... 1150 T425 Reticulocyte Connt( Mammalian ) .....................13.50 - SI6735 Stone Analysis (Crystallographic) ....................68.00 T495 T4 (Avian) .................. _ ........... ...... _.__............19.50 *S18708 Toxoplasmosis PCR_._. ......____...................... 55.50 "S16792 Toxoplasmosis Tiler (Zoo Animals) ................. 62.25 - S16876 Treponema Cuniculi Titer ... ............. ............... . 4400 T760Urinalysis ...... ,..... .............. ._..__..........._._._....14.25 *S85448 West Nile Vitus Titer..__ ................ I ............ ,..._ 45.75 rS85449 West Nile Virus PCR........ . ............ .................... 48.75 *516012 Zinc ........... ................ ........... ... ......_...._.......4375 a Indicates send out test ■ CYI' OLOGY /IHSTOPATHOI,OGY /NIiCROBIOLOGY • Cytology Each Additional Site ........... 20.00 BONE Bone Marrow- ..... 50.00 DUFFY Buffy Coat Examinat ion ............... .............. ... 30.25 CSF CSF Analysis with Cytology ...... ............_._...4875 DIGIT Digits (toes) or Limbs ........... .......___._.......__.21.00 CYTO Cytology (I Site) ..............__ ..._................ ...... 50.00 FLUA Fluid Analysis with Cytology ......................... 50.25 • Historiatholo FIIX Full Written Biopsy ............................... _........_ 54.00 Each Additional Site ........... 20.00 BIOPSU Cancellation Fee- ..... _..__. _.____........._ .......... 26.25 BONEBX Additional Fee that applies for decal ................ 10.50 CBE Comprehensive Surgical Margin Evaluation.... 45.00 DERM Special Dean Path Service .... ........................... 9675 DIGIT Digits (toes) or Limbs ........... .......___._.......__.21.00 Anaerobic Culture ......... .... ....__.......__._......_..55.50 MBX Mini Written Biopsy ._....._ _......._._ ...............50.00 M050 NCPA Large and Complicated Specimens. ... - ........ ... 23.00 ORGAN Large specimens or intact organs ...................... 45.00 RECII'I Recut slides ........ ................... ...........................2625 M060 STAT STAT Charge.. ............. . - 21 All) Special Stains - Please call Customer Service for current options and fees. • Microbiology M010 Acid Fast Stain ... .. .... ...___ ...... ..........................30.75 M020 Aerobic Culture and Sensitivity ............ 35.75 M030 Anaerohic Culture ... .......... ........ .................. ..41.50 M040 Aerobic Culture and Sensitivity & Anaerobic Culture ......... .... ....__.......__._......_..55.50 M050 Aerobic Culture and Sensitivity & Fungal Culmre . - ................... _..................... 64.00 M060 Blood Cult urc_ .................. .............................._ 41.50 '5161101 Cat Scratch Fever Culture ........... ..........__.......41.50 M070 Culture ID Only (no urine)........_._..._.__....... 30.00 M080 Fungal Culture.__ ....... ......... .... ............. ......... ..38.25 M090 Oram's Stain_........_.._ ....... ............................... 21.00 M100 Mycohactenum Culmre.. ................ .............._..45.00 M110 Mycoplasma Culture.......... _ . .......................:.._6225 M120 Salmonella Culture.. ......... ......._.__......_.__..... 55.50 `S16715 Salmonella Typing _..__.. _ .........................50.00 M130 Urine Culmre & MIC.._ .......... ..........................45.00 *S16840 Viral I solution Culture ............ .........................103.25 ■ INDIVIDUAL TEST LISTING *S16005 Acetylcholine Receptor Antibody .....................90.00 T435 ACTH (Endogenous Level) ... ..... ........ ....,........67.00 T010Albumin.. ....... .................... .... ................. .... ..11.75 // / w / L V * Indicates send out lest D I A G N O S T I C S INDIVIDUAL TEST LISTING (continued) CoTt1S01,resting ................. ........_.......____.._...32.00 T215 Alk Plans Isoenzynre (Canine only) ______..... 33 00 T020 Alkaline Phosphatase .......... ...... .......................11.75 T030 ALT(SGPT).., ........ ............... ..................._.._..11.75 Cortisol 3 (Dexamethasone Suppression)......... T040Amylase...- _...__............_..... ._..._ ........ . .......... ..IL75 T050 Amylase and Lipase ........... ............................... 16.25 *S16872 AnaphoTna Phagocytophihum 'Titer 62.25 - 516265 Anaptasma Platys Titer... ...................... ........... 62.25 T515 Antinuclear Antibodies (ANA).. _ ___ _ _ .1.1. 31.50 *S16055 Arsenic __. ............................... .......................... 62.25 T060 AST (SGOT) .................. ................ ......._....._._.11.75 T340 *SI6070 Babesiz Canis ' FteT -........ _.........._ ................... 56.50 *"16075 Bahesia Gibsoni Titer (non export) ............ _.... 67.50 T785 Baennann Fecal_....._._ ........... ..........................41.50 T550 *816001 Bartonella Culture (Cat Scratch Fever) .......,.... 41.50 *585889 Bartonella Henselae Titer (Feline only) ............ 61.00 *S1315 Bartonella PCR(Cat Scratch Fever ).. ............ .55.50 T220 Bile Acid, pre and post .._...... ....._._ ..................36.75 T225 fide Acid, resting .... ............ ..... ....... ........... ...... 2150 T070 Bilimbin , direct .......... .... ._ ............____._........11.75 S1624S T090 Bilirabia , total .................... .... ..........................11.75 T520 Bladder Tumor Antigen (Canine) ____ _ _____ 45.00 T525 Blastomyces _ ..................... ............................... 41,75 1315 Blood Typing, Canine (DEA 1.1 only) _._. . _ _ 49.50 *SI6100 Blood Typing, Canine (Full Panel) ................... 85.50 1320 Blood Typing, Feline ... _. ........... ............ ...... __ 52.25 T100 Blood Urea Nitrogen ( I11iN ) ... _............ ........... 11.75 T710 Bromide ............... ....... __................... ................ 4900 *S16131 Bmcella AGID /SAT__._..___ - __........._......_65.00 T570 T530 Bmcclla Canis Screen (non export) .................. 26.00 `S16003 Bmcella Canis Titer (for export) .... ..____........ 48.75 T325 Bully Goat Examination ....... .._ ............. __ ..... ..30.25 T105 BUN /Creatinine .............. ___._._........__....__...18.25 T110 C' alcinm._ .... ....... .............. .... ........... ............... , 11.75 - S18537 Calcium, ionized . ......................... _._........._.._ 29.50 *S16112 Calicivinrs Antibody Titer ...... ............._......,.....55.00 .. 4625 *S16135 Calicivinrs Antigen ............ ................. ..__......3800 Electrophoresis, Urine Protein ..... ,..... _..._.... ._ *S16840 Calicivinrs Culture_ _ _._......._......__............ 103.25 '1115 Carbon Dioxide ....... .................... ..............._.._.1175 130.25 T330 CBC ...._.__ _..._.... ..........17.75 Estradiol ..... ,....... .................... ......._...,..............59.50 *S16009 Chlamydophila Antibody Titer .........................46.75 *S16305 S16874 Chlamydophila, direct FA _...._.__- _._ ........ 59.50 T120Chlondc .... ............................... ..........................11.75 RN Antibody Titer (Coronavirus ) ....... ......... T125 Cholesterol ......................... ._._._...._.__._.......IL75 T593 T235 Chol inesterase ._ ...................... ..........................33.25 12.25 T16007 Clostridium Perfrineens Enterotoxin _._. _ _ _ _. 45.00 S16195 Cobelamioe (Vitamin B12) and Folate ............. 55.50 1535 Coccidioides Titer ............ ........... ............__.....3225 T580 T540 Coumbs' Direct _.._ ............... .......................... 29.75 *S16210 Copper Level .............. ........................ .._ .... ...._..56.50 FeLV, IFA .............. *S16215 Copper Storage Disease (CSD )._ ........ ............. 75.75 -S162,25 Corona Virus IgG and IgM (canine only)., ..._. 33 50 T445 CoTt1S01,resting ................. ........_.......____.._...32.00 T440 Cortisol2 (ACTH Response) . ........ .._ .......... ._..45.00 1450 Cortisol 3 (Dexamethasone Suppression)......... 58.25 T451 Cordsol4 Samples.._ .............. .......................... 71.50 T452 Cnrtisol5 Samples........_ ...... ..................._...._.84.50 T130CPK ............... _.___.....___. ............... ,............... 11.75 T135 Creatininc ..................... 11.75 T340 Crossmatch ..............._. -- ....... 40.25 T345 Crossmatch (additional donor). ......... ..__.. ...... .. 25.25 T550 Cryptococcus Antigen ... ....... -,_ _ . __--- 41.50 T790 Crytosporldnnn FA/Giardia FA, Blisa _............ 60.50 1350 D- Dimer .................... .......... ..............._..___._...28511 T735Diguxin......____1 _..__ ...... ............... ...... ........_..3425 S1624S Odantin .............. _................. .........................__5075 T555 Distemper Antibody IgG and IgM (Canine).._. 33.50 516250 Distemper Antigen IFA (Canine ) ...................... 40.00 T565 Distemper /Parvovirus Vaccine T iter .................32.75 *S16501 Distemper PCR ................... .. .........._................5550 T560 Distemper Vaccine T'iter..__. ....._..._ ................ 29.50 T570 Elvlichia Canis (Canine only - non export) ...... 39.50 •SI6892 Ehrlichia PCR ...... .................. ... __...._.. 67.50 *S86107 Ehrlichia Titer Complex (Feline only)............_58.00 1140 Electrolyte Profile (Na, K, Cl, TCO2)___.___ 2's 1O T240 Electrophoresis, Serum Protein... . .......... ...... .. 4625 T245 Electrophoresis, Urine Protein ..... ,..... _..._.... ._ 46.25 *S16290 Er ih..pcietin .........._._.. _....._ ...................... 130.25 "516295 Estradiol ..... ,....... .................... ......._...,..............59.50 *S16305 Ethylene Glycol ...... ._........_ __._ ......................93.75 T595 RN Antibody Titer (Coronavirus ) ....... ......... ..30.00 T593 FCV Exposure Titer (Coronavims exposure)... 12.25 T810 Fecal Occult Blood ..........:...... ..........................22.50 *516800 Feline Trypsin -like hmnunoreactivity (I 1,1) ... 57.00 T580 FeLV Antigen ........ _ ................__....... 13.50 T585 FeLV, IFA .............. 32.25 *S6234 FeLV ,PCR___..... .............. ..... ...........:......_.......40.00 t365 Fibrinogen, quantitative ........ .____._......___... 17.75 T605 FIP 7b Elisa._. __.- ............... ..........................39.25 *85380 FIP PCR ................... _........... .............._..___._.67.50 T610FIV ....... _..___._..__.___ ......... ..........................20.00 *516865 FIV Western Blot .......... _........... _ 69.00 T455Free T3. ........ ..... .__..___.__ ._. .... ................._..25.00 T465 Free T4 ( RI A) ....................... ...__...................... 2L50 T460 Free T4 by Equilibrium Dialysis _ ....... 38.00 516345 Fructosamine ........._ .......................................... 26.25 T145GGT. ............ ........ ......... -___. .........._............... 11.75 T820 Ciardia Antigen. ............. ........ - 28.75 T150Glucose ....... ....... ..... ... ........._._ .............__......... ..11.75 T625 Heartworm Antibody ( feline) ......... .._ ...............25.50 1615 Heartwotm Antigen ( canine ) .... ...._...____._.._._ 7.50 T620 Hemovonn Antigen(feline) ..... ...........................7.50 T630 Hcartworm Combo (f eline) .............................. . 2925 *S16400 Herpes, Direct Antigen .. ........... .........._...4550 ,JW A AF TC,O�% / //Y / L V *Indicates send not test D 1 A G N o S T I C S *S86022 l Ierpes Virus Antibody (IFA).._......__.............. 45.50 1'640 Histoplasma Antibody ............. ..........................41.75 *516405 Histnptasma titer .................... ............ _.__.......73.00 13.50 f645 IgA ( canine)...,......._. _.._..._ .... .......................... 31.50 T650 Igo ( canine) . __ 3150 T655 IgM ( canine) .................. . _._._._............... ....... .. 31.50 T660 hinnunoglobulin Profile: IgA,1gG, IgM (canine).. 56.50 *586096 influenza Titer Canine (Acute). _ - ._ .... ....... 47.25 T470 Insulin - Glucose Comparison.... .............. - 47.75 T15 5 I rnn .... _ _ ... ..................................... _....... _. ... 18.25 1 -160 Lactic Dehydrogeaase ( LDR) ........................... 11.75 T745 Lead, blood. ......... . .. 46.75 *516510 Leptospirosis ............__.....__ .. ..........................46.50 68.00 '165 Lipase 11,75 T670 Lyme I G ...... .._ -_. __ ... ..... 24.00 *S16836 Lyme Westem Blot (canine only) ..... .............. .7650 T170 Magnesium ._....... ................ ..__........_... .......... 11.75 *516535 Masticatory Muscle Myositis (2MAntibody)..... 8250 *516540 Metatdchyde ...... .............___....__.. 103.25 1390 \7icrofilaria K-nott's.._.... _..._ .. ..........................17.50 70.75 T380 Mycn plasma( Hemobartonella ). ............ ......_....13.25- 45.00 *576270 N'eorickettsia Risticti Titer __. ..................... ..... 62.25 *51681 Non - Steroidal Anti - Inflammatory Dmg Screen (Seam)... 82.75 *S1hR0 Non Steroidal Anti-I nflamma tory Drug Screen (Urine).... 82.75 *516610 Organophosphates/ Pesticides/Herbicides......_... 165.25 *S16575 Osmokdity Measured (semen or mine) ............. 41.75 T805 Ova & Parasite wi Centrifugation ................_.... 1475 T806 Ova & Parasite w /Centrifugation (smear) ..... 30 -75 *SS5364 Pancreatic Lipase lmmunoreactivity (PLC).......... 47.75 *S16580 Panlcukopenia IgG, IgM (Feline only) - 33.50 'S160)3 Panleukopenia Vaccine Titer (feline only)........ 29.50 T825 Parasite Identification ...... ............................._- 55.50 *S 16595 Parathyroid Elonnone (PTH) with Ionized Calcium..... 72.75 *S16596 Parahyod Hnrmonc Related protein (PTHRU.- ... _.6690 T395 Partial Thromboplastin Time (PTT)._ ............... 17.00 T690 Parvcvims Annbody' liter IgG and IgM (canine only). 33.50 T695 Parvovims Antigen (canine only).__ ................ 31.50 T697 Parvovtms (Panleukopenia) Antigen (feline only)... 36.7,5 T700 Parvovirus Antibody& Antigen .... ..._..____.... 40.25 5 8710 Parvovims PCR( Canine)_. . ....... ...... ._........._..57.00 T705 Pervovims Vaccine Titer ....... ..........__...._...__ 29.50 T750 Phenobarbital .... ,.......... ._..._.. _ .........................31.25 T755 Phenobarbital Peak and Trough.. .... . 45.50 T180 Phosphorus _......_....,..__...__ .__ .......................11.75 T400 Platelet Cmmt ..................... ............................... 1525 T195 Potassium .............. _.......... _........__._.. ........ .... 11.75 T475 Progesterone ....... ............. .... ................... 43 Do T190 Protein, Total .............. ..._.. .........______...........11.75 T410 Prothrombin Time. (PT) ........ _ ..............._......._.15.00 T415PT/P R1' C ............................... ........._.___............27.25 *516685 Rabies Antibody Titer (Export RFFIT) ............. 82.50 *517108 Rabies Antibody Titer (Export FAUN). - -- ..82.50 *51204 Rabies Antibody Titer (non export ) ..................82.50 T9810Relaxin.. ..._.._...._ ................... ..........................34.75 T425 Reticutocyte Count .......... ......._......._............... 13.50 T710 Rheumatoid Factor ( canine ) .............................. 26.25 T715 Rocky Mountain Spotted Fever (Rickettsia riekettsid.. 28.00 *57004 Rocky Mountain Spotted Fever, PCR ............... 57.00 *516040 Rodeuticide (Anticoagulant) Screen._ - _ _.__ 117.00 *516710 Rotavira ;Antigen ................. ._.........,._............51.25 *516730 Selenium.... ..55.50 T195Sodium ........... .................... ..__...__._.............. .11.75 T200 Sodium and Potassium ...................... _...........,.. 1825 T250 Sorbitol Dchydrogenase_.... ......._.__....._......... 18.25 *516735 Stone Analysis ( Crystallographic ).,...._.........._ 68.00 .. ............................... *516745 Strychnine .,.......__....__._....65.75 T480 T3 ........ _ .... ................19.00 T485 T3 Autoantibndy ...... ........... ...................____..28.50 T490 T3 Suppression Test ...... ....... ..........................58.25 T495 T4 .......... ....................... ............................... _ 19.50 T500 '1'4 Autoantibody ..... ........ .._ .....__....................2850 *516755 famine. ..__.__.____.... ..... _I_ -... ........................ 70.75 *S16760 Testosterone ..... .......... ........ ...._...._....__....,..... 45.00 - 516770 Tetanus Toxin__._..__ .......... ..........._............_.85.50 T505 Thyrnglobulin Ammintibody ....... ..___......._.... .27.25 T720 Toxoplasma Antibody Titer (IgG and IgM)...... 35.75 *518708 Toxoplasma I'CR .... .......... ................_____...._.5550 T205 Triglycerides ..... ..........._...... _.. . .................... ,... .11.75 T230 Trypsin -like Immunoreactivity (TLI) (canine) _. 5d oo) *516800 'fryf)kn -like Iuununoreactivity (T1.1) (feline).....,.... 57.00 T510cTSH ...... . _..I ........... ....... .......... ..... .._..... ..34.00 T760 Urinalysis ..... ......... .... ._.......__.__..__. ..... I ..... _ 14.25 '765 Urinary Fractional Excretion Ratios ................. 35,25 T227 Urine Bile Acid ....... ............... ...._............ ...... ...31.00 'C/ 70 Urine Comisol / Creatinine Ratio ...................... 39.50 T830C Urine Microalbumin (Canine) ....... _-- ...... 12,75 T830F Urine Microalbumin ( Feline )._ .................._..... 12.75 T775 Urine Protein/ Creatinine Ratio .......... __.___..29.25 T310 Urine Uric Acid/ Creatinine Ratio _._........ ..... 45.00 *516840 Viral Isolation Culture... 101.25 *517123 Von Willebrands Factor...._.. ..__ ................._....53.75 *585448 West Nile Titer ........................ ..........................45.75 *585449 West Nile Virus ( PCR) ............ ............._..... 48.75 *516870 Zinc .............. .1 .... ........... ................. .......55.50 • Always consult the Services Directory for testing and specimen requirements. • For large animal profiles please request our new Equine Services Directory. • For all other questions please call our Customer Service Department or your sales representative. /� ^^RDTM vC 1 tKl, l" )"1�,/(,J CERTIFICATE OF LIABILITY INSURANCE DATE( M/ DNYYY) 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 21250 Hawthorne Blvd., Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Torrance, CA 90503 -4110 /V ,Omo _ 06 INSURERS AFFORDING COVERAGE INSURED NAIC # VCA Antech, Inc. INSURER A: Discover Property & Casualty Company 12401 W. Olympic Blvd INSURER B: Los Angeles, CA 90064 INSURER C: INSURER D: INSURER E: 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. IN D LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MMIDD/YY DATE MM /DD/YY LIMITS A GENERAL LIABILITY D003Q00092 04/01/08 04/01/09 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY _.._ 1,000,000 CLAIMS MADE Ex—]OCCUR PRE AGE TO RENTED n e $1 000 000 X MED EXP (Any one person) $0 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ECT LOC PRODUCTS - COMP /OP AGG $2,000,000 AUTOMOBILE LIABILITY SIR $1502000 ANY AUTO COMBINED accident) SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY ( $ HIRED AUTOS Per person) NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: qGG EXCESSIUMBRELLA LIABILITY $ OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ TS RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU �OTH- ANY PR OPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? $ If yes, describe under E.L. DISEASE - EA EMPLOYE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ 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. This insurance is (See Attached Descriptions) CERTIFICATE HOLDER CANCPI I ATIAAI City of Santa Ana, Attorney's Office (Mail Station 29) 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2001/08) 1 of 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENJQR001!WW"IL _310_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BIiI)FICJIEtH[iCkRn9R9t�mfrv� H RIZED�N,� #M1073799 VETERCTRS S9C 0 ACORD CORPORATION 1988 I F 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. ACORD 25 -S (2001/08) 2 of 3 #M1073799 POLICY NUMBER: D003Q00092 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. This insurance is primary and non contributory. CG 20 26 11 85 J 6 &'( ACORDTe CERTIFICATE OF LIABILITY INSURANCE GATE (MM /DO/YYYY) N R 4! „2099 PRODUCER Commercial Lines - (310) 543 -9995 Wells Fargo of California Insurance Services Inc. 21250 Hawthorne Boulevard, Suite 600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Torrence, CA 90503 -5519 INSURED VCA Antech, Inc. INSURER A: First lty Insurance 19380 INSURER B: g 4/1/2009 12401 W. Olympic Blvd INSURER C: S 1,000.000 Los Angeles, CA 90064 INSURER D: MED EXP (Any one pe,son) NSURER E: $ 1,000,000 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR N R TYPE OF INSURANCE POLICY NUMBER DATE I MM EFFECTIVE E Y P XPIRAT DATE I MM 00 Y YI LIMITS A GENERAL x LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx� OCCUR IRG53287 4/1/2009 4/1/2010 EACH OCCURRENCE S 1,000.000 DAMAGE TO RENTED $ 1,00,000 $ 0 MED EXP (Any one pe,son) PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GENT X AGGREGATE LIMIT APPLIES PER POLICY PRO - E T LOG PRODUCTS - COMPIOP AGO $ 2.000,000 SIR 150,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea amident) $ ALL OWN ED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ ❑e�e den DAMAGE $ . APPROVED AS TO FORM GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE ! —itV Att OTTI V EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- JE EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yea, d.mIlt,e under E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTNER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / 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. This insurance is primary and non contributory. City of Santa Ana, Attomey's Office (Mail Station 29) 20 Civic Center Plaza Santa Ana CA 92701 25 (2001108) 1 of 2 LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE G) ACORD CORPORATION 1 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. Acvrcu Zos tzeevesl 2 of 2 #S9152601M915043 POLICYNUMBER:IRG53287 ENDORSEMENT 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 UABILRY COVERAGE PART, SCHEDULE Name of Person or Organization: City of Santa Ana, Attorneys office (Mail Station 29) 20 Civic Center Plaza Santa Ana CA 92701 Of Inoo entry ry pears, above, information required to complete the endorsement will be shown in the Dec applicable to the endorsement WHO I$ AN INSLFED (Section II) is arnerz: tp include as an i red the perso or organization shown m the Schedule as an instred but oOrrlly wrath respect to li, i�ty wising out o your operations or premses owmed by or r�rteo to you. 01220 26 11 85 Copyright, Insurance Services Office, Inc., 1984 I